Survey Request Form

Please Note: all survey administration dates and samples are required to be approved by the Office of Institutional Effectiveness (IE) regardless of any other assistance needed.
Preferred Start Date  
Preferred End Date  
Please indicate the flexibility of this time frame:  

Determining Sample:  

Survey Instrument:  
Survey Administration:  

If you'd like to administer the survey on your own, please note that UofL has a university-wide license for Blue Survey, a comprehensive online survey administration tool. Any university employee may request an account and receive training through the Office of Institutional Research and Planning. To request an account and training, please contact

Is this survey required for your program accreditation?  

Please Note: Some surveys require approval though the Institutional Review Board/Human Subjects Research Office. Please be sure to review the IRB requirements to determine if your survey needs IRB approval prior to launch. The Office of Institutional Effectiveness is not responsible for IRB applications.
What is the IRB status?