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anonymous response form

Looking for a safe and secure way to gather anonymous feedback? Our anonymous response form allows you to collect honest opinions without compromising privacy. Easily customizable and user-friendly, this form is perfect for surveys, feedback collection, and more.

3 minutes to complete

Questions for anonymous response form

Questions

1.

What is the topic or question you are responding to?

The answer should be a text input.
2.

What is your primary response to the topic/question?

The answer should be a text input.
3.

How strongly do you agree with the main viewpoint presented in the topic/question?

The answer should be a single choice:
  1. Strongly agree
  2. Agree
  3. Neutral
  4. Disagree
  5. Strongly disagree
4.

What factors influenced your response?

The answer should be a multiple choice:
  1. Personal experience
  2. Expert opinion
  3. Media coverage
5.

Do you have any supporting evidence or examples for your response?

The answer should be a single choice:
  1. Yes
  2. No
6.

Provide evidence

File needs to be uploaded.
7.

What potential counterarguments or opposing viewpoints exist regarding this topic/question?

The answer should be a text input.
8.

How important is this topic/question to you personally?

The answer should be a single choice:
  1. Very important
  2. Important
  3. Neutral
  4. Not important
9.

How well-informed do you feel about this topic/question?

The answer should be a single choice:
  1. Very informed
  2. Informed
  3. Somewhat informed
  4. Not informed
10.

What are the potential implications or consequences of this topic/question?

The answer should be a text input.
11.

Any additional comments or feedback regarding your response?

The answer should be a text input.

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Here are some FAQs and additional information
on
anonymous response form

What is an Anonymous Response Form?

An Anonymous Response Form allows participants to submit responses securely without revealing their identities.

How does BlockSurvey ensure anonymity in response forms?

BlockSurvey uses end-to-end encryption and doesn't track IP addresses, location data, or device information. Respondents' data remains completely anonymous and secure.

Can I customize the Anonymous Response Form template in BlockSurvey?

No. BlockSurvey intentionally prevents identification or tracking of respondents. Responses remain anonymous to encourage honesty and trust.

What is the "Anonymity Seal" in BlockSurvey, and how does it work?

The Anonymity Seal in BlockSurvey is a visual assurance that your survey or form genuinely maintains respondent anonymity. When activated, the seal clearly informs respondents that no identifiable information—such as IP addresses, location data, device data, or metadata—is collected or tracked. It builds respondent trust by explicitly demonstrating your commitment to data privacy and security.

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About Us

BlockSurvey is a privacy-focused platform for collecting data through forms, surveys, assessments, and quizzes. The data collection is end-to-end encrypted, and it ensures complete privacy of your audience from Big Tech. With an array of ready to use templates, it is tailored for the needs of businesses and individuals from Web 3, HR, Mental Health, Sexual Health, Activism and many sensitive areas where data collection needs protection.

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