Course: Practical Epidemiology – EP103 – 2011/12 - FA 2
Student:
Marked by:
Grade:
Overall comments:
Detailed comments:
ITEM ASSESSED
/ Addressed in questionnaire?Yes / Some-what / No
Questionnaire Structure / - / - / -
Does the questionnaire contain: / - / - / -
An introduction (statement read by the interviewer) covering (e.g.):
Details of research organisation/ who is doing the study
Who the interviewer is
Research topic
Confidentiality
Purpose of the study
Survey length/ what is expected from respondent/ invitation to participate
Instructions relating to specific questions or measurements to be taken (*)
Linking phrases between topics
Skip patterns / not applicable (n/a) options for relevant questions (*)
Acknowledgement to the respondent
Space for comments
(Need for consent – or is this implicit)
Time at which the administration of the questionnaire started/ended (for interviews)
Items covered/ contents / - / - / -
Is the length of the questionnaire adequate? / - / - / -
Does it include all relevant information?
Does not have more questions than needed? (not too long?)
Type of questions / - / - / -
Were types of questions (open-ended, close-ended) chosen adequately?
Question format / - / - / -
Attractive, easy to identify, code and enter
Separate type faces for QUESTION, alternative answers and instructions
Vertical answer formats
Specific instructions and prompts for interviewers (*)
Pre-code all closed questions
Same code number for particular response category (e.g. 1=Yes, 2=No, throughout)
Record of responses / circling / space or boxes
Easiness of data entry / computer column codes
ID on all forms and pages
Numbering of questions
Not too congested/ enough space
Use of matrix format if appropriate
Question order / - / - / -
Questions on the same topic grouped together
Going from general to particular
Logical sequence / backwards chronological order
Threatening questions at the end
Question wording / - / - / -
Simple and direct / no unknown abbreviations/ familiar to all/ slang avoided?
Too vague/imprecise terms avoided? ('regularly', 'usually', 'normally')
Unambiguous time reference?
Not too precise?
Not biased?
Not threatening? (Place threatening questions late in questionnaire, use familiar words, broad categories, context to soften impact (break up into a series of questions))
Not more than one concept presented at once?/ double question?
No double negative?
Answers mutually exclusive?
All possible answers offered, or space left for alternative answers?
Doest not assume too much about respondent’s knowledge or behaviour? (n/k, n/a) (*)
Not too demanding?
Not cryptic?
Applicable to all respondents? (skips, n/a, n/k used?) (*)
(*) Items marked like this may appear more than once in different sections.
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