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Surveys
2013
March
Y
Youth Other
Youth Other
0%
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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.
I Agree
*
Your Name
*
Clients Name:
*
Email Address
*
Procrastinates or puts off doing things until the last minute
Never or Rarely
Sometimes
Often
Very Often
*
Has a poor sense of time
Never or Rarely
Sometimes
Often
Very Often
*
Wastes or doesn’t manage his/her time well
Never or Rarely
Sometimes
Often
Very Often
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