Is a Picture Is Worth a Thousand Words? Creating Effective Questionnaires with Pictures.

In developing attitudinal instruments for young children, researchers, program evaluators, and clinicians often use response scales with pictures or images (e.g., smiley faces) as anchors. This article considers highlights connections between word-based and picture based Likert scales and highlights the value in translating conventions used in word-based Likert scales to those with pictures or images.