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PeDRA

Pediatric Dermatology Research Alliance

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        • 2022 marked PeDRA’s 10th year of pursuing the vision of changing lives and healing children with skin disease through collaboration and discovery. Visit our 10th Anniversary Page to learn more about the origin of PeDRA and the many accomplishments during the first ten years!

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Survey Application

PeDRA Survey Application

Review the PeDRA Survey Policy and complete the below application for your survey to be reviewed by PeDRA’s Studies Committee. Applicants are encouraged to watch PeDRA's Survey 101 webinar series and to consult with the PeDRA Biostatistician for guidance on building and conducting a successful survey.

Please note that all surveys must be programmed through an online platform (e.g. SurveyMonkey, REDCap) and available via a dedicated hyperlink prior to submission. 


Principal (Corresponding) Investigator







Co-Investigators 

Please list all co-investigators working with you on the survey.  It's okay to provide only first and last name of each co-investigator.  PeDRA may contact you for additional details later. 

Co-Investigator 1




Co-Investigator 2




Co-Investigator 3




Co-Investigator 4




Co-Investigator 5




To add more than five co-investigators, please attach as an additional document below.

Survey Information








Please review PeDRA's Survey Policy for detailed criteria regarding Industry surveys. Industry surveys will only be available for distribution to PeDRA Members.



Use this field to upload a document of your survey (to allow for comments by reviewers).

Use this field to upload your IRB/REB determination letter.

Use this field to upload any additional documents (combined in one file).

Contact Information

Last updated January 2022.

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