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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
Company
   
 
 
Contact Information
First Name : 
Last Name : 
Address 1 : 
Address 2 : 
City : 
State : 
Zip : 
Phone : 
Email Address : 
 
 
 
Please describe your organization:
   
 
 
 
* What is your business structure?
 
Sole Proprietor
 
Partnership
 
Corporation
 
 
 
Is your business:
 
Woman owned
 
Service-Disabled Veteran owned
 
Minority owned

 
 
 
How long has your company been in Business??
 
Less than 1 year
 
1 - 5 years
 
6 - 10 years
 
More than 10 years
 
 
 
How many people are employed at your company?
 
1 - 9
 
10 - 19
 
20 - 50
 
More than 50