Survey Application 2020 PeDRA Survey Application Review the PeDRA Survey Policy and complete the below application for your survey to be reviewed by PeDRA’s Studies Committee. Goal for Survey ReviewFeedback on SurveyApproval as a PeDRA SurveyAccess to Members for DistributionOther Principal (Corresponding) Investigator First Name Last Name Degree(s) Email Primary Affiliation Is the Principal Investigator an Active Member of PeDRA?YesNo 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 First Last Degree(s) Affiliation Check here to add another investigator Co-Investigator 2 First Last Degree(s) Affiliation Check here to add another investigator Co-Investigator 3 First Last Degree(s) Affiliation Check here to add another investigator Co-Investigator 4 First Last Degree(s) Affiliation Check here to add another investigator Co-Investigator 5 First Last Degree(s) Affiliation Check here to add another investigator Survey Information Title IRB/REB StatusTo be submitted SubmittedApprovedExempt Survey Hypothesis (50 word max) Project Summary (250 word max) Estimated time to complete survey (in minutes) Funding sources Is this an industry survey? YesNoPlease review PeDRA’s Survey Policy for detailed criteria regarding Industry surveys. Industry surveys will only be available for distribution to PeDRA Members. Survey Distribution to:PeDRA MembersSPD Members Survey Document, IRB/REB Approval/Exemption, Additional Co-Investigators/Collaborators Upload Use this field to upload a document of your survey (to allow for comments by reviewers), your IRB/REB determination letter, and a document containing any additional Co-Investigators or Collaborators. Survey Link Contact Information Last updated June 2020.