diff --git a/_quarto.yml b/_quarto.yml
index 3aa0c7b..885bf52 100644
--- a/_quarto.yml
+++ b/_quarto.yml
@@ -18,8 +18,9 @@ csl: apa.csl
 format:
   html:
     theme: journal
-  #pdf:
-    #documentclass: scrreprt
+  docx:
+    reference-doc: extras/custom-reference.docx
+
 
 editor: visual
 
diff --git a/extras/custom-reference.docx b/extras/custom-reference.docx
new file mode 100644
index 0000000..ed716a2
Binary files /dev/null and b/extras/custom-reference.docx differ
diff --git a/index.qmd b/index.qmd
index 923f47f..d3cdf86 100644
--- a/index.qmd
+++ b/index.qmd
@@ -37,7 +37,7 @@ and fully manual reflective testing using machine learning algorithms.
 
 ### Draft Question
 
-What are the beliefs, attitudes, opinions, and knowledge about machine
-learning in the clinical laboratory.
+What are the beliefs, attitudes, opinions, and knowledge about using
+machine learning in the clinical laboratory.
 
 ## Significance