# Design a short feedback survey without writing the desired answer

Private worksheet. Keep unknown values open and do not copy confidential sources or names into public examples. Completion certifies neither meaning, rights, consent, accessibility nor outcomes.

## Actual purpose, voluntary information/permission and eligibility


## Exact three questions, choices, language and instrument version


## All Yes/No/Cannot-recall/skipped routing paths


## Neutral post-answer probes and actual pretest observation


## Expected versus actual route, missing/skipped values and repair


## Per-item bases, coding and permitted conclusion; registered study unchanged