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I invite you to participate in a web-based online survey that is anonymous. Target personnel have worked at or received benefits from an emergency shelter within the last 18 months. Your participation in this survey is very important to achieving this goal.

The survey is part of a research project to assess transgender issues in emergency shelters.

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 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, Audra Mitmoen, directly by email [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,
Audra Mitmoen

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

 
 
 
 
* What was your role during your most recent visit to an emergency shelter?
 
Shelter volunteer
 
Shelter employee
 
Shelter client
 
Other
 
 
 
 
* What role(s) have you played previously at an emergency shelter? (Select all that apply)
 
Shelter volunteer
 
Shelter employee
 
Shelter client
 
This was my first visit to an emergency shelter

 
 
While at the shelter were you:
Yes No I don't know
* Given instructional diversity training
* Given diversity information in paper form (handout/flyer)
* Given the opportunity to ask questions about the shelter's diversity policies
* Given contact information for additional diversity resources
* Given any guidance on the use of gender neutral/family bathroom facilities
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied N/A
* Cleanliness of the emergency shelter
* Knowledge of emergency shelter staff
* Knowledge of emergency shelter volunteers
* Availability of gender neutral bathrooms
* Quality of instructional diversity training
* Quality of diversity information in paper form (handout/flyer)
* Quality of additional diversity resources
 
 
 
* Which emergency shelter did you visit?
   
* What could be done to improve the quality of diversity education at the emergency shelter?
   
* How did the emergency shelter address your specific diversity questions or concerns?
   
 
 
 
Thank you for your feedback. Please answer the following demographic questions.
 
 
 
* What is your age?
 
11-20
 
21-30
 
31-40
 
41-50
 
51-60
 
61-70
 
70+
 
 
 
* What is your gender identity?
 
Male
 
Female
 
Transgender (male to female)
 
Transgender (female to male)
 
None of the above
 
 
 
* What is your gross yearly income?
 
< $10,000
 
> $10,000 but < $20,000
 
> $20,000 but < $35,000
 
> $35,000 but < $50,000
 
> $50,000 but < $75,000
 
> $75,000
 
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