Anonymity and Confidentiality Consent Form

You are invited to participate in a web-based online survey on market research and ASWCO program and service evaluation. It should take approximately 15-20 minutes to complete. The initiative of our research is to:
  1. Discover research opportunities and partnerships that will positively benefit the Aboriginal community;
  2. Identify the current challenges and needs of Aboriginal communities; and
  3. Gather information on Aboriginal health, wellness and culture.
This survey is equipped to analyze the input of Aboriginal and Non-Aboriginals in the Canadian Sport and Fitness, and Health and Wellness Sectors.


Your participation in this survey is voluntary. You may refuse to take part in the research or exit the survey at any time without penalty. You are free to decline to answer any particular question you do not wish to answer for any reason.

You will receive no direct benefits from participating in this survey. However, your responses may help us learn more about the quality and effectiveness of our programs and services, and gain insight on new opportunities in your community.

There are no foreseeable risks involved in participating in this survey other than those encountered in day-to-day life.
There is the risk that you may find some of the questions to be sensitive.
There is the risk that some questions may cause emotional discomfort.
Some of the survey questions ask about your emotional state, perceived financial situation and may be distressing to you as you think about your experiences.
The possible risks or discomforts of the study are minimal. You may feel a little uncomfortable/embarrassed/sad/tired answering personal/sensitive/many survey questions.

Your survey answers will be sent to a link at where data will be stored in a password protected electronic format. Survey Monkey does not collect identifying information such as your name, email address, or IP address. Therefore, your responses will remain anonymous. No one will be able to identify you or your answers, and no one will know whether or not you participated in the study.

If you choose to provide contact information such as your first name, last name or email address, for our CONTEST your survey responses may no longer be anonymous to the researcher. However, no names or identifying information would be included in any publications or presentations based on these data, and your responses to this survey will remain confidential.

If you feel you have not been treated according to the descriptions in this form, or that your rights as a participant in research have not been honored during the course of this project, or you have any questions, concerns, or complaints that you wish to address to someone other than the investigator, you may contact the Wes Marsden from Aboriginal Sport and Wellness Council of Ontario at 2425 Matheson Boulevard East, Mississauga, Ontario, by phone 1-416-479-0928 at or email

Please select your choice below. You may print a copy of this consent form for your records. Clicking on the “Agree” button indicates that:
  • You have read the above information
  • You voluntarily agree to participate
  • You are 18 years of age or older

Question Title

* 1. Electronic Consent