Our question design review service
Acquisition International Excellence Awards winner 2017

QuestReview™ our  questionnaire design review tool  provides you with a detailed appraisal and report on any weaknesses in your clinical and market research questionnaire design, so you can be sure you get the information you want. 

Global Excellence Awards of 2017
Best for Healthcare Research – UK

We review the full range of paper and online questionnaires including:

  • Clinical Outcomes Assessment (COA)
  • Patient satisfaction/experience
  • Community surveys
  • Exit interviews
  • Market description
  • Forecasting
  • Product concept analysis
  • Segmentation
  • Expectation

Standard review

Often a new or modified questionnaire is evaluated in a small pre-test sample of participants to identify poor design issues.
The questionnaire might also be reviewed by members of the team to suggest improvements. This approach however, can result in subtle design weaknesses being missed which only experts can identify. Missed errors can result in your survey providing unreliable data.


Based on years of research and expert opinion, QuestReview™ – our questionnaire design review tool – identifies prior to your questionnaire going into the field – those often subtle poor questionnaire design weaknesses that lead to poor results. QuestReview™ saves you time and costs as well as ensuring you get the information you need. Check out your Questions & Answers

Be assured your questionnaire gives you the information you need

How does it work?

First, we gain an understanding of your survey’s aim 

Next, we help you clarify your objectives, if required

We then carry out a diagnostic test of your questionnaire  against your survey objectives and key parameters of questionnaire design good practice

We provide you with detailed and actionable feedback

What feedback do we give you?

We provide a traffic light assessment  and a detailed narrative of each questionnaire item based on evidence-based criteria. Our feedback includes  the following:

  • Degree of correspondence between items and concept of interest
  • Complex/conflicting/missing information of instructions
  • Question wording including, wording complexity/ vague terminology/word length/bias
  • Word frequency (Frequency usage)
  • Appropriateness of response options
  • Reading ease
  • Estimated completion fatigue
  • Formulation for paper and digital of original questionnaire 

Download two case studies here.

Find out how we can help you with QuestReview™

The process of translatability assessment (TA) of a questionnaire is usually conducted by experienced linguists in collaboration with the developer. However, both the linguist and developer may not always have the expertise to identify design issues that expert questionnaire designers can. As a result, subtle questionnaire content and form errors are likely to go unobserved during the TA. With QuestReview™ our questionnaire design review tool, the risk of late-stage design errors that otherwise can result in problems achieving cross-cultural equivalence will be minimised.

Using our award winning QuestReview™ our expert designers conduct a deep evaluation of the content and formulation of the source questionnaire against key good practice criteria to identify items requiring revision prior to TA.

Benefits to you include:

  • Fully optimised formulation of the original questionnaire by expert questionnaire designer prior to TA
  • Minimised late-stage risk of questionnaire design issues
  • Reduced rounds of TA
  • Increased cross-cultural equivalence between source and subsequent translations


Pre-testing a modified or new questionnaire is an essential requirement in the design process. However, pretesting and piloting of a questionnaire can result in a number of rounds of testing as well as being time consuming and costly. QuestReview™ our questionnaire design review tool provides feedback on problems with content and form prior to pre-testing, saving you additional testing, time and costs further down the line.


Cognitive debriefing – typically performed face-to-face with participants – is a good way to really understand what is going on in the minds of your participants when they are answering your questionnaire.

With our QuesTReview™ detailed pre-cognitive interview feedback on the questionnaire’s content and form, you will be able to:

  • Address any identified problems with the questionnaire’s content and form prior to the interviews, 
  • Minimise multiple rounds of CI
  • Maximise the efficiency of the interviews


As a primary source of information for HTA submissions and reimbursement negotiations, the core value dossier has become an essential market access tool.

Evidences of patient reported outcomes such as disease burden and health-related quality of life (QoL) have become a key component of the dossier. As a result, early evaluation of any patient reported outcome instrument used for providing evidence for the dossier is strongly recommended so that it aligns with industry regulations and best practice guidelines.

With QuestReview™ our award winning questionnaire design review tool, our experts will first gain an understanding of the context of use followed by a detailed examination of the selected patient reported outcome (PRO) measure’s appropriateness in measuring the study’s concept of interest. This will be followed by a comprehensive review and detailed report of the PRO’s content against 32 best practice design criteria. This includes, wording, question format, layout and respondent burden etc. Using QuestReview™brings a significant added value to the dossier.