Brackets Your Preferred Numerical Answer Codes

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4/3/09

inTasc Survey Development Form: download from

http://www.bc.edu/research/intasc/library/forms.shtml page 1

Project Name:Survey Name:Researcher(s):Date Submitted:ProductionDesigner:Programmer:Date to GoLive:Date Interim DataNeeded:DateItemsTested:Date Final DataNeeded:Date Items Entered intoDatabase:Date IS DEV=0

Overview

Please give a brief description of the survey objectives and respondents in the following field. This information is to facilitate the design and production process and will not be displayed inthe survey form.Age of Respondents:Will this survey require graphics?(please specify)Will this survey beadministered online?How will users link to the survey? (pleasespecify)Will this survey require a paper version forprint and distribution?Will this survey require aPDF version?

Layout/Formatting

Describe any specific details, requirements or limitations for the sections. This information is tofacilitate the design and production process and will not be displayed in the survey form.Number of Pages of Survey:Number of Sections of

4/3/09

inTasc Survey Development Form: download from

http://www.bc.edu/research/intasc/library/forms.shtml page 2

Survey:How many items perpage?How many pages persection?Describe section, page and item numbering: (i.e., does each new page use consecutivenumbering from previous page or does numbering restart at new page?)Do sections allow skippedquestions?If items have “jumps”? If so, please indicate “If answer=_____, skip to question _______.”

4/3/09

inTasc Survey Development Form: download from

http://www.bc.edu/research/intasc/library/forms.shtml page 3

Guidelines

•

Please paste your survey below, giving as much detail as necessary to convey exactlywhat you want from each item.Spell out all responses as they should appear in the final survey. Do not useabbreviations. Do not leave anything opento interpretation by the production team.

•

Use ALL CAPS for notes to the production team. Use normal type for instructions that willbe displayed to respondents.

•

Indicate the response types, if not self-explanatory. Most common responses types are:Select only one; Select all that apply; Freeform text; Numeric value; Rank order; Table orslider (for scales). If using tables, please indicate any layout preferences. Include alldetails of range answers, if used.

•

Please place your item number in brackets. An additional permanent inTASC ID numberwill be assigned by the production designer and added to the item within the samebrackets. You will need to know this number in order to retrieve your collected data fromthe database.

•

Indicate in brackets your preferred numerical answer codes for each answer (usually, Yes/ No answers are codedas 1 and 0, respectively). These are the numbers you will retrieve from the database. If your survey is a test, indicate correct answers in bold or with an asterisk.

•

Indicate page breaks, section breaks, and numbering.

•

Specify particular items that require answers, can be skipped, or have jump patterns. If items have “jumps”? If so, please indicate “If answer=_____, jump to question _______.”

Example 1

<WE1mc-c>PART 1:The Romesburg family went on a trip. They started with $2000. If they spend $150 each day, write anexpression that represents how much money they had after

x

days.PART 2:Your initial answer was: DISPLAY ANSWER FROM ABOVEThis answer has not been scored yet. From the choices below, please select the option you think is the bestanswer for this question.A.1850

x

B.

2000 - 150

x

C.150

x

D.2000 + 150

x

of 00

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