What if the left scale is not a dichotomy?
You use an appropriate question type.
E.g. two arrays with subquestion relevance.
An "array (dual scale)" combines - as the name suggests - two scales.
An object is rated in two
independent dimensions. Like the standard example: Importance vs. Satisfaction.
"Please, rate the following characteristics of this car brand!
How important were they in the purchase decision?
And how satisfied are you with them?"
This type of question can be used to calculate correlations (PEARSON, SPEARMAN, KENDELL, ...) between the scales in the analysis.
Everything else, in my opinion, is a kind of abuse of this type of question.
As you saw, your above example only had
one dimension, "importance".
Joffm