All templates
Education & Academic

Stimulus Comprehension & Manipulation Check Assessment

A research-grade instrument for verifying that experimental participants correctly perceived, understood, and interpreted a presented stimulus. Designed for researchers conducting experiments who need to validate manipulation fidelity and comprehension before analyzing dependent variables.

No sign-up to try · Unlimited responses on the free plan

Live preview
Stimulus Comprehension & Manipulation Check Assessment

Welcome, and thank you for participating in this study. You will answer a short set of questions about a stimulus you just viewed. Your participation is entirely voluntary and you may stop at any time without penalty. There are no right or wrong answers — we are simply interested in your honest impressions. All responses are confidential and will be reported only in aggregate for research purposes. This survey takes approximately 10 minutes to complete. By continuing, you indicate that you have read the above and agree to participate.

Powered by QuestionPunk

Default theme. Colors and fonts are yours to change.

Sample questions

A preview of what’s in the template. Every question is editable before you launch.

18 questions · ~9 min
Message

Welcome, and thank you for participating in this study. You will answer a short set of questions about a stimulus you just viewed. Your participation is entirely voluntary and you may stop at any time without penalty. There are no right or wrong answers — we are simply interested in your honest impressions. All responses are confidential and will be reported only in aggregate for research purposes. This survey takes approximately 10 minutes to complete. By continuing, you indicate that you have read the above and agree to participate.

Q01
Multiple Choice

Did the stimulus (image, text, or video) display correctly on your device?

  • Yes
  • No
Q02
Long Text

Please describe what went wrong with the display (e.g., blank screen, audio not playing, image not loading).

Q03
Multiple Choice

Which of the following topics best describes the stimulus you viewed?

  • Environmental impact
  • Personal finance
  • Health behavior change
  • Product or service promotion
  • Public policy or government
  • Not sure / Don't remember
Q04
Long Text

In your own words, what was the main message of the stimulus you viewed?

Q05
Multiple Choice

What action, if any, did the stimulus suggest you take?

  • Sign a petition
  • Share with others
  • Donate money
  • Make a personal change
  • No specific action
  • Not sure
Q06
Multiple Choice

Which of the following best describes how the information in the stimulus was presented?

  • Focused on data or statistics
  • Focused on a personal story
  • A mix of data and personal story
  • Neutral or purely informational
  • Not sure
Q07
Multiple Choice

What position or stance did the stimulus communicate?

  • Promoted a behavior or idea
  • Discouraged a behavior or idea
  • Neutral / No clear stance
  • Not sure
Q08
Opinion Scale

Overall, how clear was the stimulus?

Scale: 1 – 7
Min:Very unclearMax:Very clear
Q09
Opinion Scale

How persuasive did you find the stimulus?

Scale: 1 – 7
Min:Not at all persuasiveMax:Extremely persuasive
Q10
Opinion Scale

How personally relevant was the stimulus to you?

Scale: 1 – 7
Min:Not at all relevantMax:Extremely relevant
Q11
Opinion Scale

If the stimulus included visuals, how helpful were they for understanding the message?

Scale: 1 – 7
Min:Not at all helpfulMax:Extremely helpful
Q12
Ranking

Please rank the following elements by how much each influenced your understanding of the stimulus (drag the most influential to the top).

  1. Headline or text
  2. Statistics or figures
  3. Imagery or visuals
  4. Source or brand
  5. Tone or word choice
Drag to rank
Q13
Long Text

Based on your responses in this survey, is there anything else about your experience with the stimulus or this study that you would like to share?

Q14
AI Interview

We'd like to explore your thoughts about the stimulus a bit further. An AI moderator will ask you a couple of brief follow-up questions about your understanding and reactions.

Q15
Dropdown

What is your age?

  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65 or older
  • Prefer not to say
Q16
Multiple Choice

What is your gender?

  • Woman
  • Man
  • Non-binary
  • Another gender identity
  • Prefer not to say
Q17
Multiple Choice

What is the highest level of education you have completed?

  • Less than high school
  • High school diploma or equivalent
  • Some college
  • Associate degree
  • Bachelor's degree
  • Graduate or professional degree
  • Prefer not to say
Q18
Multiple Choice

Which region do you primarily live in?

  • Africa
  • Asia
  • Europe
  • Latin America / Caribbean
  • Middle East / North Africa
  • North America
  • Oceania
  • Prefer not to say
Message

Thank you for participating! Your responses have been recorded and will be used for research purposes only. You may now close this window.

What’s included

  • AI follow-ups

    Adaptive probes on open-ended answers that pull out detail a static form would miss.

  • Attention checks

    Built-in safeguards against rushed answers and low-quality respondents.

  • AI-drafted copy

    Wording, ordering, and branching written by the AI — tuned to your research goal.

  • Auto report

    Themes, quotes, and a plain-English summary write themselves once responses come in.

Why this template

What this template is built to do — we found no directly comparable template from other survey tools to review.

What sets it apart

  • Opens with a technical stimulus-display check (multiple choice) plus an open-text follow-up to capture exactly what went wrong (blank screen, no audio, etc.) before comprehension data is even analyzed
  • Uses layered multiple-choice items on topic, main message, suggested action, and communicated stance to triangulate whether participants actually understood the intended manipulation, not just whether they clicked through it
  • Opinion scales on clarity, persuasiveness, personal relevance, and visual helpfulness quantify manipulation strength, and a ranking question isolates which stimulus elements drove comprehension
  • Includes an adaptive AI follow-up interview to probe ambiguous or low-comprehension responses in participants' own words, plus demographics and an auto-generated report for fast manipulation-check writeups

Frequently asked questions

What questions are in the “Stimulus Comprehension & Manipulation Check Assessment” template?

The template includes 18 ready-to-use questions, starting with: “Did the stimulus (image, text, or video) display correctly on your device?” · “Please describe what went wrong with the display (e.g., blank screen, audio not playing, image not loading).” · “Which of the following topics best describes the stimulus you viewed?”. The full set is previewed above, and every question is editable.

How long does this survey take to complete?

Respondents typically finish the 18 questions in about 9 minutes.

Can I customize this template?

Yes — every question, answer option, and the ordering is editable before you launch. You can add or remove questions, or ask the AI editor to rework the survey around your research goal.

Is this template free to use?

Yes. Open it in the editor and start customizing right away — no account required to try it, and the free plan covers launching your survey.

Ready to launch?

Open this template in the editor. Every part is yours to change before the first respondent sees it.

Related templates

More studies on similar topics.

See all