Digital PRF Form Submission

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What type of project do you want to run?*

Quick Poll (1 Question)Small Survey (Up to 12 Questions)Medium Survey (12-20 Questions)Large Survey (21-30 Questions)X-Large Survey(30+ Questions)
Which solution are you looking for?
* QUICK POLL
Which pre-launch parts of your project do you want support with?

Survey DesignProgrammingEmail Communication & Activity Launch
What type of deliverable(s) do you want?

Clean data fileCrosstabsInfographicTopline ReportFull Report
* SMALL SURVEY
Which pre-launch parts of your project do you want support with?

Survey DesignProgrammingEmail Communication & Activity Launch
What type of deliverable(s) do you want?

Clean data fileCrosstabsInfographicTopline ReportFull Report
* MEDIUM SURVEY
Which pre-launch parts of your project do you want support with?

Survey DesignProgrammingEmail Communication & Activity Launch
What type of deliverable(s) do you want?

Clean data fileCrosstabsInfographicTopline ReportFull Report
* LARGE SURVEY
Which pre-launch parts of your project do you want support with?

Survey DesignProgrammingEmail Communication & Activity Launch
What type of deliverable(s) do you want?

Clean data fileCrosstabsInfographicTopline ReportFull Report
* X-LARGE SURVEY
Which pre-launch parts of your project do you want support with?

Survey DesignProgrammingEmail Communication & Activity Launch
What type of deliverable(s) do you want?

Clean data fileCrosstabsInfographicTopline ReportFull Report
Please specify the sub-groups needed for analysis:*
Desired report format:*

PowerPointWordGoogle SlidesOther
*** QUAL CUSTOM PROJECT
What type of project do you want to run?

Discussion Board (Up to 4 questions)Diary StudyLive ChatFocus GroupIDI
Ideal session length in minutes
* DISCUSSION BOARD
Which pre-launch parts of your project do you want support with?

Discussion Guide DesignEmail Communication & Activity Launch
What type of deliverable(s) do you want?

InfographicTopline ReportFull Report
* DIARY STUDY
Which pre-launch parts of your project do you want support with?

Discussion Guide DesignEmail Communication & Activity Launch
What type of deliverable(s) do you want?

InfographicTopline ReportFull Report
* LIVE CHAT
Ideal # of interviews
Which pre-launch parts of your project do you want support with?

Discussion Guide DesignEmail Communication & Activity Launch
What type of field support do you want?

Participant invitations/schedulingModeration
What type of deliverable(s) do you want?

TranscriptsInfographicTopline ReportFull Report
* FOCUS GROUPS
Ideal # of interviews
Which pre-launch parts of your project do you want support with?

Discussion Guide DesignEmail Communication & Activity Launch
What type of field support do you want?

Participant invitations/schedulingModeration
What type of deliverable(s) do you want?

TranscriptsInfographicTopline ReportVideo/Audio RecordingsVideo Highlight ReelFull Report
* IDI
Ideal # of interviews
Which pre-launch parts of your project do you want support with?

Discussion Guide DesignEmail Communication & Activity Launch
What type of field support do you want?

Participant invitations/schedulingModeration
What type of deliverable(s) do you want?

TranscriptsInfographicTopline ReportVideo/Audio RecordingsVideo Highlight ReelFull Report
*** ALL FORMS FIELDS
Who do you want to launch this project to?*

Fuel Cycle CommunityPanel (additional costs apply)Own Audience (CRM List)
Please provide additional details regarding the community audience you want to reach:*

Launch to all membersLaunch to certain groups
Please provide additional details regarding the panel audience you want to reach:*
Please provide additional details regarding the community groups you want to reach:*
Quota's needed:*

YesNo
Please provide additional details regarding the quota's you want to implement:*
Expected Incidence Rate:

Not sureExpected IR:
What type of advanced analytics do you want?

Key Segment Discovery: Pinpoint which segments are most likely to exhibit a desired attitude or behaviorRetention & Conversion Analysis: Identify the attributes that most impact a key attitude or behaviorSignificance Testing: Determine categories with significant differences related to a desired attitude or behavior
Do you want to add a full service report?

YesNo
*** Master Fields for Zapier
Master Buffer for zapier
Master Credit Estimate for Zapier
*** Estimated Qual
Estimated Qual Calculation
Scheduling Calculation (done in settings)
Moderation Calculation (done in settings)
Estimated Cost: {estimatedQual}-{masterBuffer} Credits

Note: Final cost is subject to adjustment pending review from the Research & Insights Team.
*** Estimated small/med Quant
Estimated quant credits used:
Estimated Cost: {estimatedQuant}-{masterBuffer} Credits

Note: Final cost is subject to adjustment pending review from the Research & Insights Team.
*** Estimated L/XL Quant
Estimated Cost: {estimatedQuant}-{masterBuffer} Credits

Note: Final cost is subject to adjustment pending review from the Research & Insights Team.
*** Estimated Ignition
Estimated Cost: {estimatedQuant} Credits

Note: Final cost is subject to adjustment pending review from the Research & Insights Team.
*** Estimated BHT
Starting at: {estimatedQuant} Credits
Note: Final cost is subject to adjustment pending review from the Research & Insights Team.
Name*

First NameLast Name
Email*
example@example.com
Client e-mail you're submitting this on behalf of:
example@example.com
Project Name*
Desired launch date*

MonthDayYear
Date
Desired delivery date*

MonthDayYear
Date
Please provide additional information regarding the project background & objectives:*
Are any media or images needed for the study?*

VideoImageNeither
Upload the ad or concept you want to test (15MB Upload Limit)

If you don't have the stimuli yet, please skip this step.
Cancelof
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Let's get started!

* QUICK POLL

* SMALL SURVEY

* MEDIUM SURVEY

* LARGE SURVEY

* X-LARGE SURVEY

*** QUAL CUSTOM PROJECT

* DISCUSSION BOARD

* DIARY STUDY

* LIVE CHAT

* FOCUS GROUPS

* IDI

*** ALL FORMS FIELDS

*** Master Fields for Zapier

*** Estimated Qual

*** Estimated small/med Quant

*** Estimated L/XL Quant

*** Estimated Ignition

*** Estimated BHT