Information Request Form

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Thank you for considering HR-Survey.com for your survey project. Please fill out the form on this page. This information will allow us to understand the scope of your survey needs. Completing this form will help begin a dialog with one of our survey consultants. If you don't want to complete the form right now or have any questions please email us at .

Please complete the form below and we will be glad to answer your questions.

Your name:
Title:
Company:
Email Address:
Phone:
Mailing Address

What type of survey do you plan to conduct?

360 Degree Feedback
180 Degree Feedback (Upward Feedback)
Employee Attitude Survey
Employee Opinion Survey

Customer Feedback
Customer Satisfaction
Competency Assessment
Training Needs Analysis

Benefits Survey
Salary Survey
Performance Appraisal
Other

If 'Other', please explain:

Do you already have a survey? Select one of the following:
I would like to use one of the HR-Survey demos (with a few modifications).
I have my own survey I would like to use. I just need it put online.
I need a survey designed from scratch.

Do you want the survey to appear similar to your company's website?
If so, please enter the URL below for your company's website:

Describe how you plan to use the survey software. What types of employees will
participate in your survey? What types of data do you want to collect?