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2013
March
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PERSONAL DATA
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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
What gender are you?
Male
Female
How old are you?
-- Select --
10-15 years
15-25 years
26-35 years
36-50 years
50+ years
Where are you studying?
-- Select --
School
TAFE
Community College
Youth Group
Juvenile Justice Centre
Not Studying
Other
Where do you live?
NSW
SA
NT
WA
Vic
Tas
Qld
ACT
Do you live in a remote, regional or suburban area?
Remote
Regional
Suburban
How do you rate your spelling skills?
Very poor
Poor
Not bad
Good
How do you rate your reading skills?
Very poor
Poor
Not bad
Good
How do you rate your writing skills?
Very poor
Poor
Not bad
Good
Do you feel confident with your spelling skills?
Yes
A bit
No
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