1. Informed Consent

We are Kelly Skinner (School of Public Health and Health Systems) and Andrea Brown (consultant), and are researchers evaluating how the Chiropractic Program that you are involved in is working/has worked. 

This survey is designed to take a maximum of 10 minutes, and will ask questions about your experiences in the Chiropractic Program. Questions will be asked about your personal health, daily experiences with health issues and your wellbeing.

Participation in this survey is entirely voluntary. You can skip any questions that you don’t want to answer.

All electronic copies of data will be kept on a password-protected computer in Kelly Skinner’s locked office at the University of Waterloo. The data will be de-identified and shared with the Ontario Chiropractic Association and Waterloo Region Income and Employment Support. The minimum retention time for all files is 7 years. If you have provided consent to the sharing of data, the data will be shared between the research team (Andrea Brown, our research team and myself), and the Ontario Chiropractic Association, and WREIS only.

Some of the questions may make you feel stressed or upset, we have included mental health support information at the end of the survey. Please contact these supports if you think you need to speak to someone.

This study has been reviewed and received ethics clearance through a University of Waterloo Research Ethics Committee (ORE#40293). If you have questions for the Committee contact the Office of Research Ethics, at 1-519-888-4567 ext. 36005 or ore-ceo@uwaterloo.ca.However, the final decision about participation belongs to you, as an individual participant.

If you have any questions regarding this study or would like additional information to assist you in reaching a decision about participation, please contact me at 519-888-4567, ext. 38164 or by email at kskinner@uwaterloo.ca.  If you have any questions about what you have read here, you may also ask your caseworker. They will know that you are participating, but we are not going to share any data with them.

We thank you in advance for your assistance with this project.

By agreeing to participate in the study you are not waiving your legal rights or releasing the investigator(s) or involved institution(s) from their legal and professional responsibilities.”

If you consent to participate in this survey, please click OK and NEXT to continue.

Question Title

* 1. Do you consent to quotes from the survey being used by the evaluators, Ontario Chiropractic Association and/or Waterloo Region Income and Employment Services in publications and/or other materials about the Chiropractic Program? All quotes will be anonymous, your identity (name, other identifying information) will not be shared with the quote.

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