This document provides guidance on writing objective examination questions in the alternative response format, specifically true-false questions. It discusses best practices such as keeping statements short and focused on one idea, avoiding ambiguous terms, and balancing the number of true and false statements. Examples are provided for single true-false, multiple true-false, and multiple correct response question types across various subjects. Tips are given such as avoiding opinions in true-false items and keeping the question stem clear and concise. Advantages of this format are its efficiency while limitations include only measuring basic knowledge and susceptibility to guessing.