OBJECTIVE:         The purpose of this form is to provide you with a means of challenging the formulation of a question and/or the answer to that question on a multiple-choice examination.  If, in the judgment of the instructor, your argument clearly demonstrates that: (1) the question in its formulation is misleading or ambiguous; or (2) that your answer can be interpreted as (completely) correct in the context of your argument,  an appropriate adjustment will be made to your score.




  1. Use one form for each question/answer challenged.


  1. State your argument clearly and succinctly.  Be sure to make it very clear as to why the question may be misleading and/or why your interpretation and answer are valid.


  1. Your statement must be the product of your own reasoning and not the result of post-test consultation with others.


  1. Submit this completed form to your instructor within one week of receipt of the examination results.


NAME _____________________________________________                                DATE            ________________


I challenge question number _____ on examination _____ (I, II, III), version _____ (A,B) administered on _____________ (date).  My response to the question was ______ (A,B,C,D,E) while the accepted (“correct”) response was  _______ (A,B,C,D,E).


My argument  is …














Instructor’s response