Registration Deadline: April 5, 2024
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Before completing the registration form on the following page, we need you to agree and commit to the following statements. The form will not submit until all fields are filled out completely.
If the form does not proceed to the next page, please review your information throughout the form to see what is missing or what needs corrected.
Tell us about your organization. Please list the HQ or primary location for your operations in Arkansas.
If no, please fill out the corporate address below.
Tell us about your people.
Primary Contact The Primary Contact will be the main contact for questions throughout the entire process and the recipient of all communications (via emails, phone, website and letters), employee surveys for distribution, feedback reports, etc.
Please do not provide a role-based email address such as email@example.com or firstname.lastname@example.org. Our system will not import role-based email addresses and invitations will not to be delivered.
Secondary ContactThe Secondary Contact will be the contact for questions if the Primary Contact is unavailable.
Tell us about your people.
CEO, President, Manager, Etc. (Highest-ranking position of the nominated workplace.)
IT Contact The IT Contact will be the contact for any technical systems questions regarding online surveys - for all employer questionnaires and online surveys for employees - regarding filtering, spam content, white-listing, etc.
Please do not provide a role-based email address such as email@example.com or firstname.lastname@example.org. Our system will not import role-based email addresses and invitations will not be delivered.
Marketing/PR Contact The Marketing/PR Contact will handle any marketing and/or public relations questions for your organization.
Human Resources Contact Human Resources Contact will handle any human resources related questions for your organization.
Your registration fee depends on how many employees you have at your organization. Please see the chart below to determine the survey selection, as well as the fees regarding organization size and survey method. You will receive an invoice at a later date or you can choose to pay online at the end of this form.
*Costs are not refundable. **To ensure result credibility, companies with 15-24 employees are required to have at least an 80% response rate to be considered for the list. ***Employees are randomly selected.
While we recommend online surveys in most cases, sometimes paper is a better option. If more than 40% of your employees do not have their own email address, please select "paper" below. Organizations selecting the paper method will need to pay the cost in the chart above, please select in the drop down menu below if paper option is needed.
Survey Additional Employees? For employee populations over 300 we survey a random selection or, would you like to survey additional employees?
Tell us about your survey needs.
Additional Languages Does your organization need alternate language surveys?
We offer employee surveys in a variety of languages. Additional languages are available at $199 per survey translation. If you need alternate language surveys, please select the languages below, and we will contact you to confirm your selections. Selecting "YES" above will add $199 to your cart, per language.
Spanish – Latin American - 199.00 USD
Spanish – European - 199.00 USD
Portuguese - 199.00 USD
French – Canadian - 199.00 USD
French – Creole - 199.00 USD
French – Parisian - 199.00 USD
Chinese - 199.00 USD
Japanese - 199.00 USD
Other Language - 199.00 USD
Are you interested in customizing your employee survey? As part of the survey design process your organization has the option (for a fee) to customize the employee survey to include changing job roles/department response options, adding a location question, surveying all or additional employees and adding additional questions. If selected, you will be contacted by a survey specialist to learn more about these options.
You're almost done! (All fees are non refundable)
You have selected to be invoiced. An invoice will be sent to the primary contact of this registration form.
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