We value your expertise and insights. By proposing a survey through this form, you have a unique opportunity to shape research within the Alliance, gain access to our full membership for your study and contribute to advancing continuing education in the health professions.

Your proposal, if selected, will not only further our collective understanding but also increase your visibility within the Alliance community. All proposals will be sent to the Research Committee for review. Please direct any questions to the Alliance Research Committee at acehp@acehp.org. We appreciate your time and look forward to reviewing your innovative ideas.

Please notify Alliance staff at acehp@acehp.org to receive a confirmation of receipt after submitting the survey request form.

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* 1. First and Last Name of Lead Investigator/Submitter

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* 3. Alliance Member Section of Lead Investigator/Submitter

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* 4. Are you submitting this survey yourself or on behalf of an Alliance Committee/Member Section? If on behalf of a Committee/Member Section, please indicate which one:

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* 5. Please describe the aim/purpose of this survey and the Alliance membership reach requested:

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* 6. What are the intended outcomes or goals of this survey?

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* 7. How will this survey address specific topics of interest or directly/indirectly benefit the Alliance member community?

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* 8. What is your implementation plan for developing the research prospectus, deploying the survey, analyzing the results and publishing the results? Please be as specific as possible and include the following: timeline for dissemination, length of time the survey will be available, and check-in/ reporting results to the Research Committee

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* 9. Has a similar survey been deployed by the Alliance within the last year? If so, what new information will this survey collect that is different from previous surveys? If unsure, you may inquire with the Alliance staff via the Alliance Research Committee at acehp@acehp.org

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* 10. What resources (money, technology and/or personnel) are needed to develop and deploy this survey? Note: The Alliance does not retain a budget to support external research opportunities, however Alliance Research Committee members are happy to provide reviews and feedback.

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* 11. The Research Committee meets once a month every third Tuesday of the month. Please take this into consideration, regarding when you request the survey to be distributed. Please select the date you wish to have feedback by.

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* 12. Please upload a copy of your survey/research plan.

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