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Survey Request Form

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SurveyMonkey is the campus-approved system for surveying faculty, students, staff and alumni. It can also be used to survey the community for research purposes. Survey design and implementation can be done easily by completing and submitting the form below. If you have any questions, please contact e-Learning at 325-942-2334, ext. 6263.

To have your survey created, please fill out the following information. Once you submit this form, send an email to and attach a Word document that contains your survey questions. The e-Learning Center will send you a response once your survey has been created. Please allow 1 week to complete the survey.

Please include your name and email address where we can contact you with any questions.
Note: If you want the survey to loop, you must choose "yes."
If you want to email a group make sure to check the boxes below