---
generated_by: surveylegend-page-markdown
title: Pre- and Post-Intervention Survey Template | SurveyLegend
description: Compare self-reported understanding and confidence before and after
  a learning program. Customize matched questions without causal claims.
canonical: https://www.surveylegend.com/survey-examples-templates/academic-surveys-questionnaires/pre-and-post-intervention-template/
---

# Pre- and Post-Intervention Survey Template

This pre- and post-intervention survey records participants’ self-reported understanding and confidence before and after a learning program. Use matched questions to examine reported change without claiming the program caused it.

[Try this template ](https://app.surveylegend.com/register/)[Preview template](https://www.surveylegend.com/survey-examples-templates/academic-surveys-questionnaires/pre-and-post-intervention-template/#try-template)

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![Pre- and Post-Intervention Survey: first question and response field, desktop preview](https://www.surveylegend.com/survey-template-media/previews/pre-and-post-intervention-template-preview.avif)

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Pre- and Post-Intervention Survey [Preview](https://www.surveylegend.com/survey-examples-templates/academic-surveys-questionnaires/pre-and-post-intervention-template/#try-template)

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A before-and-after comparison needs the same subject, wording, and response options at both points. This version is designed for a nonclinical learning program with one named skill. It collects perceptions, not an objective skill test or proof of effectiveness.

## When to use this pre- and post-intervention survey

Academic and program-evaluation teams can use this starting questionnaire for a nonclinical learning intervention. Any research use still needs the study’s own consent, data handling, and review arrangements.

If you only need feedback on the completed session, use our [workshop feedback](https://www.surveylegend.com/survey-examples-templates/post-workshop-survey-template/) template.

**Create your pre- and post-intervention survey in SurveyLegend**

A before-and-after comparison needs the same subject, wording, and response options at both points. This version is designed for a nonclinical learning program with one named skill.

## 7 questions for your pre- and post-intervention survey

Use these 7 questions as a starting point. All fields are optional; choose one answer where choices are listed. Leave an irrelevant open field blank.

Respondent introduction:\
Refer to the named skill and task in the program context. Answer about how you feel now. If the study team has provided a participant code, you may enter it; do not enter your name.

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## A little feedback. A clearer picture.

Explore this 7-question example at your own pace. Every question is optional.

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SurveyLegend demo Question 1 of 7

### Pre- and Post-Intervention Survey

01 Which collection point is this?

Choose one answer, or skip this question.

Before the program After the program

02 What participant code has the study team provided, if any?

Share your answer, or skip this question.

03 How well do you currently understand the named skill?

Choose one answer, or skip this question.

Not at all well Slightly well Moderately well Very well Extremely well Not sure

04 How confident are you that you could carry out the named task?

Choose one answer, or skip this question.

Not at all confident Slightly confident Moderately confident Very confident Extremely confident Not sure

05 How clear are the steps you would take to carry out that task?

Choose one answer, or skip this question.

Very unclear Somewhat unclear Neither clear nor unclear Somewhat clear Very clear Not sure

06 What would you currently find most difficult about the task?

Share your answer, or skip this question.

07 What support would help you carry out the task?

Share your answer, or skip this question.

#### One last look

Review your answers before submitting this demo.

0 answered

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## How to customize your pre- and post-intervention survey

Define one skill and one application task in a context card shown at both time points. Keep the core wording identical. If you need paired analysis, arrange an appropriate participant-code process without using names here. Review the instrument against your study question before collection; it is not validated. Before sharing widely, try the questions with a few people from the intended audience and clarify anything they interpret differently.

## Printable pre- and post-intervention survey template

Use this printable pre- and post-intervention survey template at the beginning and end of a learning program. It includes the same questions and space to write, giving people who prefer paper or are less comfortable online another way to take part. SurveyLegend helps you offer both formats. Tell respondents where to return the completed form and who will review it. Paper answers need a separate review or manual entry process; they are not automatically added to online responses.

[![](https://www.surveylegend.com/user-guide-media/icons/download-pdf.svg) Download PDF](https://www.surveylegend.com/downloads/survey-templates/pre-and-post-intervention-template.pdf)

Export pre- and post-intervention survey template as PDF

## AI prompt for a pre- and post-intervention survey

Use these questions to collect consistent self-reports at two points in a learning program.

The full prompt below specifies your pre- and post-intervention survey, including all 7 questions and response settings. Copy it, register for a free SurveyLegend account, and paste it into SurveyLegend’s AI survey creation tool. Review the result and add your organization’s details before sharing.

AI prompt for a pre- and post-intervention survey

[Use prompt directly in SurveyLegend](https://www.surveylegend.com/register/)

Create a free account, then paste the copied prompt into SurveyLegend.

Already have an account? [Sign in to create your pre- and post-intervention survey.](https://app.surveylegend.com/login/)

## How to use the answers

Keep before and after records separate until time-point labels and optional study codes are checked. Compare the same items, and report how many participants supplied both responses. Changes in confidence are not objective learning gains, and a simple before-and-after design does not establish causation. Do not interpret unmatched respondents as individual change.

## Frequently asked questions

### Does this prove an intervention worked?

No. It records self-reported change. Causal conclusions need an appropriate research design and analysis beyond this template.

### Must participants use a code?

Only if your study requires matching and has an appropriate process. Without matching, compare groups rather than claiming individual change.

### Is this a validated assessment?

No. It is an original starting questionnaire for nonclinical learning. Review its suitability and research requirements before use.

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## Create your pre- and post-intervention survey in SurveyLegend

Use these questions to collect consistent self-reports at two points in a learning program. [Start free](https://app.surveylegend.com/register/) to create your pre- and post-intervention survey and adapt the questions to your audience.

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