Survey Outline Planning Worksheet Form
Use this worksheet to thoughtfully plan your survey's structure, content, and approach. All sections are designed to help you outline a clear, effective survey.
Survey Title
*
Survey Objective (briefly describe the main goal of your survey)
*
Target Audience
*
Please Select
Customers
Employees
General Public
Students
Other
Survey Type
*
Multiple Choice
Rating Scale
Open-Ended
Ranking
Other
Preferred Question Style
*
Single Choice
Multiple Choice
Likert Scale
Rating
Open-Ended
Sample Survey Questions (enter up to 3 examples)
Preferred Rating Scale
*
1–5
1–7
1–10
Other
How important is anonymity for survey participants?
*
Not important
1
2
3
4
Very important
5
1 is Not important, 5 is Very important
How likely are you to use branching logic in your survey? (e.g., skip logic based on answers)
*
Not likely
1
2
3
4
Very likely
5
1 is Not likely, 5 is Very likely
Which survey distribution channels do you plan to use?
Email
Website
Social Media
In-person
Other
How will you analyze the survey results?
Submit Survey Outline
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