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Arkansas Tech University
Emergency Management & Homeland Security

Informed Consent Statement


Project Statement: Zombies: Are You Prepared?

I invite you to participate in a web-based online survey that is anonymous. Those being surveyed are both classmates and instructors enrolled in EAM 4033 Research Methods and Analysis. The class is composed of various ages and genders most of which have an interest in emergency administration and management. Your participation in this survey is very important to achieving this goal.

The survey is part of a research project to assess some average factors concerning zombie preparedness and perceptions about zombies.

The survey should take less than five 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, Jaime Ott, directly by email [email protected] or the faculty thesis advisor J.O. Bailey [email protected] 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,
Jaime Ott
 
 
 
 
What is your gender?
 
Male
 
Female
 
Other
 
 
 
What age bracket do you fall in?
 
16-20
 
21-25
 
26-30
 
31-40
 
41+
 
 
 
On average how many miles do you travel per day?
 
0
 
1-5
 
6-10
 
11-15
 
16-20
 
21+
 
 
 
How many firearms do you own?
 
0
 
1
 
2
 
3
 
4+
 
 
 
How far away does your immediate family live?
 
Within 20 Miles
 
Within 60 Miles
 
Within 100 Miles
 
Within 200 Miles
 
201 Miles +
 
 
Zombies are a credible threat
Very Unlikely Unlikely Neutral Likely Very Likely
 
 
 
If zombies were real I feel that they could be easily defeated by:
No How do you kill a zombie? Yes
Myself
The average citizen
The United States Military
 
 
I would not hesitate to slay _______ if they were infected with a zombie virus
False True
My parent
My sibling
My significant other
 
 
 
What is your T#?
   
 
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