Questionnaire completion and acknowledgement

The completion fields record completion, supervision and respondent acknowledgement. Separate these administrative fields from the interview consent process and from the verification of particular answers.

Project questionnaire · Indonesia/Maluku · Survey design

Design use

Record each signatory’s role and the date of completion. Keep the respondent’s acknowledgement distinct from a supervisor’s review, and provide a way to document corrections made after either step.

Acknowledgement of questionnaire completion

English and Bahasa Indonesia follow the recorded language columns. Scroll horizontally on smaller screens.
Question / fieldResponse options and notes
Acknowledged by:
supervisor
signature
date
village representative
signature
date
name of local notable
signature
date

Certification of questionnaire completion

English and Bahasa Indonesia follow the recorded language columns. Scroll horizontally on smaller screens.
Question / field
We, the undersigned, certify that the responses in this record provide an accurate account
enumerator
signature
date
respondent
signature
date

Source

Questionnaire working file in the versioned project survey collection.