ImpactMojoSurvey Instrument Template
A structured questionnaire you can adapt: consent, profile, core modules and enumerator notes, built to avoid the usual traps.
Editable DOCX file · delivered to your inbox within 24 hours of payment.
Why this matters
Most survey error is designed in before anyone reaches the field: leading questions, missing consent, no plan for disaggregation.
This instrument is laid out the right way: consent first, clean sections, and prompts that steer you away from double-barrelled and leading questions.
What it changes
What's inside
- Consent and respondent-profile sections
- Core and perceptions modules with response-scale guidance
- Enumerator notes for skip logic and translation
- Word: adapt and translate
Sample
The real file, watermarked. What you receive after payment is clean and fully editable.
Introduction & Consent
Respondent profile
Core module
Enumerator notes
Buy it: ₹199
Pay by UPI
Scan the code, or pay to the UPI ID below (₹199).
Confirm your order
Paid? Tell us where to send the file. Delivered within 24 hours.
How delivery works
- Pay ₹199 by UPI (scan the QR or use impactmojo@ibl), or order on WhatsApp.
- Fill the short form with your email and the UPI reference.
- We confirm payment and email your clean, editable file: within 24 hours.
Questions? Contact us. Refunds per our refund policy.
Get the whole Evaluation Essentials Kit
All 27 products (every template, all four workbooks, both trainer decks, plus the refreshers, posters and checklists) ₹2,499 instead of ₹6,373 separately.
FAQ
What format is it?
An editable DOCX file that opens in Microsoft Office, Google, LibreOffice and Pages.
Can I reuse it?
Yes: buy once, use it across your own and your organisation's work.
How fast is delivery?
Within 24 hours of confirming payment, usually much sooner.