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Requested Service Volume   (total sum: €uro)
 
 
                
 
publishing duration of the questionnaire: week(s) online
 
Additional Module Concerning the Respondents
Respondents Management, up to email addresses
 no additional module (concerning the respondents)

Additional Module for the Online Analysis
Statistics Module I (descriptive statistics)
no additional module (for the online analysis)
 
Further Service Offers (optional)
copying your "paper" questionnaire into the respective CMS version
copying your email addresses into the Respondents Management module
 

Your Imprint Data
 
Name (complete given and family name): 1)
Enterprise/ Organisation/ Institution (optional information): 1)
Postal Address (including country indicator): 1)
 
 1) These Information will be provided at the questionnaire according to regulations by law.
 A person, who takes the responsibility for the questionnaire content, and the belonging postal
 address have to be named. As the case may be, the enterprise/ the organisation/ the
 institution, the named person works for, has to be named too.
 Without complete, accurate information, utilisation of adenquire.net will not be permitted.


Your Contact Data
 
Name (in case of deviation from the imprint): 2)
 
Email Address (for sending the access information): 2)
 
Deviating Billing Address (optional information): 2)
 
 2) Your personal contact data will be handled according to data protection acts. No personal
 data will be given to unauthorised persons.


Miscellaneous

Username (CMS log-in): 3)
Password (CMS log-in): 3)
 
 3) Please enter here your favoured identifying information for the administration area within
 your project folder. In doing so, please avoid space characters.

Annotations to the Order (optional):