Electronic Survey Request

CSHONS members in good standing, wishing to survey the membership for research purposes will be required to complete and submit the following request form. Please complete and submit the form below. 

It will be reviewed by the Electronic Communications Chair for appropriateness and consistency with the values of the Society and either approved, approved with revision, or rejected. If approved, the survey will be emailed to the general membership via the CSOHNS office. 


  • Authors must use a recognized software tool 
  • Authors must include a cover letter with the survey.
  • Authors must include a copy of the approval letter from your institution’s Research Ethics Board. 
  • One follow-up email will be sent; timing to be determined by the author and office correspondence schedule. 
  • This is an electronic mailing service only. 

Survey Request Form

This Survey has our Institution's Research Ethics Board Approval(Required)
Max. file size: 64 MB.
Max. file size: 64 MB.
The applicant affirms that the information in this form is complete and accurate to the best of his/her knowledge.(Required)