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.
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Email *
Survey Coordinator Name
Title
Organization *
City, State, Zip Code *
Phone *
Email *
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)
What grades were surveyed? *
Required
What type of consent was used? *
Is this your pre- or post-assessment? *
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.
Please enter your unique survey ID (5-digit code provided in the email with your survey link) *
Any additional notes for our researchers? (customization, instructions, etc.)
Submit
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