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
  1. 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:


  2. 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 modificaitons).
    I have my own survey I would like to use. I just need it put online.
    I need a survey designed from scratch.

  3. 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:


  4. 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?