For full consideration, please review the Survey Approval Process and observe the following approval request form submission deadlines: July 1 for Fall semester surveys, November 1 for Spring semester surveys, and March 1 for Summer surveys.
How will the information be used, what question(s) are you trying to answer, what populations are most relevant to your question(s)? This description will used on the Official Surveys website.
For use in the IUBSC Survey Data Repository and other projects. Please provide at least five keywords (e.g., student experience, information literacy). Press Enter to add the text you've typed as a keyword.
Online/web survey; paper and pencil survey; focus group; interview; etc.
Please describe the type and number of communications that will be sent to individual respondents (e.g., email, postcards).
How long do you expect the survey will take on average? Approximately how many questions will be asked?
Explain your reasoning for the dates you prefer for this survey.
If participants will be compensated in any way, describe your plans for incentives.
Share any other information with the University Survey Committee.
Indicate which populations you wish to survey (select all that apply).
Note: Please provide specific details for your response "Other" in the Population Details section below.
Please describe your population in detail, indicating any targeted populations (e.g., undergraduate women, students who identify as Hispanic or Latino/a, fraternity/sorority members).
Do you need the IUBSC to provide you a sample?
Note: Please provide specific details for your sample in the Indicate Sample Size section below.
The total number of individuals you plan to invite to take your survey (e.g., census, 600 total individuals, 25% of the IUB undergraduate population).
Please indicate any special sampling instructions (e.g., stratified random sample) and explain why the desired sample is necessary.
Indicate whether survey data will be used for any of the following purposes (select all that apply).
Describe in a few words any other purposes for the survey data.
How does the survey support the strategic plan of Indiana University Bloomington? Please indicate how the survey supports at least one of The Principles of Excellence or The Framework of Excellence (select all that apply).
The Principles of Excellence
The Framework of Excellence
How will data be used and with whom will results be shared?
You assume all responsibility for ensuring that student, faculty and staff record data is never shared inappropriately. If you anticipate that record data or personal information about students, faculty or staff will be shared with any organization or individual not affiliated with Indiana University, Bloomington at any point as a result of this survey, indicate below.
You assume all responsibility for ensuring FERPA compliance. Please indicate your acknowledgement of this responsibility below.
Samples for campus-wide surveys are compiled based on your population criteria and the recommendation of the Indiana University Bloomington Survey Committee. Individuals will only be included in the sample if, at the time of sample creation, they
It is not possible to update the sample to reflect changes to eligibility after the sample is created (e.g., students who turn 18 after the sample is compiled will not be added to the sample).
How often will the survey be administered, e.g. annually, every semester, every two years, as needed.
Share key findings from the most recent administration and any impacts of the previous administration
The University Survey Committee is not responsible for ensuring compliance with IRB requirements. Please indicate your current stage in the IRB approval process below.
Please attach the official IRB approval letter if available.
For final approval of the survey, the IUBSC will require the survey instrument in order to ensure that the collected data do not duplicate existing data and that the survey is respectful of students, faculty and staff, and their time.
Please attach the survey instrument if available.
Please attach other files if necessary.