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Hi Barry - If it is a patient satisfaction survey, I would recommend that you have no more than 5 possible responses. I would tend toward 4 or three, the distinctions that people make are not that fine and there is no standard that they work to. The advantage of a four point scale is that you force people away from the tendency to check the middle box. Best wishes Dr Michael Shepherd AWARD Senior Research Fellow Cardiff Institute of Society, Health & Ethics Cardiff University 53 Park Place Cardiff CF10 3AT +44 (0)29 2087 0098 [log in to unmask] www.awardresearch.org.uk www.cardiff.ac.uk/socsi/cishe >>> Barry Diner <[log in to unmask]> 12/03/09 1:08 AM >>> I am creating a survey and wanted to know if anybody can suggest a scale, the wording, 5 versus 7 point. Thanks you Barry Diner, MD, MPH, FACEP Attending Physician St Lukes Episcopal Hospital Clinical Assistant Professor Emory University Methodologist, ACEP Clinical Policy Committee