Dear Participant,
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.
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.
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.
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.
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 theresearcher(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],
irbhsbs@umich.edu. By answering the survey questions, you indicate your voluntary
agreement to participate in this research and have your answers included (anonymously) in
the results.
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 theresearcher(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],
irbhsbs@umich.edu. 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
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!
helping us a great deal!
Many Thanks,
Adena Rottenstein, M.S.
Principal Investigator
University of Michigan
Lorraine Gutierrez, Ph.D.
Faculty Advisor
University of Michigan
Phone: (734) 936-9124
Study ID: HUM00044918
IRB: Health Sciences and Behavioral Sciences
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