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Please complete the form below describing some of the details of your survey needs. This will help us understand your overall project. We will contact you within 2 business days to discuss your survey.

If you prefer to talk to someone immediately regarding your 360 assessment, please call us at 1 (800) 945-0040 or outside of the US and Canada at +1 303 449-2969.

Your Name:   
Your Company:   
Your Email Address:   
Your Phone Number:   
What type of survey are you planning to administer?

When are you planning to deploy your survey?
In the next week
In the next month
In the next quarter
In the next 6 months

DESIGN/ADMINISTRATION
Who will design your survey?
SurveyConnect
My company
Collaboration between SurveyConnect and my company
Is English the only language needed?
Yes
Uncertain
No
How many people will be requested to take the survey?
1-100
101-500
501-1,000
1,001-2,500
2,501-5,000
Over 5,000
What percentage of the population do you think will answer the survey?
1% - 25%
26% - 50%
51% - 75%
Over 75%
Additional Comments on general Design/Administration:


ANALYSIS/REPORTING
Once the answers are collected, who would you like to do the analysis?
SurveyConnect
My company
Will you need graphs / charts?
Yes
Uncertain
No
Will you need an Executive Summary written?
Yes
Uncertain
No
Will you need multiple levels of data for different departments / managers?
Yes
Uncertain
No
Other comments or questions you may have:







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