Quality of Life Community Survey #2. Deadline: July 31, 2017

Grasslands Regional FCSS Society
Lynn Pye-Matheson MSW RSW, Kyle Peterson PhD & William Slenders BMgt
Quality of Life Survey

Consent to Participate Form

You are invited to participate in a quality of life survey that is being conducted by Grasslands Regional FCSS who provide Social Planning services for The City of Brooks, County of Newell and the villages of Duchess and Rosemary. We are asking you to participate because you are a resident within the County of Newell (includes the City of Brooks), and your input into this local quality of life survey will help to ensure our communities continue to enjoy a healthy quality of life. Results will be useful to all levels of government, institutions, organizations, and most importantly to the residents in our communities. Results will inform future planning, decision making and actions regarding services and programs in your community and for the region as a whole.

Once the opinions of residents from these questionnaires have been gathered and summarized, a report will be written and accessible to the communities through Grasslands Regional FCSS. In the survey, you will be asked to respond to a few questions and describe your opinions regarding local quality of life. Your participation will last for approximately 10 minutes.

The information you provide to us in this survey cannot be traced back to you. Only the Grasslands Regional FCSS Research Team will have access to the information we collect. Your identity will remain anonymous. The surveys will be kept at a secure place for five years at which time they will be destroyed.

There are no right or wrong answers to the questions that will be raised in this survey; the important thing is for you to share your experiences and opinions. There is benefit for participation. As a survey participant, you have the opportunity to win one of several prizes. Your participation is completely voluntary. We do not feel that there is any social, psychological, legal, economic, or employment risk to you from participation. We want you to feel comfortable while participating, so you don't have to answer any questions that make you feel uncomfortable.

If you have any questions about the research after the survey, or to receive a copy of the Quality of Life Report, please contact:

Lynn Pye Matheson MSW RSW:
Email: grasslands.fcss@telus.net
Phone: (403) 362-4549

By Checking the Box below, you indicate that you have read the information provided and have decided to participate.

* 1. I consent to participate in the Grasslands Regional FCSS Quality of Life Survey

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