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Arkansas Tech University
Emergency Management & Homeland Security
Heather Franks
Informed Consent Statement


Project Statement: Survey of Spontaneous Volunteers

I invite you to participate in a web-based online survey that is anonymous. I am surveying populations who have previously spontaneously volunteered during disasters. Your participation in this survey is very important to achieving this goal.

The survey is part of a research project to assess the adequate use of spontaneous volunteers during disaster situations.

The survey should take less than five 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 a student research project. The results will be published in an article. 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, Heather Franks, directly by email at [email protected] or the faculty thesis advisor Dr. Michael Garner at [email protected] or the Department of Emergency Management 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,
Heather Franks
 
 
 
What is your Zip Code?
   
 
 
 
Have you volunteered during a disaster?
 
Yes
 
No
 
 
 
Have you ever been a spontaneous volunteer?
 
Yes
 
No
 
 
 
What type of disaster did you volunteer for?
   
 
 
 
Do you have any special expertise?
   
 
 
 
Did you receive specialized training once you arrived at the disaster site?
 
Yes
 
No
 
 
 
Did you arrive at the scene prepared to care for your needs?
 
Yes
 
No
 
 
 
Why did you want to volunteer?
   
 
 
 
Would you volunteer again in the future?
 
3 months
 
6 months
 
9 months
 
12 months
 
18 months

 
 
 
Given a choice would you choose to affiliate with one of the following organizations?
 
American Red Cross
 
Salvation Army
 
United Way
 
Americorp
 
Other __________________________

 
 
 
Do you feel spontaneous volunteers are helpful in disaster response?
 
Yes
 
No
 
 
 
Do you feel that prior training would make volunteers more helpful?
 
Yes
 
No
 
 
 
Do you feel that volunteers are better suited for some disaster situations and not others? Please explain
   
 
 
Please rate your volunteer experience.
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
 
 
 
Please rate your willingness to volunteer in this type of disaster again.
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
 
 
 
Please rate your experience working with responders.
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
 
 
 
Please rate how you feel you were treated by the volunteer coordinator.
Poor Below Average Average Good Excellent
 
 
 
Please rate your overall experience during this disaster.
Poor Below Average Average Good Excellent
 
 
 
Please choose your satisfaction with the other volunteers you worked with.
Very Dissatisfied Not Satisfied Neutral Satisfied Very Satisfied
 
 
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