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Form for requesting the opening of a survey

Who can create a questionnaire?

All University staff (civil servants, contract staff, doctoral students and emeriti). Accounts in the Lime Survey tool are managed manually by the DGDNum. The only requirement is that you have a University of Lille email address.

This service provided by the Digital Department enables users to easily create online questionnaires and use the results, either directly in a report provided by the tool, or by exporting them to a file (Excel or other) for specific processing.

question obligatoire Your Profile

Name:

First name:

Email (university email only "@univ-lille.fr"): Exemple : prenom.nom@organisme.fr

Department, Component, Laboratory:

Your profile:

students (dissertation, Master's thesis)
doctoral students / researchers (doctoral thesis, post-doctoral studies)
staff (administrative)
RGPD referent
Other:

"You have requested the opening of a personal data processing referencing form (RGPD). The Limesurvey team will inform you by email when it goes online."

question obligatoire Information about the Survey

Name of survey:

Purpose of the survey:

Structure template (in LSS format) (OPTIONAL): :

Please note: no accents, special characters or spaces in the name (example: my_file.lss)

Please upload at most one file

Upload file

	Title	Comment	File name

Copy of an existing questionnaire (question ID number) (OPTIONAL) :

Only numbers may be entered in this field.

Population covered by the survey?

Students or learners undergoing training at the University of Lille
Former students or trainees of the University of Lille (former graduates of the university)
Others (staff, people from outside the university, etc.)

Compulsory examination of the application by the ODIF

+ more information: https://odif.univ-lille.fr/

Any other audience?

extérieur
élèves
docteurs
pharmaciens
étudiants hors ULille
autre (veuillez compléter dans commentaire)

Please enter your comment here:

Provisional timetable

Survey start date (DD/MM/YY) :
Survey end date (DD/MM/YY) :
Duration of data use (in months) :

Has the survey request been submitted to the DPO for RGPD compliance approval?

* RGPD / More information about RGPD

YES
IN PROGRESS
NO
NOT CONCERNED

IF YES, folder number :

please contact the Data Protection Officer (DPO)

dpo@univ-lille.fr

Survey format:

electronics
paper

Population concerned by the survey (this form only concerns staff surveys):

Your need for support:

None: You are completely autonomous from the design of the questionnaire to the processing of the results.
Partial: You need the expertise of the DGD Digital department to draw up the questionnaire and/or put it online.
Other:

Do you need co-admins or collaborators to complete this questionnaire (please note that only university email "@univ-lille.fr" *) :

* if that's not possible, we'll use sponsorship as a second step.

1st person
2nd person
3rd person

Other comments:

Duration of retention of user data

Data relating to the creation of user accounts as well as data collected by survey forms will be kept for a period of six months from the closure of the surveys concerned, in accordance with the rules applicable to public and private archives.

We invite you now if your questionnaire has been closed for more than 6 months to make the backup by following our support video: "Export structure *.lss / recover your data in a VV questionnaire file"

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