The best replacement for multiple choice is essay.

The best alternatives to multiple choice are rated as following:

★★★★★	essay
★★★	short answer
★★★	free response
★	essay questions
★	constructed response
★	fill in the blank
★	essay exams
★	open ended
★	true false
★	multiple choice
★	essay tests
	multiple choices
	multiple-choice
	matching
	single choice

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Speaking about multiple choice, one probably shouldn't forget about questions and answers.

Other search terms related to multiple choice and their ratings are:

★★★★★	questions and answers
★★★	reading comprehension

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Google Trends

Scale is based on the average worldwide traffic of multiple choice in all years. Click on graph for more.

multiple choice

essay

short answer