Del Norte Ready 4K Evaluation Consent Form
Dear Parent/Caregiver,
You are being asked to participate in an evaluation of the Del Norte Ready4K program, sponsored by First 5 Del Norte, in collaboration with Applied Survey Research (ASR), a private, non-profit research firm. Your participation is voluntary. Choosing not to participate in the evaluation will not affect your ability to participate in the program.
Evaluation Description. The evaluation will entail taking 2-3 surveys about parenting and your experience in the program and an occasional one-question survey about what was learned. You may also be asked to participate in a brief phone interview about your participation. The researchers will also gather data on how participants use the program and data from local agencies on the services provided to families in the community.
It is Voluntary. You only have to answer questions you want to answer and you may stop participating in the evaluation at any time.
It is Confidential. No names will be attached to the survey forms or data. The researchers may use your information to gather data on services you may have received in the county, but all the information you provide will be protected with strict confidentiality controls.
Potential Risks. Risks of discomfort from participating are very small. You can choose not to answer any question that makes you uncomfortable. The research team will also take steps to protect your privacy. We will not ask for your name on any surveys and no identifiable information will be made public.
Possible Benefits. Your participation in this evaluation will help determine how well the program is working and help connect families to the resources they need.
For Further Information. If you have any questions about the evaluation, or about your rights, call Christina Branom at 408-247-8319.
