Phone: 800-275-6401
Find a Doctor
|
Find a Clinic
Patients
Tools, Events and Information
for Geisinger Patients
Specialties:
Cancer
Heart
Neurosciences
Orthopaedics
Pediatrics
Transplant
Women's Health
> all Specialties
Medical Programs:
Careworks
Hospice
HomeCare
LifeFlight
LIFE Geisinger
Marworth
Spiritual Care
> all Programs
Tools:
Find a Doctor
Find a Clinic
MyGeisinger
iNursery
Community Health Calendar
Accepted Insurances
Health & Wellness
Locations & Directions
Ways to Give
Authorization to Release
Medical Information
> all Tools
Featured:
About Geisinger
News Room
Quality Measures
Epilepsy Program
Community Investment
Innovation Conferences
Ask a Health Librarian
Professionals
Employment, Medical Education and Patient Referrals
Health Services:
Cardiovascular
Orthopaedic Oncology
Osteoporosis
Neurosciences
> all Health Services
Resources:
Refer a Patient
Find A Doctor
Find A Clinic
GeisingerConnect
Physician Liaisons
Telemedicine
Bioethics Committee
Geisinger Health Plan
> all Physician Resources
Careers/Education:
Careers
Medical Education
Allied Health Schools
Continuing Medical Education
Internship Program
About the Area
Relocation Information
Featured:
About Geisinger
Nursing
Geisinger Consulting Group
Geisinger Ventures
Government Relations
Health Science Libraries
Innovation Conferences
Vendor Relations
Research
Research & Clinical Trials, Innovations and Discoveries
Research at Geisinger:
CSO Message
Leadership
Administration
Research Connections
Partnerships
Centers & Institutes:
Weis Center for Research
Center for Health Research
Autism & Developmental Medicine
Genomic Medicine Institute
Geisinger Obesity Institute
Environmental Health Institute
Rural Health Policy Institute
Clinical Research:
Orthopaedics
Women's Health
Rheumatology
Cancer
Resources:
Find a Study
Find an Investigator
Educational Opportunities
Research Careers
Core Facilities
Donate to Research
Request an Appointment
Make a Referral
Survey Research
Call Center Form
Geisinger Center for Health Research home
Research
Locations
Weis Center for Research
100 North Academy Ave
Danville
570-271-6659
Hood Center for Health Research
100 North Academy Ave
Danville
Call Center Form
Person Requesting Quote
*
Date of Request
Company
*
Phone Number
*
Fax
Email
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
Tweet