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 15 templates, the workbook and both trainer decks — ₹1,999 instead of ₹3,500+ 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.