Creating an account is fast and easy

 Please fill out the form below.

  When you click "Submit" you will be taken to a page that will take your credit card information (VIsa or MasterCard). Then, you will receive notification that your account is established. You'll get a url, and confirmation of your id and password. You will then have Administrator access.

  As an Administrator, you may download instructions for preparing your survey, as well as survey templates which can be used "as-is" or modified. The instructions will describe how to create, upload, test, and activate your survey.

Account Name Use letters and numbers, no spaces or punctuation, no more than 12 characters. This is usually a form of your company or organization name.
Examples: BofAmgrs, HarvardLaw, CalDeptFin, Acme03
Administrator Password Please do not choose something obvious. Avoid variations on your account name or "PulseCheck." This password is used to access and modify your account. Do not give this password out to others.
Participant Password You will announce this password to those you want to have take the survey. This one should be easy for the survey population to remember. Participants will need this password and the account name to take the survey.
First Name
Last Name
Phone Number - -



We need your contact information for billing and to provide the status of your account. We do not give this information to anyone else (we feel the same way you do about unsolicited calls, mail, and spam ).

- For Phone, please enter digits only. Example:  916   446   4958

- For Address, just ignore unused lines

- For State, please use 2-letter abbreviation. Examples:  CA, VA
- Use either Zip or Zip+4: Examples: 23692 or 23692-1762
That's all there is to it! Just pick a payment option below.
Either way, it's only $95.00 !

(we accept Visa or Master Card only)

You can have your PulseCheck survey
running within minutes!


(make payment to: "Paradigm Systems, Inc")

  We will activate your PulseCheck survey
  as soon as we receive payment


Basic price of $95 includes:
up to 100 question responses
up to   10 demographic responses
up to 500 respondents
up to   30 days of development time
up to   30 days of survey time
up to   30 days of analysis time

Contact us if your requirement exceeds these limits:
(916)-446-4958 or
                * requires that an account first be established