Putting a Mind Garden Instrument Online

Mind Garden requires the following information if you need to put one of our instruments into an online form or other electronic medium for data collection for your research. Not all of our instruments can be put online (The drop-down menu below contains a complete list of instruments that can be put online). Before completing this form be sure that you have purchased reproduction licenses for this instrument covering at least the number of reproductions for your entire sample size. Minimum reproduction license required is 50 licenses (excluding the PCQ, ALQ, and POQ). Please complete the form and you will get a confirmation of your request (All fields are required):

Name:
Email Address:
Repeat Email:
Phone Number:
Company/Institution:
Mind Garden Order/Sales/ Invoice #:
Order Date:
Project Title:
Instrument Name:	Select one Abuse Risk Inventory for WomenAdjective ChecklistAlternate UsesAreas of Worklife SurveyAuthentic Leadership QuestionnaireBarron Welsh Art ScaleBass Orientation InventoryBem Sex Role InventoryBody Insight ScaleCalifornia Older Adult Stroop TestCareer Beliefs InventoryChapin Social Insight TestClassroom Environment ScaleCommunity Oriented Programs Environment ScaleCoopersmith Self-Esteem Inventory Adult FormCoopersmith Self-Esteem Inventory School FormCoping Operations Preference EnquiryCoping Resources InventoryCorrectional Institutions Environment ScaleDeveloping the Leader WithinDynamic Factors SurveyEnright Forgiveness InventoryFamily Environment ScaleFive Factor Wellness InventoryFlow: CORE Dispositional Scale (C DFS-2)Flow: CORE State Scale (C FSS-2)Flow: LONG Dispositional Scale - General (DFS-2 General)Flow: LONG Dispositional Scale - Physical (DFS-2 Physical)Flow: LONG State Scale - General (FSS-2 General)Flow: LONG State Scale - Physical (FSS-2 Physical)Flow: SHORT Dispositional Scale (S DFS-2)Flow: SHORT State Scale (S FSS-2)Friedman Well Being ScaleGroup Environment ScaleHassles and UpliftsHealth and Daily Living FormHoffman Vocational Values ScaleImpact Message Inventory -- CircumplexInventory of Interpersonal ProblemsJourney of Self-DiscoveryMarital Attitude EvaluationMaslach Burnout Inventory - Educators SurveyMaslach Burnout Inventory - General SurveyMaslach Burnout Inventory - Human Services SurveyMathematics Self-Efficacy ScaleMenstrual Distress QuestionnaireMilitary Environment InventoryMultifactor Leadership QuestionnaireMultifactor Leadership Questionnaire for TeamsNeuropsychology Behavior and Affect ProfileOlder Persons Counseling Needs SurveyOrganizational Description QuestionnairePersonality Disorder Adjective Check ListProfiles of Organizational Influence StrategiesPsychological Capital QuestionnairePsychological Ownership QuestionnairePsychotherapy Outcome KitSchool Situation SurveySocial Insight TestSocial Reticence ScaleSocial Skills InventoryState-Trait Anxiety Inventory for AdultsState-Trait Anxiety Inventory for ChildrenState-Trait Personality InventoryTest Anxiety InventoryUniversity Residence Environment ScaleWard Atmosphere ScaleWays of Coping QuestionnaireWellness Evaluation of LifestyleWelsh Figure Preference TestWork Environment ScaleWork Self-Efficacy Inventory

I have paid for at least 50 licenses and I will compensate Mind Garden, Inc. for every use of this online form.

I will put the instrument copyright on every page containing question items from this instrument.

I will remove this form from online at the conclusion of my data collection.

I will limit access to this online form and require a login or uniquely coded url. Once the login/code is used that evaluation will be closed to use.

The form will not be available to the "open Web."

I will includeon my list of survey respondents so that Mind Garden can verify the proper use of the instrument.

State how you are putting the form up that requires a restricted access:
 

Statement of Agreement: I agree to abide by each of the conditions stated above. All of the information I have provided on this form is true and accurate. (please enter your name and the date to serve as your signature of agreement)

Name:       Date:

855 Oak Grove Avenue, Suite 215, Menlo Park, CA 94025 U.S.A.
Phone (650) 322-6300   Fax (650) 322-6398

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Copyright ©2005 - 2012  /  Updated 03/30/10