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Arkansas Tech University
Emergency Management & Homeland Security
Russell Rains
Informed Consent Statement

Project Statement: Cyber-Bullying

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 the pervasiveness of cyber-bullying within online social networks.

Once begun, the survey should take less than 10 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 student research project. The results will be published in an article. 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, Russell Rains, directly by email ([email protected]) or the faculty thesis advisor Dr. Michael Garner ([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 very much for your time and support. Please start with the survey now by clicking on the Continue button below.

Russell Rains

 
 
 
 
Do you live within the United States?
 
 
 
Please choose your state:
 
 
 
What is your gender?
 
 
 
What is your age?
 
 
 
Do you access social media sites (such as Facebook, Myspace, Youtube, etc) at home, work, or both?
 
 
 
How do you access the Internet? Please select all that apply.
 
PC, Mac, or laptop (T1, Cable, DSL, Wi-Fi, or Modem)
 
Mobile Internet Device (MID) or Ultra-Mobile PC (UMPC) device
 
Tablet
 
Smartphone
 
Other
 

 
 
 
Please select each social media site that you use regularly or which you maintain an account.
 
Myspace
 
Facebook
 
Flickr
 
Google+
 
LinkedIn
 
Tumblr
 
Youtube
 
Twitter
 
Other
 

 
 
 
Would you state that you use a social media site:
 
 
 
What is your longest experience with one or more of these sites?
 
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