Survey the SIS Membership

Often in the course of conducting research, it is helpful for investigators to obtain information about current practice patterns, values, or other issues and opinions from physicians. 

Members who wish to conduct a survey of the Spine Intervention Society (SIS) membership may submit their request to the Research Division via the following steps. (Members who are interested in submitting a survey have the option to submit the survey for critical review and constructive feedback from the Research Division. This step is not required, but may help increase the chances of the survey being accepted when submitted for approval).

Surveys Implemented

Step 1: Submit For Consideration

In order for a survey to be considered for posting, it must be submitted by an SIS member.

The following information will be required via an ONLINE APPLICATION FORM.

This link requires login to the SIS Web site.

  • Project title
  • Description of the survey/project
  • A copy of the survey instrument
  • Intended use of data
  • Description of how participants' identifying information and interests will be protected
  • Documentation of IRB approval or waiver
  • Note: if the applicant requests critical review of a survey, this documentation is not required at the time of submission. In this case, IRB documentation would be required when submitted for approval.
  • Potential conflicts of interest (submitted via the disclosure survey, below)
  • Contact information for all investigators
  • Timeframe for posting and withdrawal from the SIS Web site, not to exceed 3 months.
  • Date of anticipated submission of survey result summary to the Research Division, within 3 months of close of survey.
  • Brief description of survey for SIS Web site (not to exceed 100 words)

The following restrictions apply:

  • Study affiliation with any industry entity is not permitted.
  • Solicitations for survey participation with reimbursement are not permitted.
  • Investigators will be required to complete the disclosure survey, located HERE

Once the above information is submitted, the Research Division will review the request and the survey. A response will be provided to the investigators in approximately 1 month from submission.

Step 2: Terms of Agreement

If deemed appropriate for posting, the investigators will be contacted and required to sign a Terms of Agreement that details:

1. All submitted materials are accurate and true.

2. Your project is not affiliated with any industry entity.

3. Your project does not offer any incentives for survey participation.

4. Disclosures of all potential conflicts of interest have been submitted to the Spine Intervention Society and will be posted along with the survey background information for review by SIS members.

5. The Spine Intervention Society's name will only be used in the methodology description of the study or survey as providing access to SIS members. The Spine Intervention Society maintains strict control over the use of the SIS name and logo and requires prior approval on all its uses, except for inclusion in the methodology description.

6. Results of the survey will be summarized and submitted for posting on the SIS Research Division Web pages within three months following the deadline for participation, unless an extension is granted. The summary will report on the actual number of SIS members participating in the survey in addition to the summarized results.

7. The investigators indemnify the Spine Intervention Society from any and all liability related to the project or its posting.

8. The lead investigator/nominating SIS member will be required to sign the Terms of Agreement prior to survey implementation. If the nominating member is not the lead investigator, then both individuals will be required to sign the Terms of Agreement. 

Step 3: Survey Implementation

On the opening date of the approved survey, the Spine Intervention Society will send a single e-mail notification to all members. This e-mail will include a brief description of the survey and a direct link to the survey site, preceded by the following statement: "The Research Division of the Spine Intervention Society has reviewed and approved dissemination of the following survey to its' members. Your participation is voluntary.”


Please contact the Spine Intervention Society at

Contact Us

120 E. Ogden Ave. Ste. 202
Hinsdale, Illinois 60521
P: 630.203.2252
Toll Free: 888.255.0005

© Copyright 2019 Spine Intervention Society 501(c)( 3) Privacy Policy  ::  Legal