Can you help me make a proposal template for an online survey on my project?

The survey should be centered on a current relevant topic such as Measures on

How to Avoid Getting Infected with Covid-19. Gather data such as demographics (age, sex) and responses to your questions.

Example of Proposal Template

Proposed Survey Title:

Proposed Questionnaire:

(Note for the questionnaire: Make sure to include the Data privacy notice in the questionnaire. Answers to

questions must be close-ended. Example: Question: Do you agree that taking Ascorbic Acid daily will reduce the risk

of getting infected with Covid-19? Options for Answers: 1-Disagree 2-Slightly Disagree 3-Neutral 4-Slightly Agree

5-Agree)