1
Full name or organisation name
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.
Field research template
Household field survey
Collect the essential background and requirements for this household's profile and current needs.
4 minute estimate5 fully editable questionsNo account needed to preview
Full question preview
What this template asks
2
Email address
RequiredCollects contact information only where the follow-up purpose has been explained. It is required in this starting template, but you can change that in the builder.
3
Which option best describes your need regarding this household's profile and current needs?
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.
InformationAssessmentDirect supportFollow-upOther
4
Please describe your goals, needs or relevant background.
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.
5
I consent to being contacted about this submission.
RequiredRecords an explicit participation decision before continuing. 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 household field survey 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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