Surveylist Wizard 1. About 1. About 1. Enter a name for this list and if needed a description. Name * Description Organisation / Department *Is a cluster or location not listed? Check in the admin if the organization already has clusters and locations. ‘t Heem Cliënten 2. Topics 2. Topics 2. Enter the topics of the questions. Topic * Subject Name * 1 2 3 4 5 6 1 + Add Topic 3. General Questions 3. General Questions 3. Change the field names for the general part of the questionnaire. If a question is not needed, then leave the field value empty. May the questionnaire be filled in anonymously? Yes First Name Label Last Name Label Date of Birth Label Location/Department Label Fill-in Date Label Explanation Label Explanation Kies hieronder de antwoorden die het beste van toepassing zijn. Is de vraag niet van toepassing op uw situatie, kies dan: n.v.t. (= niet van toepassing) De vragen met een * zijn verplicht. 4. Questions 4. Questions 4. Enter the questions of the questionnaire. Questions * 1 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 2 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 3 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 4 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 5 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 6 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 7 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 8 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 9 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 10 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 11 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 12 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 13 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 14 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 15 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 16 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 17 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 18 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 19 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 20 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation 1 Question * Subject * reading themes... Required Yes Type * Open - Single Line TextOpen - Paragraph TextMultiple ChoiceNet Promotor ScoreMultiple Choice - not used for analysesExplanation for user Add 'not-applicable' as a possible answer Yes Not-applicable Label Answer layout verticalhorizontal Answers * Description Value 1 1 + Antwoord toevoegen Answers (not used for analyses) * Description 1 1 Voeg antwoord toe Text for explanation + Add answer Validate Email
