Ben Shneiderman, Designing the User Interface, 2nd edition.
Addison-Wesley, 1992.
Section 13.5 (entitled "Evaluation During Active
Use" discusses the design of a questionnaire and provides a good
example of a questionnaire.
Colin Robson, Designing and Interpreting Psychological
Experiments. In Preece and Keller (eds.), Human-Computer
Interaction, Prentice Hall, 1990, Chapter 17, pages 357-367.
William L. Bewley, Teresa L. Roberts, David Schroit and William
L. Verplank, Human Factors Testing in the Design of Xerox's 8010
'Star' Office Workstation. In Preece and Keller (eds.),
Human-Computer Interaction, Prentice Hall, 1990, Chapter
18, pages 368-382.