snaplogo
Questionnaire Title
 

This is a Sub Title
Typically here one explains the purpose of the questionnaire
Colours, background, logo... as you like
1.
2.
3. (here an emailaddress)
When you enter here your real emailaddress, we will contact you
(not compulsary of course)

4. This is a Multi Choice question with Multiple response facility
 
 
5.
 

6. This is a Grid question set up
Typically being used for evaluations
Number and label of criteria and scores are free to choose
         
  1. Here you specify the 1st element to evaluate        
  2. Here you specify the 2nd element to evaluate        
  3. Here you specify the 3d element to evaluate        
  4. Here you specify the 4th element to evaluate        

Thank you for your cooperation
 

   
Link to http://www.snapsurveys.com/