VCOM Institutional Policy and Procedure Manual

Who and how many will be surveyed (be specific, examples: faculty, staff, students by level, alumni, prospective students, community-at-large, etc.)?:

How will survey data/results be used internally (mark all that apply)?

Needs Assessment Internal Quality Assurance (examples: satisfaction survey, workshop/meeting evaluation, etc.)

Other (specify) Not Applicable

How will survey data/results be used externally (mark all that apply)?

Present/Poster at Conference Research Publication Shared with community partner(s)

Other (specify) Not Applicable

Method of survey distribution:

Will survey question(s) ask for personal identifiable information (Be specific, examples: names, id numbers, email addresses, major, etc.)?

Survey Start Date:

Survey Reminder Dates:

Survey Close Date: