screen.Clear() is pretty laggy on Windows, the following hack should be considered:

Instead of always clearing before printing text, the text could be filled with empty spaces (this is what tcell.Clear() does in the background anyways)

Here's an example:

func render(screen tcell.Screen, question string, options []*Choice, config *Config, selectedChoice *Choice) {
	//screen.Clear()
	_, maximumThatCanBeDisplayed := screen.Size()
	lineNumber := 0
	questionLines := strings.Split(question, "\n")
	for _, line := range questionLines {
		printText(screen, 1, lineNumber, line, config.TextColor, config.BackgroundColor, config.SelectedTextBold)
		lineNumber += 1
	}
	min := selectedChoice.Id + len(questionLines)
	max := maximumThatCanBeDisplayed
	if selectedChoice.Id > max {
		min += 1
		max += 1
	}
	for _, option := range options {
		if option.Id <= (min+1)-maximumThatCanBeDisplayed && !(option.Id > (min+1)-maximumThatCanBeDisplayed) {
			continue
		}
		if option.Selected {
			printText(screen, 1, lineNumber, fmt.Sprintf("> %s", option.Value), config.SelectedTextColor, config.BackgroundColor, config.SelectedTextBold)
		} else {
			printText(screen, 1, lineNumber, fmt.Sprintf("  %s", option.Value), config.TextColor, config.BackgroundColor, config.SelectedTextBold)
		}
		lineNumber += 1
	}
	screen.Show()
}

func printText(screen tcell.Screen, x, y int, text string, fg, bg tcell.Color, bold bool) {
	for _, character := range text {
		screen.SetCell(x, y, tcell.StyleDefault.Background(bg).Foreground(fg).Bold(bold), character)
		x += runewidth.RuneWidth(character)
	}
	// instead of using screen.Clear(), we'll just update the ENTIRE line with empty spaces
	width, _ := screen.Size()
	for i := len(text); i < width; i++ {
		screen.SetCell(x, y, tcell.StyleDefault.Background(bg).Foreground(fg), ' ')
		x += runewidth.RuneWidth(' ')
	}
}

Note that when the list of choices doesn't fit in the screen, this will cause some issues (e.g. bottom lines aren't updated), so something need to be done about that

When there's more options than what can fit on the terminal, ... should be added as the first and last option and should allow users to change the page.