what-when-how
In Depth Tutorials and Information
Monitor Orthopaedic Shoes 1
Centre for Rehabilitation, University Medical Centre Groningen
Roessingh Research and Development, Enschede
Instructions: This questionnaire consists of different types of questions. Some
examples are given here to demonstrate how to complete your answers. Read these
instructions carefully before you begin.
1. All questions concern your situation at this moment.
2. Questions with a straight line (an example is given below).
On the line under the question, you can see at the far left 'none', and at
the far right 'very much'.
Example question:
Indicate how much pain you have when shopping.
none
very much
Draw a vertical mark to indicate how much pain you have during shopping. You can
place the mark anywhere on the line.
If you have only a little amount of pain during shopping, you draw the mark more to
the left.
none very much
If you have more pain during shopping, you draw the mark more to the right.
none very much
3.
Multiple choice questions, for example:
answer A
answer B
answer C
Here, you have to draw a cross indicating the answer that is most applicable to you.
4. Questions with dots: …………………………………………………………
On these dots you can write your answer, if applicable for you.
Personal information
Are you happy to be involved in this research by completing this questionnaire?
yes
no
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