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Form for definition of a trial questionnaire

Click here for a short introduction.

Any text at top of page informing about author etc. #:

Any questionnaire heading (e.g. Your view on media) #:


Any introduction (or prologue) before all questions (e.g. This questionnaire concerns ....) #:


Question number or name #:
Question phrase (e.g. How often do you listen to rock music?
daily{a} once a week{b} seldom{c} never{d}) #:
Any points associated with buttons (e.g. 15 10 5 0 or 15,x+3 10,x+2 5,yy+1 zzz+10) #:


Question number or name #:
Question phrase #:
Any points associated with buttons #:


Question number or name #:
Question phrase #:
Any points associated with buttons #:


Question number or name #:
Question phrase #:
Any points associated with buttons #:


Question number or name #:
Question phrase #:
Any points associated with buttons #:


Question number or name #:
Question phrase #:
Any points associated with buttons #:


Question number or name #:
Question phrase #:
Any points associated with buttons #:


Question number or name #:
Question phrase #:
Any points associated with buttons #:


Question number or name #:
Question phrase #:
Any points associated with buttons #:


Question number or name #:
Question phrase #:
Any points associated with buttons #:




Submit this form to server for questionnaire assembly (click the button) #:

Any questionnaire from which texts for the entry fields below should be copied (questionnaire name with or without extension .htm) #:

Alter the following entry fields if you prefer other messages etc. to be presented to questionnaire answerers.
It may be preferable to delete a text by clearing the field.

Text before question number #:


Characters after question number #:


Height of multi-line entry fields #:


Phrase before or above button for submitting questionnaire with answers #:


Text engraved on submit button #:


Text notifying questionnaire answerers about the Print button in the browser menu bar #:


Text requesting the questionnaire answerers identification (name) #:


Message to answerer concerning missing password #:


Message to answerer concerning wrong password #:


Message to answerer stating that a test questionnaire can only be answered once #:


Message to answerer stating that checkbox near submit button was not checked #:


First line in presentation of results of questionnaire survey (this text is followed by the name of the questionnaire) #:


Text before name of participant in presentation of results of questionnaire survey #:


Introduction to presentation of evaluation of answer (e.g. Evaluation of your answers) #:


Text before sum of simple (unnamed) points #:


Text before sum of distributed (named) points #:


Text before list showing points associated with each question #:


Heading in presentation of optional texts written by answerer #:


Final message to questionnaire answerer after presentation of sums of points
(e.g. If sum exceeds ... or Thanks for your contribution!) #:


Any name of quiz/questionnaire with associated CSS definition (e.g. quiz1) #:


Any name of quiz/questionnaire with associated script definition (e.g. quiz1) #: