Tim, I was surprised to read about some of these comments about the moodle quiz engine. Granted, I don't have a big moodle, so I might not ever see the volume of quiz-taking that might cause a problem, but I do run my moodle on a small VPS, so performance is always a concern. In 8 years of using moodle, I haven't seen any quiz performance issues. Having said that, I do run my quizzes asynchronously, don't typically have 60 questions (usually 20-40), and don't put one question on a separate page.
Quiz
make quiz support 60 or more questions
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