Purpose: This survey is intended to measure your health compared to eights months ago.

Choice: It is your choice to fill out this survey. You do not have to fill out this survey if you do not want to. If you start the survey, you can stop filling out the survey at any time. If you do not complete the survey, this choice will not hurt or influence any other involvement in Wisconsin PROMISE.

Privacy: Everything you share during these surveys will be used for research only. Your information will be in locked files and only authorized people will have access. State and federal privacy laws will be followed. Your name and personal identifiable information will not be used in any public reports.

IRB Approval: The University of Wisconsin-Stout's Institutional Review Board (IRB) looked at and approved this study. The IRB found that this study is ethical based on federal law and University policy. If you have questions about the study please contact the researcher, her information is below.

Researcher:
Amanda Schlegelmilch, M. S.
Stout Vocational Rehabilitation Institute
221 10th Ave E. VR #115
University of Wisconsin-Stout
Menomonie, WI 54751
715.232.2419 (office)
715.619.0782 (cell)
715.232.5541 (fax)
schlegelmilcha@uwstout.edu

Thank you for taking your time to complete this survey. Please click the button below to start.

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