Survey Research Lab

Survey Quote Form Instructions:

Please fill in as much information as possible; we would be glad to assist you in the design of questions for the survey if needed.

The form is laid out very simple. The questions are on the left side, and the answer boxes are on the right. Please fill out the form as thoroughly as possible as it will help in the estimation of a more accurate quote.

After you have completed this form, please send it to the email provided at the top of the screen (above the form). You may either copy and paste the form into the body of the email, or send it as an attachment.

To give you an accurate quote, we need to know:

How many completions you would like to have - approximately how long (in minutes) each survey will take - will the respondents be households, businesses or something else - how many closed-ended and open-ended questions will there be - will the respondents be selected randomly, targeted, or an oversample - from where will we get the respondents contact information, will it be existing dataset, RDD purchase, etc - What geographic area are we targeting; county, state or national - when would you like this to go into the field - what type of project deliverables are expected (reports, datasets, etc.)- When do you require the project deliverables - are there any controversial or sensitive questions - any other details you can give us to help in determining the quote.

Please include your contact information in the last box provided.


We appreciate your time in filling out this form and look forward to doing business with you. We will respond within 24 – 72 hours after receiving this information.

If you have any questions feel free to contact us: Phone: (330) 972-5465