Research Questions for Conducting Surveys

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I need help constructing a telephone, or in-person interview survey in home healthcare!
The survey should have 10-15 questions accompanied by a brief background of the problem, trying to measure survey with 8-10 questions, 2-3 demographic questions, 1 open ended question, and 5-6 (multiple choice, multiple response or Likert scale) questions).
Use at least 3 different question formats. True/false, yes/no, and multiple choice are all forms of multiple choice; include one open-ended question at the end but start with a general question and move toward more specific questions.
Thank you,

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