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An anonymous survey application has been submitted online by #name#.

Contact Information:

Name: #name#
Email Address: #email#
Advisor: #advisor_name#
Dept./Campus Box: #campus_address#

Survey Information:

Survey meets criteria for anonymity: #anonymous_criteria#

Procedure for Maintaining Anonymity: #anonymity_procedure#

Nature of the Project: #nature_of_project#

Nature of the Participants: #participants#

Recruiting Method: #recruiting_participants#

Recruiting Text: #recruiting_text#

Risks: #risks#

Application for an Anonymous Survey

Your application has been submitted.

If you would like to submit an electronic version of your survey form, email it to humansubjects@clarku.edu. Otherwise you can drop off or send a copy through interoffice mail to the Office of Sponsored Programs and Research, RM. 209A in the Geography Building.

 

Provide Contact Information


Provide Information About Your Survey

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8.  The Survey Form

Forward a copy of the survey form with all the survey questions to: Gabe Johnson, RESEARCH OFFICE, RM. 209A, Geography Building (ext. 7765) It should include a statement to the participants describing

  1. the purpose of the survey
  2. the names and affiliations of the surveyors
  3. the duration of time needed to complete the survey.

It should also include statements that:  

  1. the survey is anonymous
  2. responses cannot be traced back to participants
  3. participation is voluntary
  4. any question may be left unanswered
  5. the participant can drop out at any time
  6. that respondents should not put any identifying information about themselves on the survey.