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SurveyShare Request

The University of Hawaii Information Technology Services (ITS) has licensed SurveyShare for UH Web-based survey and assessment needs.

Prior to submitting this form you MUST have gained approval from IRB (if applicable) AND have developed your survey questions.

To request an account, enter information (all info is REQUIRED) and click the Submit button. We will process your request as soon as possible.

First and Last Name:

UH Username:
*Request UH Username

Preferred Email:
*something@xxxxx.xxx

Department:
Phone Number:
Position:

Faculty
Staff
Other:

Already created survey questions:

Completed the IRB process:

If you checked NO for completing the IRB process, please provide a BRIEF explanation:

Yes No

Yes No (if No, please provide a brief explanation for this choice)

How long do you anticipate using this account? 1-2 weeks 1 month 2 months Entire 3 month period
Provide a brief description of the survey:
Questions?