Residency training directors dread various moments—for instance, when the Residency Review Committee (RRC) reviews their program, or Match Day. Another such moment of anxiety is when residents answer the Accreditation Council for Graduate Medical Education (ACGME) Resident Survey. This survey asks residents about their compliance with duty hours and their opinions of faculty, the feedback they receive, the educational content of the teaching, their program’s resources, and, finally, their overall experience. These are seemingly fair, important questions. Why would anyone dread seeing the answers? What would be wrong with a survey asking this information about the program? Why would anybody think that this is not a good and useful survey? In my opinion, at least four cardinal problems with the ACGME Resident Survey may trigger training director anxiety and dread.