Survey Request Form

NOTICE: To create a UWRF Qualtrics account please follow these instructions.
(To share survey results with other colleagues, it is important to create the Qualtrics account by visiting the link.) 

Request IRB approval

The following form is to request to have a survey proposal reviewed by the IRB before it is distributed to participants.

If publishing or presenting, you MUST review the Institutional Review Board Research Protocol and submit a separate IRB form which includes a brief statement of the questions being asked and supporting rationale; subject selection process; procedures for recruitment of subjects, etc.; and informed consent procedure. If the survey is intended for internal office use it is not considered research and does not require IRB review.

Contact Us

Institutional Research
M-F, 8 a.m. - 4:30 p.m.
104 North Hall