ImpactMojoSurvey Instrument Template
A structured questionnaire you can adapt: consent, profile, core modules and enumerator notes, built to avoid the usual traps.
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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
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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.
Prepare for field data collection
This file comes with FGD Facilitator's Guide, Data Management & Consent Pack, Field Data-Collection Readiness Checklist, Ethics & DPDP Consent Checklist and Sampling & Sample Size: Refresher in one bundle for ₹599, against ₹894 bought 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.