Your opinions matter! A team of researchers from the University of Michigan are gathering information about people with a variety of impairments and conditions. We have developed a snapshot survey and look forward to your participation. Your input is very important to us.
Please Note: This survey is for People with Disabilities themselves, not caretakers of or service-providers for those with disabilities.
The survey should take no more than 5-10 MINUTES to complete. If you agree to be part of the survey, you will be asked to provide basic information about yourself and your condition. Your responses are very important to the success of this initiative, which we hope will benefit people with disabilities in many communities.
Your answers will be completely CONFIDENTIAL, and you will in no way be identified with them. There are occasional and infrequent reasons why people other than the researchers may need to see information you provide as part of the study. This includes organizations responsible for making sure the research is done safely and properly, including the University of Michigan or government offices. However, only combined data in the form of averages will be used in analyses, interpretation, reports, publications, or presentations. You will NEVER be identified in any report. The data you provide will be stored on password-protected computers that can only be accessed by members of the research team. The researchers will retain an electronic database of survey responses indefinitely for use in future research studies conducted by members of our lab. However, this database will not contain information that could identify you.
There are few if any foreseeable risks associated with this survey, and no direct benefit to you, although we hope our research will benefit people with disabilities across the United States. Your participation is completely voluntary, and you may skip any question at any time. Also, you may withdraw from the study by not completing it without any consequences. If you have questions about your rights as a research participant, or wish to obtain information, ask questions or discuss any concerns about this study with someone other than the researcher(s), please contact the University of Michigan Health Sciences and Behavioral Sciences Institutional Review Board, 540 E Liberty St., Ste 202, Ann Arbor, MI 48104-2210, (734) 936-0933 [or toll free, (866) 936-0933], email@example.com. By answering the survey questions, you indicate your voluntary agreement to participate in this research and have your answers included (anonymously) in the results.
If you have any questions about this survey research, please contact our research team at Rottenstein.Lab@umich.edu
By taking a few minutes to share your experiences as a person with a disability, you will be helping us a great deal!
Adena Rottenstein, M.S.
University of Michigan
Lorraine Gutierrez, Ph.D.
Phone: (734) 936-9124
Study ID: HUM00044918
IRB: Health Sciences and Behavioral Sciences
Date Approved: 3/15/2011