Create Your Own Module

Sample Custom Questions by Topic:

Customize Your Survey

In order to better meet the unique needs of your LEA, we have designed the CHKS for easy customization. We offer three ways to create a survey that is specifically tailored to address the issues and circumstances facing your students. In addition to the core questions on the CHKS, you can:

select an existing Supplementary CHKS Module or Modules;
create a custom module by adding questions you develop; or
combine individual questions from the Supplementary Modules that are especially relevant to your school’s special needs (for examples, see categories listed above).

Questions can refer to a topic, a program (for evaluation purposes) or, in fact, almost anything about which additional information is needed. It's a simple way to get targeted, useful data on something unique to your school or district. The CHKS Administration Guidebook (pdf) provides ideas for customization.

Tips on creating a custom module

Custom modules cannot be longer than 42 questions. To keep the survey length appropriate, we recommend that you add no more than 20 additional questions.
Students can only select one answer per question. "Mark all answers that apply" type questions are not allowed.
Avoid using the word "or" and do not use "etc." after e.g. or i.e.
Adjust the wording to suit the grade level.

For information about costs and services please contact us.

Browse the categories above for a current list of questions that schools have already developed.