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2012
September
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Research Project 1
Research Project 1
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Hello:
You are invited to participate in our survey about public perception of attitudes towards people living with disabilities. In this survey, approximately 100 people will be asked to complete a survey that asks questions about your perception of how people living with disabilities are included / excluded in your community. It will take approximately 15 minutes 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 Teri Harvey at 0419 792 768 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.
I Agree
What is your Name:
Name:
Company:
City / Town:
State:
Post Code:
Do you identify as being of Aboriginal or Torres Strait Origin?
Aboriginal
Torres Strait
I do not wish to answer this question
None of the above
Do you identify as being a person living with a disability?
Yes
No
I do not wish to answer this question
What is your gender?
Male
Female
What is your age?
Younger than 18
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 or older
Prefer not to answer
What is your marital status?
Single (Never married)
Married
Domestic partnership
Widowed
Divorced
Separated
Don’t know
What is the highest level of education you have achieved?
Less than high school degree
High school degree or equivalent (e.g. GED)
Some college but no degree
Associate degree (e.g. AA, AS)
Bachelor's degree (e.g. BA, AB, BS)
Master's degree (e.g. MA, MS, MBA)
Professional degree (e.g. MD, DDS, JD)
Doctorate degree (e.g. PhD)
Which of the following categories best describes the industry you work in?
Automotive
Advertising
Consulting Services
Education
Entertainment
Financial Services
Government Services
Healthcare
Human Resources
Information Technology
Marketing/Sales
Non-Profit
Pharmaceuticals
Public Relations
Technical Services
Travel
Other
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