A&B Report Request
This form must be completed in order to receive your A&B reports. A separate form for each participating site is required if multiple site reports are needed.
Email address *
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 following information for the school, organization, or program participating in the survey. If there are multiple participating organizations, please submit a form for each.
(Organization Name, City, State, Zip)
Your answer
What grades were surveyed? *
Required
What type of consent was used? *
What date did you start administering the survey? *
Please use 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
What date did you end the survey administration? *
Please use 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) *
Please contact Megan (meganr@searchinstitute.org) if you have any questions.
Your answer
Any additional notes for our researchers? (customization, instructions, etc.)
Your answer
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