Request Form - Data Collection Point

If you are interested in a data collection point on your own server, please fill in the form below! A data collection point is necessary to conduct online surveys with GrafStat.

Given Name: *
Surname: *
E-Mail: *
Production Trade
Bank/Insurance Handicraft
Education Public Administration
Consulting Market Research
Social Service General Services
Position: *
Clerk CEO Administration
IT-Assistant IT-Administration Other:
  The marked * fields are necessary!