Request Form for Access to CommUNITY Survey Portal

This form is designed to facilitate the process of requesting access to our survey portal. Please take a few moments to provide the necessary information so that survey sponsors can review your request and grant you the appropriate access. This template (download) has examples and serves as a reference for the verbiage used in this form. 

  • Requests are submitted weekly to Press Ganey and may take an additional week to process.
  • Survey sponsors will review your request and may follow up with additional questions.

Make Your Meetings More Active

  • Include items on your meeting agenda that require participants to get out of their seats (breakout groups, stand and write ideas on an easel).
  • Choose movement friendly meeting locations (walkable neighborhoods, on-site gym, nearby park).
  • Hire a professional instructor (pilates, yoga, tai chi, stretching, Zumba) to lead a class before or during the meeting.
  • Point out the stairs and encourage attendees to use them. Consider including the location of stairs in meeting directions or putting arrows to the stairs in front of elevators.
  • Organize a group walk early in the morning, during a break or before/after dinner.
  • Consider incorporating standing ovations after each speaker to encourage participants to stand and stretch.

Standing Breaks

  • At least once an hour, participants should be encouraged to stand up to improve blood circulation, boost metabolism, and relieve physical discomfort from sitting for prolonged periods of time.
  • Announce that it is fine to stand up and move around, as needed. If possible, provide raised tables for those electing to stand during the meeting.

Stretch Breaks

  • Stretch breaks help participants wake up their bodies and minds.
  • Encourage people to stand up and stretch in place.
  • Try playing a Healthy UC Davis WakeBreak video! These instructor-led stretch videos range from 4 to 15 minutes. 

Breathing Exercise

  • Focused breathing is an energizing activity that can help relax and clear your mind. Simply inhale for four seconds, hold it for seven seconds, and exhale for eight seconds.

Suggested Activity Agendas

LENGTH OF MEETINGSTANDING BREAKSTRETCH BREAKSBREATHING BREAKSMOVEMENT BREAKSWALKING BREAKS
50 - 60 minx x  
2 - 4 hoursxxxx 
All Dayxxxxx
Individual requesting new/additional access for the Accessor.
8-digit employee ID can be found in UC Path
Full name of person requesting new/additional access to the Press Ganey survey results portal
8-digit ID can be found in UC Path
Adding or Removing Access?
Indicate which type of permissions access they should be receiving; see the list of available permissions to choose from above.