How can i use Kobo for a breastfeeding observation checklist with 53 items?

Hi @matthewschojan,

You can try something like this, or variations of it:
(The choice_filter is not necessary, but since the right side seems to be the opposite of the left, it might make sense not to be able to select both)

survey

type name label appearance choice_filter
begin_group body_position_group BODY POSITION field-list
select_multiple good_positions good_position Signs that it’s going well w2 not(contains(${bad_position}, name))
select_multiple bad_positions bad_position Signs of difficulty w2 not(contains(${good_position}, name))
end_group
begin_group responses_group RESPONSES field-list
select_multiple good_responses good_response Signs that it’s going well w2 not(contains(${bad_response}, name))
select_multiple bad_responses bad_response Signs of difficulty w2 not(contains(${good_response}, name))
end_group

choices

list_name name label
good_positions p1 Option 1
good_positions p2 Option 2
good_positions p3 Option 3
good_positions p4 Option 4
good_positions p5 Option 5
bad_positions p1 Option 1
bad_positions p2 Option 2
bad_positions p3 Option 3
bad_positions p4 Option 4
bad_positions p5 Option 5
good_responses p1 Option 1
good_responses p2 Option 2
good_responses p3 Option 3
good_responses p4 Option 4
good_responses p5 Option 5
bad_responses p1 Option 1
bad_responses p2 Option 2
bad_responses p3 Option 3
bad_responses p4 Option 4
bad_responses p5 Option 5

settings

style
theme-grid no-text-transform

With the resulting form looking like this:

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