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Survey Request Form

Institutional Effectiveness (IFX) is committed to supporting the mission of the University of Richmond. The office receives many requests for surveys. We have created a form to help optimize our ability to respond to requests while also providing clear guidance to those needing assistance with surveys and/or Qualtrics. This also helps us plan the best dates for survey administration.

Normal contact time is within 7 business days. If you are working with a strict deadline, please give us as much advanced notice as possible. 

NOTE: If you have files that would further explain your request, please provide Box link(s) in the Comments section below or send the files via email to


Survey Type: *
Service Needed (select all that apply): *
Did you seek IRB approval? *
Proposed survey frequency: *
Who do you plan to survey (select all that apply)? *
Has this survey previously been administered? *
Is this survey part of your assessment plan or program review? *