Chesapeake Data Systems
Sample Survey to Demonstrate Survey Capabilities

Required Questions

* Indicates required fields

1
An answer to this question is required - try pressing the submit button before making a choice. *
  SELECT ONE
Answer 1
Answer 2
2
For this question, responses must be entered in the "Name" and "Email" fields
* Name:
   City:
* Email:
   Phone:

Responses to enable/disable other questions plus "Skip to" hyperlink and messages

Message boxes can be use to provide additional instructions. For Question 3, selecting the first or second radio causes a message to be displayed

3
Responses to this question enable and disable other questions (note that Question 4 was initially disabled)
  SELECT ONE
Disable Questions 4 and 5, Enable Question 6 (Please skip to Question 6)
Disable Questions 4, 5, and 6 (Please skip to Question 7)
Enable Questions 4, 5 and 6

Questions Enabled or Disabled

This question is required if the user selects the third radio button for Question 3. Note that it is initially "disabled".

4
Question with radio buttons
  SELECT ONE
  Answer 1   Answer 2   Answer 3
5
Question with check boxes
  CHECK ALL THAT APPLY
   Check box 1
   Check box 2
   Check box 3
   Check box 4
   Other (Please specify)
6
Question with text boxes
Response1:
Response2:
Response3:
Response4:

Calculations

7
The "Total" field is calculated as entries are made for this question. Note that the default maximum value is 500, but for "Hours" it is 120 and for "Time" it is 300.
Add this number (Hours): $
Add this number (Time): $
Add this number: $
Subtract this number: $
Add this number: $
Subtract this number: $
Total: $

Other Features

8
Questions can have multi-line response fields
9
For questions with multiple sets of radio buttons, the user can specify that at most one response have a specific value (e.g., Please select at most one Preferred alternative)
A) Sub-question 1
  SELECT ONE
  Preferred   Acceptable   Not Acceptable
 
B) Sub-question 2
  SELECT ONE
  Preferred   Acceptable   Not Acceptable
 
C) Sub-question 3
  SELECT ONE
  Preferred   Acceptable   Not Acceptable

Comments

Thank you for looking at this example survey. What additional features would you like to have in your surveys?

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Problem? Contact survey@chesdata.com