Consent

Question Title

* 1. This survey is designed to learn about your experiences as a healthcare worker during a pandemic.  It is based on a number of scientifically-recognized questions that measure different aspects of job-related psychosocial conditions, along with symptoms related to intense stressful conditions and mood disorders.

The survey was put together by the  Occupational Health Clinics for Ontario Workers (OHCOW), with help from researchers at the Institute of Work & Health and Duke University in North Carolina. We also had input from a number of health and safety union staff representatives, who told us about the concerns and questions raised by their members.

OHCOW is a non-government, not-for-profit organization with seven clinics across Ontario. Our goal is to protect and improve the health of working people by providing clinical and prevention services, including research.

We take part in, and share, research with policy-makers, workers and workplaces, clinicians, health and safety professionals, and the general public. OHCOW operates with support from the Ontario Ministry of Labour, Training and Skills Development (MOL). Our separate Board of Directors is accountable to the MOL for funding. For more information about OHCOW, our website (www.ohcow.on.ca).

Voluntary Participation

You do not have to participate in the survey. Any information you give today will be kept strictly confidential. You are free to skip any question you do not want to answer, and you can stop completing the survey at any time, with no consequence. The information you provide to us will not be given to others, including the MOL, the Workplace Safety & Insurance Board of Ontario or anyone in your workplace. We will never identify you in any way in any presentations or publications that result from this project.  Because we are not collecting any identifiable information, once you have submitted your survey, we will not be able to remove your responses from our database.

What are the risks?

There are no known significant risks if you participate in this survey. If you feel uncomfortable answering a question, skip it. We will keep everyone’s information strictly confidential.

What are the benefits?

You may not receive any direct benefit from participating. However, information gathered from this survey will help us to better understand and address issues facing healthcare workers in a pandemic. We will share our findings publicly.

What about confidentiality and privacy?

All the information collected in this survey is confidential. Only the researchers directly involved in this project will see all the answers. The team will not keep any information that could identify you or others. All the data we collect will be stored on a secure server.

Your participation in this survey implies that you have consented to the use of your answers -- grouped with those from other people -- in reports or publications. We will present all reports or publications using the responses in a way that ensures no-one’s identity is revealed.

We intend to use the data collected for research and to share with research organizations. The data, analysis and related information may be used in presentations, websites, and union, trade, and academic publications.

Questions?

If you have questions, please contact John Oudyk at joudyk@ohcow.on.ca

I accept these conditions and consent to continue this survey:

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* 2. Filling out this survey more than once (things change!)

Needless to say, things are changing rapidly.  We recognize that this survey is only designed to capture your current situation today, and that it might change drastically tomorrow.  For this reason, we will keep the survey open in case you want to tell us about your experiences again at a later date. 

For our analysis to make sense of multiple responses from one person, it would be very helpful to link your answers today with future responses. To maintain confidentiality, we need an identifier that you can easily remember and is meaningless to anyone else.

We are not tracking the computer, phone, or tablet you use for the survey. The only way we can link your responses is if you come up with a unique way to identify yourself.

We suggest using your house number (not the street name; and without the apartment number, if you have one) and the last two digits of your phone number. For example, if I live at 848 Main St. and my phone number is 905-549-2552, my ID code would be 848-52.

This will be an identifier that only you know (and can easily remember). It will also allow us to link your previous answers with those from a repeat survey you might do later on.

If you think you might want to complete the survey again sometime, or if you have already done so - please put your ID code here:

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* 3. Is this the first time you have filled out this survey?

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