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Designing a Survey

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Design a survey to gather data about your topic of interest. The survey should contain at least 10 items.

  • Explain the construct you are attempting to measure for each question. Be sure it is clear to your reader what type of response is required (multiple choice, drop-down, rating scale, et cetera), and that the design of the questions is appropriate for quantitative research.
  • Describe the purpose of the survey, then describe a study appropriate for survey design, with research questions that can be answered by the survey you created. Discuss the appropriate analysis for this study.

 

Example Survey Questions PTSD

https://www.ptsd.va.gov/professional/assessment/screens/pc-ptsd.asp

Sometimes things happen to people that are unusually or especially frightening, horrible, or traumatic. For example:

  • a serious accident or fire
  • a physical or sexual assault or abuse
  • an earthquake or flood
  • a war
  • seeing someone be killed or seriously injured
  • having a loved one die through homicide or suicide.

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Have you ever experienced this kind of event?
YES / NO

If no, screen total = 0. Please stop here.

If yes, please answer the questions below.

In the past month, have you…

  1. Had nightmares about the event(s) or thought about the event(s) when you did not want to?
    YES / NO
  2. Tried hard not to think about the event(s) or went out of your way to avoid situations that reminded you of the event(s)?
    YES / NO
  3. Been constantly on guard, watchful, or easily startled?
    YES / NO
  4. Felt numb or detached from people, activities, or your surroundings?
    YES / NO
  5. Felt guilty or unable to stop blaming yourself or others for the event(s) or any problems the event(s) may have caused?
    YES / NO

Citation

Prins, A., Bovin, M. J., Kimerling, R., Kaloupek, D. G., Marx, B. P., Pless Kaiser, A., &Schnurr, P. P. (2015). The Primary Care PTSD Screen for DSM-5 (PC-PTSD-5). [Measurement instrument].

 

 

https://adaa.org/screening-posttraumatic-stress-disorder-ptsd

Yes  No  You have experienced or witnessed a life-threatening event that caused intense fear, helplessness, or horror.

Do you have intrusions about the event in at least one of the following ways?

Yes  No  Repeated, distressing memories, or dreams
Yes  No  Acting or feeling as if the event were happening again (flashbacks or a sense of reliving it)
Yes  No  Intense physical and/or emotional distress when you are exposed to things that remind you of the event

Do you avoid things that remind you of the event in at least one of the following ways?

Yes   No Avoiding thoughts, feelings, or conversations about it
Yes   No Avoiding activities and places or people who remind you of it

Since the event, do you have negative thoughts and mood associated with the event in at least 2 of the following ways?

Yes   No Blanking on important parts of it
Yes   No Negative beliefs about oneself, others and the world and about the cause or consequences of the event
Yes   No Feeling detached from other people
Yes   No Inability to feel positive emotions
Yes   No Persistent negative emotional state

Are you troubled by at least two of the following?

Yes   No Problems sleeping
Yes   No Irritability or outbursts of anger
Yes   No Reckless or self-destructive behavior
Yes   No Problems concentrating
Yes   No Feeling “on guard”
Yes   No An exaggerated startle response

Reference:

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing

 

https://psychcentral.com/quizzes/ptsd-quiz/

  1. Repeated, disturbing memories, thoughts, or images of a stressful experience from the past?

Never
Rarely
Sometimes
Often
Very Often

  1. Feeling very upset when something reminded you of a stressful experience from the past?

Never
Rarely
Sometimes
Often
Very Often

  1. Avoid activities or situations because they remind you of a stressful experience from the past?

Never
Rarely
Sometimes
Often
Very Often

  1. Feeling distant or cut off from other people?

Never
Rarely
Sometimes
Often
Very Often

  1. Feeling irritable or having angry outbursts?

Never
Rarely
Sometimes
Often
Very Often

  1. Having difficulty concentrating?

Never
Rarely
Sometimes
Often
Very Often

 

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