---
generated_by: surveylegend-page-markdown
title: Anonymous Question Form Template | SurveyLegend
description: Collect questions before a class discussion with seven optional
  fields. Adapt context, response preferences, and privacy wording in
  SurveyLegend.
canonical: https://www.surveylegend.com/survey-examples-templates/web-forms-questionnaires/anonymous-question-submission-template/
---

# Anonymous Question Submission Form Template

Give students a place to ask the question they did not raise in class. Use this SurveyLegend template to collect a question, understand where it came from, and plan a useful explanation.

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**SurveyLegend** 1 / 7

Anonymous Question Submission Form

What question would you like the instructor to address?

Your thoughts…

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Anonymous Question Submission Form [Preview](https://www.surveylegend.com/survey-examples-templates/web-forms-questionnaires/anonymous-question-submission-template/#try-template)

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Give students a place to ask the question they did not raise in class. Use this SurveyLegend template to collect a question, understand where it came from, and plan a useful explanation.

## When to use this class question survey

An anonymous question submission form gives students a way to send questions without a name field. This example is designed for one college class discussion, with the main question first and six optional fields that help an instructor prepare. Name the session and collection deadline in the invitation. Before describing the actual collection as anonymous, verify the form settings, access arrangements, and any identifying information in responses.

## Turn unanswered questions into a discussion plan

A useful submission tells an instructor what a student wants explained, where the issue appeared, and what kind of response would help. A request for a worked example calls for a different answer from a question about an assignment instruction. Keep the invitation open to either.

Tan, Small, and Lewis (2020) studied an anonymous question-and-answer app in a module with 460 undergraduates. Their abstract describes questions showing “engagement beyond surface-level memorisation of module content”. Read the [classroom question study ](https://journal.alt.ac.uk/index.php/rlt/article/view/2323). This was an initial pilot of an app with peer replies and voting; it does not validate this form or establish that anonymity alone improves learning.

SurveyLegend provides the starting questionnaire here. The instructor still decides how to review, group, and answer submissions. Plan that review before inviting questions so students know when and where to look for a response.

**Create your anonymous question submission form in SurveyLegend**

An anonymous question submission form gives students a way to send questions without a name field. This example is designed for one college class discussion, with the main question first and six optional fields that help an instructor prepare.

## Seven class question questions

Share a question about the class topic named in the invitation. Every field is optional; you can send just your question. Do not include names, contact details, grades, or another person's private information. Your instructor will review submissions before choosing topics to address. This form is not for urgent or personal support.

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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

### Anonymous Question Submission Form

01 What question would you like the instructor to address?

Share your answer, or skip this question.

02 Which slide, reading section, exercise, or assignment does your question refer to?

Share your answer, or skip this question.

03 What is the main purpose of your question?

Choose one answer, or skip this question.

Clarify a concept Understand an example Check assignment instructions Connect ideas Apply the topic to a new situation Something else Not sure

04 Where does your understanding become unclear?

Share your answer, or skip this question.

05 Which response would help most?

Choose one answer, or skip this question.

A short explanation A worked example A diagram or visual A comparison of two ideas A pointer to a relevant resource Not sure

06 When would an answer be most useful?

Choose one answer, or skip this question.

At the next class discussion Before the related assignment is due During a later review session No particular timing Not sure

07 May the instructor paraphrase your question for the class after removing identifying details?

Choose one answer, or skip this question.

Yes No — use it only to plan instruction Not sure

#### One last look

Review your answers before submitting this demo.

0 answered

#### Thank you for trying the survey!

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## Adapt the class question questionnaire

Replace “class topic” in the invitation with a specific lecture, reading, or assignment. Set a submission deadline that leaves time to prepare an answer. Keep the first field easy to find, and leave every supporting field optional so a student can send a short question without completing an intake interview.

Explain who reads submissions and whether paraphrased questions may be discussed with the group. Review SurveyLegend’s [anonymous feedback ](https://www.surveylegend.com/online-survey/anonymous-feedback/)guidance when planning identity protection, then check the actual collection setup. Omitting a name field does not prove anonymity; free text and access or tracking settings may still identify someone. Keep individual academic records and urgent support on the institution’s established channels.

Use the reference field for a slide, exercise, or reading section. SurveyLegend’s explanation of [open-ended questions ](https://www.surveylegend.com/customer-insight/open-ended-survey-questions/)can help you keep prompts neutral while inviting the detail needed to understand a question.

## Printable class question questionnaire

Use the printable class question form when students need a paper option. It includes the same seven optional fields, with space for the question and its reference. Explain how papers will be collected and reviewed; handwriting or response details may identify a student.

![First page of the printable Anonymous Question Submission Form Template with questions and answer spaces](https://www.surveylegend.com/survey-template-media/pdf-previews/anonymous-question-submission-template-pdf-preview.avif)

[![](https://www.surveylegend.com/user-guide-media/icons/download-pdf.svg) Download the questionnaire](https://www.surveylegend.com/downloads/survey-templates/anonymous-question-submission-form-template.pdf)

Export class question questionnaire as PDF

## Create this survey with an AI prompt

Copy this prompt into an AI assistant to draft the questions. Review the draft, then build and customize the survey in SurveyLegend before sharing.

## Prepared survey prompt

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Copy the prompt into an AI assistant to draft the questions, then build your survey in SurveyLegend.

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## Interpret the class question responses

Read the question before sorting its labels. Group submissions by concept or task, then separate explanation requests from assignment logistics. Count submissions within each group, not unique students; the form does not establish how many different people raised an issue. Keep a separate list of questions whose authors did not permit a paraphrase for the group. Remove identifying details before discussing an allowed submission. A rare question may expose an important missing step, so frequency should not be the only selection rule. After the discussion, publish a short answer summary through your normal class channel and identify topics that need another explanation. Do not infer that students who submitted nothing understood the material.

## Frequently asked questions

### Does this template guarantee anonymous submissions?

No. It omits name and contact fields, but anonymity also depends on the actual collection setup and what a student writes. Check settings and explain the real privacy arrangements before sharing the form.

### Do students need to answer all seven fields?

No. Every field is optional. Students can send only their question; the remaining fields help an instructor prepare when the student wants to provide more context.

### Does the form display a live question wall?

This template is for collecting questions for instructor review. It does not promise a public question wall, peer replies, voting, or automatic answers. Share selected explanations through the class channel you already use.

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