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Exit Survey
 
 
Arkansas Tech University
Emergency Management & Homeland Security

Informed Consent Statement


Project Statement: The Effects of Using GIS Technologies on Wal-Mart Inc's. Bussiness Operations EAM 6103

I invite you to participate in a web-based online survey that is anonymous. This survey will be administered to other students of EAM 6103 who may be familliar or unfamilliar with how Wal-Mart INC. uses GIS technology. Your participation in this survey is very important to achieving this goal.

The survey is part of a research project to assess the effects of using GIS technolog in Wal-Mart Inc's bussiness operations.

The survey should take less than 5 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 an graduate class research paper. The results will be published in the final paper. 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 compiled 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, Franklin Dougan, directly by email [email protected] or the Department of Emergency Management & Homeland Security 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,
Franklin Dougan
 
 
 
How often do you participate in surveys?
 
Daily
 
Weekly
 
Monthly
 
Annually
 
 
 
Are you male or female?
 
Male
 
Female
 
 
 
What is your age range?
 
18-28
 
29-39
 
40-50
 
51 or above
 
 
 
How often do you visit your local Wal-Mart store?
 
 
How familiar are you with the GIS technologies?
Familiar Neutral Unfamiliar
 
 
 
Do you think using GIS technologies will benefit Wal-Mart's business operations
Very Likely Somewhat Likely Neutral Somewhat Unlikely Unlikely
 
 
 
 
Feel free to list any concerns that you may have with your survey experience.
   
 
 
The requested information is voluntary, but would be appreciated.
* First Name : 
* Last Name : 
* Address 1 : 
   Address 2 : 
* City : 
* State : 
* Zip : 
* Phone : 
* Email Address :