As a service to us, please fill out the following information. We would appreciate it if you would complete the entire form. The items that are required* to be completed in order to download survey instruments are profession, discipline or specialty, affiliation, city, state or country, and your email address. Your email address will not be given to others. If you do not have an email address or do not want to include your email address, please enter firstname.lastname@example.org in the email box below.
Discipline or Specialty*:
City, State, Zip Code, Country*:
Are you planning to use these surveys?
If yes, how are you going to use these materials?
Education Program Evaluation
Master or doctoral project/thesis
Please read the following before submitting this
form.By submitting this form, you are agreeing to
abide by the statement:
You have our permission to reproduce and use this
instrument and other materials as long as the University
of Michigan is acknowledged in any instrument, report
or publication resulting from their use.
University of Michigan Health System, 1500 E. Medical Center Drive Ann Arbor, MI 48109 734-936-4000
© copyright 2015 Regents of the University of Michigan / Template developed & maintained by: Department of Communication. Contact UMHS
The University of Michigan Health System Web site does not provide specific medical advice and does not endorse any medical or professional service obtained through information provided on this site or any links to this site. Complete disclaimer and Privacy Statement