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2011
July
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EAM 4033
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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
Arkansas Tech University
Emergency Management & Homeland Security
Informed Consent Statement
Project Statement
I invite you to participate in a web-based online survey that is anonymous. Your participation in this survey is very important to achieving this goal.
The survey is part of a research project to assess general knowledge of both volunteer and paid fire departments.
The survey should take less than 5 minutes to complete.
Participation in this research project is voluntary:
There are no direct benefits to you for participating in this research. There are no financial or reimbursement cost for you participation in this study.
The information will be used as part of a Master’s student thesis research project. The results will be published in the thesis. Participants may request a copy of the results by sending an email to the address below.
You may decline to participate in this survey or you may decline to answer certain questions. The web-based survey can be stopped at any time. There is no penalty or loss of benefits.
Your information will be kept confidential.
The web-based survey is administered through QuestionPro. QuestionPro does not collect or maintain any information that would identify who has taken the survey. Only the answers to the questions are recorded. There is no way for the researcher to know who answered which question. All questions are complied into a database for analysis. There are no questions in the survey that could lead to the identification of the individuals taking the survey. Any contact with the researcher must be made by the individual taking the survey, either by phone or email.
Statement of Risk:
There is no foreseeable risk other than the loss of the time to take this survey.
Questions about the research study or this survey:
You may contact the graduate student, Rusty, directly by email
[email protected]
or the faculty thesis advisor (name and email address) or the Department of Emergency Management at Arkansas Tech University at 479-356-2159.
QUESTIONS REGARDING YOUR RIGHTS AS A RESEARCH SUBJECT
THESE MAY BE DIRECTED TO DR. MARY GUNTER – DEAN OF THE GRADUATE COLLEGE, ARKANSAS TECH UNIVERSITY COMMITTEE FOR THE PROTECTION OF HUMAN SUBJECTS (479-968-0398).
By proceeding past this point in the survey you are indicating that you consent to participation in this study. Please print out a copy of this consent form for your records.
Thank you for your time,
Rusty
Which best describes your place of residence?
Within City Limits
Outside City Limits
What is your gender?
Male
Female
What is your class standing?
Freshman
Sophomore
Junior
Senior
Other
Does the fire department(s) in your area consist of paid or volunteer firefighters?
Paid Only
Volunteer Only
Both
Not Sure
Rate your feeling on this statement:
Volunteer firefighters should be required to have the same amount of training as paid firefighters.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
How confident are you in a volunteer fire departments ability to properly respond to an emergency call?
Very Confident
Confident
Neutral
Not Confident
Please take a moment to explain any experience you have with a volunteer fire department or a paid fire department:
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