Healthcare template

Public health KAP survey

Understand attitudes, behaviours and decisions around knowledge, attitudes and practices on this health topic.

3 minute estimate5 fully editable questionsNo account needed to preview

Full question preview

What this template asks

1

Which statement best describes your experience with knowledge, attitudes and practices on this health topic?

Required

Provides 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.

Very familiarSomewhat familiarHeard of itCompletely new to it
2

How often does this need or situation arise?

Required

Provides 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.

DailyWeeklyMonthlyA few times a yearRarely
3

Which factors matter most when making a decision?

Required

Allows 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.

QualityPriceConvenienceTrustSupport
4

How satisfied are you with the options currently available?

Required

Creates a consistent numeric measure that can be compared across respondents. It is required in this starting template, but you can change that in the builder.

5

What would most influence your next decision?

Captures context, examples, and ideas that fixed options may miss. It is optional so respondents can continue when it does not apply.

Sample-size considerations

Follow the study protocol and applicable ethics requirements. Clinical or sensitive health studies normally require specialist review beyond a general survey template.

Best practices

Minimise health identifiersExplain confidentiality and limitsProvide an urgent-care route outside the survey

Common mistakes

Using a survey as emergency clinical supportCollecting diagnoses without safeguardsMaking medical claims from an unrepresentative sample

Frequently asked questions

Can I edit the public health kap 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

Public health KAP survey template | Surveyor