Here's the table with 12 rules on how to make a bad survey. The topic you can choose and the target audience is anyone. There is no required format.

1. Leading or biased questions Which of the following do you believe | Which of the following do you believe is most responsible for the high costs is most responsible for the high costs of health care? of health care? * Physicians Physicians Irresponsible health insurance Health insurance companies companies The federal government The federal government 2. Double-barreled questions Was your attending on time to rounds | Was your attending on time to rounds? and knowledgeable about the Was your attending knowledgeable discussion topic? about the discussion topic? 3. Vague questions How was your rotation experience? Please rate the quality of attending rounds: Please rate the variety of patients seen on attending rounds: 4. Negatively worded questions How often do you fail to start rounds How often do you start rounds on on time? time? 5. Acronyms, nonspecific, or unfamiliar | For your most recent MAX experience, | For your most recent outpatient terms were the CBME Milestones reviewed medicine rotation, were the at the start of the rotation? competencies (skills) for the rotation reviewed at the start of the rotation? 6. Incomplete range or overlapping Approximately what percentage of Choices: 0%-24%; 25%-49%; 50%-74%; answer choices patients who you cared for in clinic 75%-100%; not applicable, | was not the past month were over age 70 in clinic last month years? Choices: 0% -25%; 25%-50%; 50%-75%; 75%-100% 7. Absolute answers, such as always In attending rounds over the past 2 Choices: more than 75% of the time; months, about how often did you 51% to 75% of the time; about 50% provide scheduled, midrotation of the time; 25% to 49% of the time; formative feedback to the interns? less than 25% of the time Choices: always; sometimes; rarely; never 8. Responses that do not match During clinic rotation last month, did Choices: yes, helpful with many questions the interdisciplinary team meetings patients; yes, helpful with a few assist you in caring for your patients? patients; no, the team was not Choices: strongly agree; agree; neutral; helpful; not applicable, | did not disagree; strongly disagree discuss my patients with the interdisciplinary team 9. No content review by experts Survey may omit key areas or not Review literature; modify or create the reflect recent studies survey; experts review survey 10. No pretesting with similar Questions and answer responses may Pretest survey with sample of subjects individuals not be interpreted consistently by similar to your target population, respondents or as you intended using cognitive interviewing techniques* 11. No pilot study to examine score Survey scores may not be reliable; Conduct small or large scale pilot study reliability or relation to other scores may not measure what you and begin assessing score reliability variables think they measure and validity evidence 12. Excessively long survey Survey is pages long, with many Pretest survey to determine time unnecessary items that may not be required to complete; use analysis used in the analysis plan to guide which questions are necessary and which can be removed