ASPO Survey Application

ASPO Survey Application
Survey Title:*
Author / Applicant Name:*
Author / Applicant Email:*
example@example.com
Institution:*
Funding Agency and details (if applicable):
ASPO Member Sponsor (required if applicant is not an ASPO Member):
ASPO Member Sponsor Letter upload

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Please submit either an electronic link to your survey (i.e. Survey Monkey) or a word document with all questions and any logic/branching.

*An electronic format will be required for distribution but is not required at time of application.
Survey Link (electronic)
Survey Questions (word document)

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Cover/Invitation Letter (request email to be sent to ASPO members to complete your survey) *

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What are the objectives of the survey? *
What do the author(s) expect data collected from this survey to show? *
How will the data collected as a result of this study be used specifically? (i.e.,grants, manuscripts, presentations)*
How will this survey contribute to the pediatric otolaryngology field and/or literature? *
Please provide a brief summary of the proposed statistical analyses to interpret the data collected and a letter of support from the statistical consultant performing these analyses. *
Statistical Consultant letter upload*

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A letter of approval/exemption from the IRB must be sent to the ASPO Research Committee before the survey can be posted/distributed.

Please upload your approval/exemption letter below, or email to Liz O'Keefe at eokeefe@facs.org once received.
IRB letter upload

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Questions? Please contact:

Liz O'Keefe, ASPO Administrator

eokeefe@facs.org, 312-202-5005
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