UMass Amherst Survey Request Form

View this PDF version of the form to preview the questions you will need to answer and plan your submission.
(Do not use the PDF form for your submission).

To request a survey, use the following link to complete the web-based form and submit your responses:
UMass Amherst Survey Request Form

The Campus Survey Coordinating Committee (CSCC) will review and provide timely constructive feedback on all survey requests, and consult campus leadership as needed to resolve problems posed by overlapping or conflicting surveys, or other survey-related issues.

If you have any issues or questions, contact the CSCC at