The Survey-Survey.

Department of Administration,

Central University.

In its search for quality, relevance and excellence the Department of Administration is conducting a survey of surveys conducted within the University. Please answer the questions below.

 A. Your Survey. 

   Title of your survey:

   Purpose:

   Date of issue:
   Deadline for return:

   Issuing individual, name:
                    address:
                      phone:
                        fax:
                      email:

   Issuing organisation:
                address:
                  phone:
                    fax:



 B. Usage. 

   How many people will have access to the material gathered in your survey:

   For each such person please complete:

     Name        Rank        Organisation        Reason for Access   Hours
   -----------------------------------------------------------------------
   1:
   -----------------------------------------------------------------------
   2:
   -----------------------------------------------------------------------
   3:
   -----------------------------------------------------------------------
   4:
   -----------------------------------------------------------------------
   5:
   -----------------------------------------------------------------------
   (Hours is the number of hours spent reading or analysing results.)
   (please continue on separate sheet if necessary)

Who is the highest ranking individual who will
have access to your survey results for actual decision-making purposes
and why?
      name:
      rank:
   address:
     phone:
       fax:
     email:
       why:

How much money ($) is allocated annually by individual(s) who will
use the results of your survey to help make such allocations:



 C. Analysis. 

   For how many years will your raw survey material be kept:

   What mathematical and statistical analysis will be performed on the data:

   Where & when will the survey results be published, summarised or circulated:

   1. journals:

   2. conferences:

   3. technical reports:

   4. government (& related organisation) papers:

   5. other:

   Who can be contacted for copies of the above?
         name:
      address:
        phone:
          fax:
        email: