The document outlines 15 steps to create a quiz from scratch in a learning management system:
1. Access the "Tests, Surveys, and Pools" section under "Course Tools" in the control panel.
2. Click "Build Test" and provide a name, description, and instructions for the new quiz.
3. Select a question type like multiple choice and add questions one by one by providing the question text, answers, correct answer, and feedback for each.
4. Submit the quiz for review once all questions have been added.