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Power & Sample Size Assumptions Survey Template

Gather effect size, variance, attrition, MDC/MDE, alpha, power, and design details to speed up power analysis and sample size calculations.

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Sample Survey Items

Q1
dropdown
What is the study area?
Q2
multiple choice
What is the primary outcome type?
  • Continuous
  • Binary/Proportion (0–1)
  • Count
  • Time-to-event (survival)
  • Ordinal
  • Other
Q3
multiple choice
Which effect metric will the power analysis use?
  • Mean difference
  • Standardized mean difference (Cohen's d)
  • Odds ratio
  • Risk ratio
  • Risk difference
  • Hazard ratio
  • Rate ratio
  • Correlation coefficient
  • Change-score difference
Q4
numeric
Planned effect size (enter value in the chosen metric; e.g., 0.3 for d, 1.5 for a ratio)
Q5
numeric
Minimal detectable change (MDC/MDE) considered meaningful (use the same metric/units as the planned effect)
Q6
short text
Unit for the effect (e.g., mmHg, points); enter 'standardized' if unitless
Max 100 chars
Q7
multiple choice
Assumed distribution for the primary outcome
  • Normal
  • Binomial
  • Poisson
  • Negative binomial
  • Log-normal
  • Exponential
  • Weibull
Q8
numeric
Assumed standard deviation (if continuous outcome; in outcome units)
Q9
numeric
Expected control-group event rate/proportion (if binary; enter 0–1)
Q10
long text
Source(s) for variance/event-rate assumptions (e.g., pilot data, literature, registry), including citations or links
Max 600 chars
Q11
dropdown
Number of arms/groups
Q12
dropdown
Allocation ratio
Q13
numeric
Significance level (alpha; e.g., 0.05)
Q14
numeric
Target power (e.g., 0.80)
Q15
multiple choice
Test sidedness
  • Two-sided
  • One-sided
Q16
multiple choice
Is the design clustered/cluster-randomized?
  • No
  • Yes
Q17
numeric
Intra-class correlation (ICC), if clustered (enter 0–1)
Q18
numeric
Average cluster size, if clustered
Q19
multiple choice
Are there repeated measures/longitudinal outcomes?
  • No
  • Yes
Q20
numeric
Within-subject correlation (rho), if repeated measures (enter 0–1)
Q21
numeric
Planned follow-up duration (in weeks)
Q22
numeric
Expected attrition/loss-to-follow-up proportion over the analysis window (enter 0–1)
Q23
dropdown
Attrition rate is expressed per:
Q24
multiple choice
Planned handling of missing data (select all that apply)
  • Complete-case analysis
  • Multiple imputation
  • Maximum likelihood/mixed models
  • Inverse probability weighting
  • Last observation carried forward
Q25
rating
How confident are you in these assumptions?
Q26
multiple choice
What informed these estimates? (select all that apply)
  • Pilot data
  • Prior RCT
  • Observational dataset
  • Systematic review/meta-analysis
  • Registry/EMR
  • Expert judgment
  • Feasibility constraints
Q27
long text
Citations, datasets, or notes relevant to these assumptions
Max 600 chars
Q28
multiple choice
Attention check: To confirm you are reading carefully, please select "I am paying attention."
  • I am paying attention
  • I am not paying attention
Q29
multiple choice
What is your primary role/discipline?
  • Biostatistician
  • Epidemiologist
  • Clinical researcher
  • Social scientist
  • Data analyst
  • Student/trainee
  • Other
Q30
numeric
How many years of experience do you have with study design or analysis?
Q31
dropdown
Which region are you primarily based in?
Q32
dropdown
What type of organization do you primarily work in?
Q33
short text
Country (optional)
Max 100 chars
Q34
long text
Any additional context, assumptions, or constraints we should consider?
Max 600 chars
Q35
chat message
Welcome! This brief survey collects assumptions needed to plan a power/sample size analysis. Please answer as precisely as you can; best estimates are fine.
Q36
ai interview
AI Interview: 2 Follow-up Questions on your study assumptions
AI Interview
Q37
chat message
Thank you for completing the survey. Your responses will help tailor an appropriate power/sample size plan.

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Power & Sample Size Assumptions Survey Template - Survey Template | QuestionPunk