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Client Intake Form
Thank you for approaching Statistics Without Borders. We will strive to deliver the best services of survey statistics and methodology to your organization. It will be helpful to us if you can please fill out this form. We will contact you within a week.
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Name of the Organization
*
Your answer
Organization Address
*
Your answer
Organization Website
Your answer
Department
*
Your answer
Project Location
City / State & whether all work can be completed remotely or on-site help is required as well?
Your answer
Organization Contact Person (2 or 3 people, if possible)
*
Your answer
Designation of the Contact Person(s)
Your answer
Email of the Contact Person(s)
*
Your answer
Phone Number of the Contact Person(s)
Your answer
Project Background / Description
*
Your answer
Preference for Team Background
Any particular skill (for example, language or statistical method) that you would like the project team to have
Your answer
Project specific goals
Your answer
Expected outcomes of the project
*
Your answer
Anything else that we should know about the project
Your answer
Timeframe of the project
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How long do you expect this project to last?
short-term ( less than 6 months)
long-term (more than 6 months)
recurring (e g, every 6 months, every year)
Other:
What statistical staff does your organization have?
Statistical staff who would work with consultants from SWB
Your answer
Organization Type
*
For Profit
Non Profit
Government Agency
Non Governmental Organization
Other:
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