A common activity in a data entry scenarion like a Questionnaire is to have the set of available options for one question depend on an answer to another question. For example, after choosing a country, the set of available options for a question about a state or region would depend on the chosen country. Ideally a ValueSet would be bound to the state/region question, but since it needs to be pre-defined we cannot have one that is sensitive to the country.
Similar examples exist when questions correlating diagnoses or procedures and body sites/regions, or medications, or tests.