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  1. Surveys
  2. 2005
  3. February
  4. T
  5. TestSurvey
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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 stricly 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.
 
 

* Have you or anybody you know been a victim of a rape.
Yes or No
 
 
 
* Have you been a victim a victim of personal theft.
Yes or No
 
 

* How often do Assualts occur in your place of residence?
Not at all Very seldom twice a month all the time
 
 

* Gender
Male or Female
 
 

* Would you consider larceny to be a problem in your neighborhood?
Yes or No
 
 
 
* Is Robbery a major crime in your neighborhood?
Yes or No
 
 

* What time would you say that most of these crimes occur in your neighborhood?
Morning Afternoon Evening Night
 
 
 
Additional Comments/Suggestions for improvement
   
 
Please contact [email protected] if you have any questions regarding this survey.
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