1
Your name or reporting identifier
Provides a structured answer that is straightforward to compare and segment. It is optional so respondents can continue when it does not apply.
Field research template
Field incident report
Document the details, impact and next action for an incident that occurred during fieldwork.
4 minute estimate5 fully editable questionsNo account needed to preview
Full question preview
What this template asks
2
Date of the issue or observation
RequiredStandardises timing for filtering and follow-up. It is required in this starting template, but you can change that in the builder.
3
How serious is the issue involving an incident that occurred during fieldwork?
RequiredProvides a structured answer that is straightforward to compare and segment. It is required in this starting template, but you can change that in the builder.
LowModerateHighCriticalNot sure
4
Which follow-up actions may be needed?
RequiredAllows more than one applicable factor without forcing a false single choice. It is required in this starting template, but you can change that in the builder.
No actionContact reporterInvestigateProvide supportEscalate urgently
5
Describe what happened and include relevant details.
RequiredCaptures context, examples, and ideas that fixed options may miss. It is required in this starting template, but you can change that in the builder.
Sample-size considerations
Define sites, clusters, routes, or households before fieldwork. Document substitutions and missed visits so coverage bias can be assessed.
Best practices
Pilot on the devices used in the fieldMake identifiers unambiguousUse location only with a clear need and consent
Common mistakes
Changing instruments mid-fieldwork without versioningUsing free text where a coded option is neededTreating GPS as proof of response quality
Frequently asked questions
Can I edit the field incident report template?
Yes. Every question, answer option, required setting, section, theme, and eligible logic rule can be changed in Surveyor before you publish.
Can I preview the questionnaire before signing up?
Yes. The respondent preview is available without an account. An account is required only when you want to create and save an editable survey in a protected workspace.
Last reviewed 2 August 2026
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