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Page 1: Survey Policy

To submit a survey for consideration to distribute to PeDRA membership, authors must complete the following application. 
Applications are accepted and reviewed on a rolling basis by PeDRA’s Studies Committee.

Please note that all surveys must be programmed through an online platform (e.g. SurveyMonkey, REDCap) and available via a dedicated hyperlink prior to submission.
PeDRA is committed to assisting pediatric dermatologists in gathering important data through the distribution of surveys to members. The below policy has been adopted to ensure that we support research initiatives by providing constructive feedback prior to distribution, prevent survey duplication and avoid membership survey fatigue.

The following survey criteria are implemented in the decision-making:
  1. The survey must be pediatric focused with primary respondents as pediatric dermatologists/researchers.
  2. The survey aligns with the overall mission and vision of PeDRA.
  3. The survey fits into one of the Focused Study Group research areas.
Process for PeDRA members:
  1. Investigators should submit a completed survey application with their survey questions in a Word document on the PeDRA survey application website. Applicants are strongly encouraged to watch PeDRA's Survey 101 webinar series and consult with the PeDRA Biostatistician for guidance on building and conducting a successful survey. 
  2. All survey applications will undergo an initial review by PeDRA staff, followed by a peer review from members of the Studies Committee. If needed, ad-hoc reviewers from relevant Focused Study Groups will be added. 
  3. All applicants will receive feedback regarding the format and content of the survey irrespective of the outcome (approved, revise and reconsider,declined). 
  4. If successful, the submitting PI will provide PeDRA with evidence of IRB approval or exemption before a link with the final version of the survey will be sent to PeDRA membership. Special circumstances that forego IRB review may be considered on a case-by-case basis. PeDRA is not responsible for keeping track of responses, nor providing access to the raw data.
  5. PeDRA disseminates surveys to membership once a month via email to avoid 'survey fatigue’ amongst members. Approved surveys will be distributed to membership via dedicated email once with one subsequent reminder in PeDRA’s monthly Research Bullet e-newsletter. A link to the survey will also be provided on the member dashboard page of the PeDRA website for a period of one month. Upon request, surveys can also be shared via PeDRA’s social media (Facebook, Instagram, Twitter (X), etc.) 
  6. Summary results of any survey sent to PeDRA members are highly encouraged to be sent to those PeDRA members who responded to the survey, within 2 years from survey completion. PeDRA can assist in disseminating these results.
  7. Any publication that includes the results of a survey of PeDRA members must acknowledge PeDRA in at least one of the following locations: publication title,authorship, methods, or acknowledgement section.
Process for members belonging to other organizations/groups:
  1. A similar process for assessment of the scientific merit will be employed. 
  2. In order to be considered, the following criteria are considered:
    a. at least one investigator is a PeDRA member 
    b. the study meets survey criteria (see above)
Process for industry driven surveys:
  1. A similar process for assessment of the scientific merit will be employed. Surveys with a marketing scope will not be considered for distribution. 
  2. In order to be considered, the following criteria must be met:
    a. the survey is pediatric focused with primary respondents as pediatric dermatologists/researchers
    b. the survey fits with the overall mission and vision of PeDRA
    c. the survey results are important to pediatric dermatology 
  3. Remuneration for distribution of the survey to PeDRA: please email Mike Siegel, PeDRA Executive Director, mike.siegel@pedraresearch.org.  
  4. Investigator driven surveys will be given priority for distribution. 
  5. Industry-driven surveys may be disseminated according to the standard protocol (see above) or through another approach to be mutually agreed upon by PeDRA and the industry partner.
Frequency of application cycles:
Applications are accepted on a rolling basis. No more than one survey email will be sent to PeDRA membership each month.
Applicants are encouraged to watch PeDRA’s Survey 101 webinar series and to consult with the PeDRA Biostatistician for guidance on building and conducting a successful survey.

Page 2: Survey Application

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Principal (Corresponding) Investigator







Co-Investigators 

Please list all co-investigators working with you on the survey.  It's okay to provide only first and last name of each co-investigator.  PeDRA may contact you for additional details later. 

Co-Investigator 1




Co-Investigator 2




Co-Investigator 3




Co-Investigator 4




Co-Investigator 5




To add more than five co-investigators, please attach as an additional document below.

Survey Information








Please review PeDRA's Survey Policy for detailed criteria regarding Industry surveys. 


Use this field to upload a document of your survey (to allow for comments by reviewers).

Use this field to upload your IRB/REB determination letter.

Use this field to upload any additional documents (combined in one file).