Registration Deadline: January 10, 2025

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Your Program Registration Starts Here 

Before completing the registration form on the following page, we need you to agree and commit to the following statements. The form will not submit until all fields are filled out completely.

 

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If the form does not proceed to the next page, please review your information throughout the form to see what is missing or what needs to be corrected.

 

Organization Information

 Tell us about your organization. Please list the HQ or primary location for your operations in North Carolina.

 

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Mailing Address

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If no, please fill out the corporate address below.

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Contact Information

 Tell us about your people.

 

Primary Contact The Primary Contact will be the main contact for questions throughout the entire process and the recipient of all communications (via emails, phone, website and letters), employee surveys for distribution, feedback reports, etc.

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Please do not provide a role-based email address such as hr@abccompany.com or marketing@abccompany.com. Our system will not import role-based email addresses and invitations will not to be delivered.

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Secondary ContactThe Secondary Contact will be the contact for questions if the Primary Contact is unavailable.

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Contact Information

Tell us about your people.

 

CEO, President, Manager, Etc. (Highest-ranking position of the nominated workplace.)

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IT Contact The IT Contact will be the contact for any technical systems questions regarding online surveys - for all employer questionnaires and online surveys for employees - regarding filtering, spam content, white-listing, etc.

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Please do not provide a role-based email address such as helpdesk@abccompany.com or technology@acbcompany.com. Our system will not import role-based email addresses and invitations will not be delivered.

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Marketing/PR Contact The Marketing/PR Contact will handle any marketing and/or public relations questions for your organization.

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Human Resources Contact Human Resources Contact will handle any human resources related questions for your organization.

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Survey Selection

 

Participation Fees

Your registration fee depends on how many employees you have at your organization. Please see the chart below to determine the survey selection, as well as the fees regarding organization size and survey method. You will receive an invoice at a later date or you can choose to pay online at the end of this form.

Number of Eligible NC Employees Number
of Eligible Employees Surveyed
Online Method Cost Paper Method Cost*
15-24** All $0 $390
25-99 All $0 $435
100-199 All $0 $635
200-499 Up to 300*** $0 $835
500-999 400*** $0 $935
1000 and above 500*** $0 $1,135

*Costs are not refundable. **To ensure result credibility, companies with 15-24 employees are required to have at least an 80% response rate to be considered for the list. ***Employees are randomly selected.

 
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While we recommend online surveys in most cases, sometimes paper is a better option. If more than 40% of your employees do not have their own email address, please select "paper" below. Organizations selecting the paper method will need to pay the cost in the chart above, please select in the drop down menu below if paper option is needed.

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Survey Additional Employees? For employee populations over 300 we survey a random selection or, would you like to survey additional employees?

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Additional Information

Tell us about your survey needs. 

 

Additional Languages Does your organization need alternate language surveys?

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We offer employee surveys in a variety of languages. Additional languages are available at $199 per survey translation. If you need alternate language surveys, please select the languages below, and we will contact you to confirm your selections. Selecting "YES" above will add $199 to your cart, per language.

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Please name.

 

Are you interested in customizing your employee survey? As part of the survey design process your organization has the option (for a fee) to customize the employee survey to include changing job roles/department response option selections, adding a location question, surveying all or additional employees and adding additional questions. If selected, you will be contacted by a survey pro to learn more about these options.

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Employee Feedback Data Dashboard: (optional)

After we have collected the responses from your employees, that data is available for purchase in the Employee Feedback Data Dashboard. Answers will be provided to all questions asked on the employee survey in the form of percentage of positive response. Open ended comments and benchmarking data will also be available. The Data Dashboard is an interactive tool where data can be viewed in charts, graphs and downloadable pre-created report formats. Ordering your report package by January 10, 2025 saves you 15% off the price!

 

Number of Eligible NC Employees Number
of Eligible Employees Surveyed
Report Fee with 15% Discount*(discount ends 01/10/25) Report Fee Regular Pricing*
15-24 All $785 $925
25-99 All $810 $955
100-199 All $910 $1,075
200-499 Up to 300** $960 $1,130
500-999 400** $1,030 $1,215
1000 and above 500** $1,070 $1,260

*Costs are not refundable. **Employees are randomly selected.

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Additional Questions

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Submit Your Registration

You're almost done! (All fees are non refundable)

 

0.00 USD

You have selected to be invoiced. An invoice will be sent to the primary contact of this registration form.

 

 

Billing Contact

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Billing Address

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Credit Card Information

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