QUESTIONNAIRE Questionnaire topic

Respondent information.
“ ” In case of anonymous
Name : AGE: questionnaire only write:
Email address:
FEMALE/MALE, it depends
Instructions:
on the objective of the
Q1…? questionnaire.
a)
b) Clear instructions. Draw
c) respondents’ interests.
Show courtesy
Q2…?
a)
b)
c)
Start with easy and
Q3…? friendly questions so
a) that the respondent
b) feels comfortable
c)
Write the target
Q4…?
a)
questions here in the
b) middle of the
c) questionnaire

Q5…?
a) b) c)
Put the options in a
Q6…? vertical or horizontal
a) direction. Save paper
b) and space. It’s up to you
c)

Q7…?
Answer:_________________________________________________________
________________________________________________________________ Write some open-ended
________________________________________________________________ questions. Keep in mind
_____________
the time limit and length
THANKS FOR YOUR COLLABORATION
 of the questionnaire

Use a nice Closing for the

questionnaire
 EXAMPLE OF A QUESTIONNAIRE

“FOOD”
MALE : FEMALE: AGE:
Email address:
Dear friend,
Answer the questions about your eating habits, we would like to help you improve your health. Please read the
questions and choose the best option for you. Use an “x” to choose your answer.
Q1.Which food do you NEVER eat?
a) Fast food
b) Fruit
c) Vegetables
d) Fruit and vegetables
Q2.Which drink do you prefer for lunch?
a) Soda
b) Fruit juice, infusion , lemonade,etc.
c) Water

Q3.What kind of food do you usually prefer to eat every day?

a) French fries and steak
b) Boiled potato or rice, a stew of chicken or meat and a salad
c) Noodles soup, rice and potato

Q4. Which dessert would you like to eat after lunch?

a) Cakes
b) Ice cream
c) None
d) Other: _________________
Q5. Which snack do you prefer to eat between meals?
a) A piece of fruit
b) cookies
c) None
d) Other: _________________
Q6. How would you describe a healthy meal for breakfast?
Answer:____________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

Q7.How would you describe a healthy meal for lunch?

Answer:____________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

THANKS FOR YOUR COLLABORATION



TASK 1: “Design Text Types Format” GROUP 4:

CHURATA CHAMBI, ELIZABETH MATILDE

REGALADO VÁSQUEZ, HERMES MARINO
RUTTI HERMOSA, GINA AMPARO
MENDOZA QUIROZ, LUIS ENRIQUE
FACHIN ARMAS, KATY
GARCÍA TIMANÁ, ALAN FRANCO HÓLMER