They are confusing and unintuitive for most people. The first time I tried using them, I thought it would be treated as multiple true/false questions because I hadn't read the guide, I thought I _knew_ how they worked. Most people have a way they think things should work that is based on their experiences and can't imagine any other way because they haven't been exposed to the other way. I only made the mistake of thinking they were true-false questions once, though.
After analyzing them, the way Canvas does it is the only way that makes sense to me now. The multiple true-false way would have given points if a student left the question completely blank. The student is required to take some action (check a box) to get any kind of scoring with Canvas.
I did write a user script that runs in your browser on top of Canvas and can regrade the questions using a different manner. The development of that script is the main reason I wrote the analysis, so that I could explain what was happening and how people wanted different techniques. I think it's linked at the bottom of the analysis document.
With New Quizzes, there is a stimulus question that allows you to ask multiple questions based off a single stimulus. With that, I could ask my question and then make 5 true-false questions instead of 5 responses in a multiple answers question.
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