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Hygiene and cleanliness questionnaire

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Uploaded by: Curated by Makerble

*Q1. Your name (this will be attached to a person's response when the survey is completed anonymously)

Q2. How do you feel that the cleanliness in your local environment ? (single choice)

Question Settings ▼ ▲
Good Ok Bad

Dropdown List used: How do you feel that the cleanliness in your local environment ?

Q3. What kind of wastes do you find in your local environment ? (Text)
This question will appear once within your story or survey response.

Q4. How the waste materials are collected ? (Text)
This question will appear once within your story or survey response.

Q5. Where do you get drinking water for your house ? (Text)
This question will appear once within your story or survey response.

Q6. I take bath daily (single choice)

Question Settings ▼ ▲
Yes No Sometimes

Dropdown List used: I take bath daily

Q7. I cut my nails regularly (single choice)

Question Settings ▼ ▲
Yes No Sometimes

Dropdown List used: I cut my nails regularly

Q8. I always drink protected water (single choice)

Question Settings ▼ ▲
Yes No Sometimes

Dropdown List used: I always drink protected water

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360°
360°
Invite observers to answer a survey about a contact in your CRM. Send out invitations for several contacts at once via email, SMS or your own channels.

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Universal
Universal
Allow anyone with the link to submit a survey response.
Optionally generate a QR code.
Share Link

Tracked
Tracked
Track responses to individual contacts. Send survey invitations via email and SMS - with automated reminders - or your own communication channels.
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Anonymised
Anonymised
Hide the identity of each respondent when collecting responses from saved contacts or a list of email addresses.
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Import
Import
Upload survey responses from a spreadsheet with a row per respondent and column per question.
Import Responses

API
API
Send out survey invitations programmatically and/or receive responses via the API..
Get Started

Type Up: 1 at a time
Type Up: 1 at a time
Submit a survey response about a saved contact while filling in a survey in-person (CAPI), over the phone (CATI) or typing up a paper survey response.
Collect Response

Type Up: Several at once
Type Up: Several at once
Use the Answers Table to submit responses to each question. There’s one row per contact. Responses are automatically linked to individual contacts.
Enter Responses

Type Up: Manual Headcount
Type Up: Manual Headcount
Enter responses without the need for individual contacts or respondents. Enter the number of people who gave each answer to each question.
Enter Quantities

Universal Manual Headcount
Universal Manual Headcount
Collect manual headcount responses from anyone with the link.

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Multi-stage
Multi-stage
Collect demographic data. Thread several surveys together. Deliver advanced survey experiences.
Go to Signup Pages

Branded Portal
Branded Portal
Provide respondents with a password-protected space to submit, review, discuss or act upon survey responses.
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Automation
Automation
Automatically send out survey invitations whenever certain rules are met
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