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I'M LOOKING FOR:

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Person Requesting Quote*

Date of Request

Company*

Phone Number*

Fax

Survey Method

Telephone

Mail

Focus Group

Survey Topic

Geographic Coverage

Define an "Eligible" Correspondent

Sample Size

Completes Needed

Number of Questions in the Survey

Questionnaire Length (in minutes)

Number of Open Ended Questions

Open End Data Handling

Coded and tabulated

Verbatim Responses

N/A

Expected Incidence(% of people contacted who will qualify as "Eligible")

Expected Participation Rate

Sample Type

RDD

EPIC

Provided by Client

Quotas

Data Deliverable

TABULATIONS

DATA FILE

WRITTEN ANALYSIS

Preferred Data Format

SAS

SPSS

EXCEL

Other (explain below)

Additional Instructions/INFO

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Survey Research

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This page was last modified on: 10/10/2008