This document provides a checklist for reviewing multiple choice test items to ensure they meet plain language and global English standards. The checklist contains items to check for the stem of the question, such as making sure it is a single question in the form of what, when, where, how, or why. It also contains items to check for the alternatives, such as making sure there is one correct answer and three plausible distractors that are similar in length and structure. References are to be international in nature rather than local. The document lists the reviewer's name but not a date.