Example Questionnaire

Last Updated
March 9, 2010

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Folllowing these simple rules can help you make a questionnaire that is easier for people to
complete.

1. Try to keep the questionnaire on one sheet: this will help you, and the person giving the
answers.
2. Phrase the questions as you would say them if talking naturally to someone.
3. Keep a count of peoples answers alongside the question using tally marks: count up after
exercise.

A quick example of using tally marks to count answers:

10. Do you think other people would use the service?

 Yes
 No

Here is an example of a full questionnaire using our simple rules:

Questionnaire – Current Facilities & Preferences

1. Do you use fast-food services in the area?

 Yes
 No

2. Which fast-food services do you use (if any)?

 a) Kebab
  b) Sandwiches
 c) Hotdog
 d) Pizza
 e) Hamburger
 f) Fish & Chips
 g) Other (Chinese, Indian, Italian…)
 h) None

3. What type of fast food do you prefer?

 a) Hamburger
 b) Pizza
 c) Hotdog
 d) Fish & Chips
 e) Kebab
 f) Sandwiches
 g) Other (Chinese, Indian, Italian…)
 h) None

4. What typeof fast-food services are in the area?

 a) Hotdog
 b) Hamburger
 c) Pizza
 d) Fish & Chips
 e) Kebab
 f) Sandwiches
 g) Other (Chinese, Indian, Italian…)
 h) None

Customer Trends

5. What else do you buy when purchasing fast food’?

 a) carbonated (fizzy) drinks

 b) coffee, tea
 c) Other

6. What time of day do you eat fast-food?

 a) Before 11am
 b) Between 11am and 2pm
 c) Between 2pm and 6pm
 d) Between 6pm and 10pm
  e) After 10pm

7. How often do you use fast-food services?

 a)Once a week
 b) Twice a week
 c) Once a month
 d) Once a year
 e) Other

Need for & Access to Product/Service

8. How much are you prepared to pay for fast-food?

 a) Less than £1
 b) Between £1 – £3
 c) Over £3

9. Would you buy from my new stall?

 Yes
 No

10. Do you think other people would use the service?

 Yes
 No

11. How far do you live from the stall?

 a) Less than half-a-mile

 b) Half-a-mile to two-miles
 c) Over two-miles

12. How often do you pass the stall?

 a) Every day
 b) Twice a week
 c) Once a week
 d) Once every two-weeks
 e) Once a month
 f) Less frequent
 g) Usually, never

13. Your age group?(enter ‘M’ for male, and ‘F’ for female)
 a) Up to 18
 b) Between 18 and 30
 c) Between 30 and 50
 d) Over 50

 called "verbatims"). Examples of each kind of question follow:

 Rating Scales and Agreement Scales are two common types of questions that some
researchers treat as multiple choice questions and others treat as numeric open end
questions. Examples of these kinds of questions are:
