DAP & YAPS Report Request
This form must be completed in order to receive your DAP or YAPS reports. A separate form for each participating site is required if multiple site reports are needed.
* Required
Email address
*
Your email
Survey Coordinator Name
Your answer
Title
Your answer
Organization
*
Your answer
City, State, Zip Code
*
Your answer
Phone
*
Your answer
Email
*
Your answer
If different from above, please provide the ORGANIZATION NAME, CITY, and STATE for the organization that participated in the survey. This is what will appear in your report. If there are multiple participating organizations, please submit a form for each.
(Organization Name, City, State, Zip)
Your answer
What grades were surveyed?
*
Kindergarden
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Required
What type of consent was used?
*
Passive
Active
Parents were informed of the survey administration but not asked for consent
No notification/consent process was used
Is this your pre- or post-assessment?
*
Pre
Post
Other:
Please enter the EXACT date when data entry began--It's critical that these dates are accurate as they dictate which data are included in the reports.
*
MM
/
DD
/
YYYY
Please enter the EXACT date when data entry was completed--It's critical that these dates are accurate as they dictate which data are included in the reports.
*
MM
/
DD
/
YYYY
Please estimate the number of young people who participated in the survey.
*
This will help our research team reconcile the number of participants in the survey system and your best guess.
Your answer
Please enter your unique survey ID (5-digit code provided in the email with your survey link)
*
Your answer
Any additional notes for our researchers? (customization, instructions, etc.)
Your answer
Send me a copy of my responses.
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