ABEA Survey Request Form
First Name
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Last Name
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Credentials
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E-mail
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Institution or Company
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Title of Survey
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Names of Additional Authors of Survey
First Name
Last Name
Names of Additional Authors of Survey
First Name
Last Name
Names of Additional Authors of Survey
First Name
Last Name
Deadline for Survey Responses
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Month
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Day
Year
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ABEA Member Submitting Survey/ABEA Member Sponsor of Survey
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What is/are the objective(s) of this survey
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What do the author(s) expect data to be collected from this survey to show
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How will the data collected as a result of this study be used specifically? i.e. grants, manuscripts, presentations, etc.
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How will this survey contribute to the otolaryngology field and/or literature
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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 analysis
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Please upload the introduction and survey
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