PITT Form/Qualtrics Data Entry

PITT Form Reporting

Students are able to create reports of their Pitt Form data at any time through the reporting database. The reporting database is separate from the Qualtrics Pitt Form survey tool itself, but every day the reporting database is updated by importing the data from the Qualtrics survey.

After entering your Pittforms, wait until after 10AM the next school day before generating a report to make sure that all the forms you entered will show up on the summary report. 

Pitt Form Reporting during the Summer

During the summer months, data entered after Thursday each week will not show on reports until the following Monday (after 10am). Please plan accordingly so your data will be properly shown.

PITT Form Reporting Database: Class of 2019

PITT Form Reporting Database: Class of 2020

PITT Form Reporting Database: Class of 2021

PITT Form Reporting Database: Class of 2022

Login to the PITT Form Reporting tool is by your Pitt username and password. To create a report, simply choose a start and end date. The report will show counts for all Pittforms with encounter dates within that date range.

Note: your Pitt username, is the part BEFORE @pitt.edu. It is generally three letters and a number (Example zqz49)

The web app is supported for the following browsers:

  • Internet Explorer 11*
  • Microsoft Edge 38
  • Safari 10 or above
  • Chrome 55 or above

Firefox is not supported at this time.

* If you have IE11 and you are still told the browser is too old, it is because the browser is set to use “compatibility mode.” Here are some instructions for disabling compatibility mode, and you will find other instructions with a simple web search, if these instructions are not clear enough.

Block Dates 2018-2019

Block 4 4/29/19 – 5/3/19 (week after finals)

Block Dates 2019-2020


Block 1             5/6/19 – 6/7/19

Block 2             6/10/19 – 7/12/19

Block 3             7/15/19 – 8/16/19

Block 4             8/19/19 – 9/20/19

Block 5             9/23/19 – 10/25/19

Block 6             10/28/19 – 11/29/19

Block 7             1/6/20 – 2/7/20

Block 8             2/10/20 – 3/13/20

Block 9             3/16/20 – 4/17/20 (graduation 4/23/20)


Block 1A          8/12/19 – 8/16/19

Block 1             8/19/19 – 8/23/19 (week before school starts)

Block 2             12/2/19 – 12/6/19

  • ASHP 12/8-12/12; Finals 12/9-12/14

Block 3A          3/9/20 – 3/13/20 (week of Spring Break)

Block 3             3/16/20 – 3/20/20 (week after Spring Break)

  • APhA 3/20 – 3/23

Block 4             4/27/20 – 5/1/20 (week after finals)


The data gathered via the PittForm has been used as part of the following scholarship:

  • Hall DL, Schonder KS, Pater KS, et al. Using the Pharmacist Interaction Tracking Tool for Capturing Student-Patient Interactions in Direct and Simulated Patient Care Activities. Am J Pharm Educ. 2016;80(6):105.