PALISI Network Survey Dissemination Request
All requests will be reviewed and approved by the Scientific Steering Committee. All follow-up communication will be addressed to the email given below.
First Name
Last Name
Email
Faculty Mentor (Trainees Only)
Copy of IRB protocol and IRB approval
Upload
If you are unable to upload your file, please email it to admin@palisi.org.
Survey Document (Maximum Completion Timeframe: 10 Minutes)
Upload
If you are unable to upload your file, please email it to admin@palisi.org.
Survey URL (Maximum Completion Timeframe: 10 Minutes)
Target Population (Geographical Profile)
United States Only
North America
International
Target Population (Role Profile)
MD or Equivalent
Open to All
Email Invitation Draft
Your email invitation draft should be written as a cover letter from you to those taking the survey. This should include a general description of the subject of the survey, how long the survey will take, whether it is anonymous, what the target population is, and whether the survey can be shared or tweeted. You may also want to give your contact information in case they have any questions.
Email Invitation Draft
Upload
If you are unable to upload your file, please email it to admin@palisi.org.
Submit