Survey Data Sharing Agreement

1. Parties

Survey Data Provider:

Survey Data Recipient:

2. Description of Data

Type of Data to be Shared:

Purpose for Data Sharing:

3. Terms of Use

Permitted Uses of Data:

Restrictions on Data Use:

4. Confidentiality

5. Data Protection

6. Data Retention and Deletion

7. Intellectual Property

8. Signatures

Provider Signature:

Date:

Recipient Signature:

Date: