We are not adding any changes to the questionnaire used last time.
Yes, any customization to the questionnaire template will trigger the the need to register for the Custom Survey Package regardless if one question or ten questions are modified.
We are able to keep our fees low based on the use of our questionnaire template. Adjustments to the questionnaire require additional web programming, quality testing, custom analysis, and custom reporting. This means that even if custom questions do not change from year to year, the fee will still be required to cover the custom analysis and reporting.
We do examine the custom questions utilized each year by all participating programs and occasionally add those to our survey template if other participants would benefit from the new metric.