iClicker Insights COVID-19 Surveys Request Form
Interested in assessing the impact of COVID-19-related campus closures on your students? iClicker Insights student success and analytics tool is offering free surveys to provide the important insights you're seeking.

Please fill out this form below if you'd like us to follow up with access and set-up instructions for you and your students - at no cost to your students or institution!
Email address *
Preferred email (if different than the one collected above).
Your answer
First Name *
Your answer
Last Name *
Your answer
Institution *
Your answer
State *
Department *
Your answer
Title *
Your answer
Phone number where you can be reached during this time. *
Your answer
Which product(s) do you currently use for retention and/or surveys (note that we can export our survey data into almost any system)? *
Your answer
What is the approximate full-time undergraduate enrollment at your institution? *
Number of students who you anticipate sending the survey to? (Note: you're welcome to send it to an unlimited number) *
Your answer
End Date of Current Term *
MM
/
DD
/
YYYY
Are you on quarters or semesters? *
How did you hear about these surveys? *
Your answer
Are there any other administrators - other than you - who will need access to the survey platform (to view results and/or set up the surveys)? Please list their NAME, EMAIL, & TITLE. Note: This can also be requested at a later time.
Your answer
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