Informed Consent Statement

You are being given the opportunity to volunteer to participate in a project conducted through John Brown University and the city of Siloam Springs.


1. The purpose of this survey is to gather feedback regarding citizen satisfaction of the local government.

2. As a citizen of Siloam Springs, you have been chosen to participate in this study and provide helpful feedback to improve local government services.

3. Participants will answer a series of questions throughout this survey. The topic of the questions involve quality of life and characteristics of Siloam Springs, satisfaction with local government services, and various demographic questions

4. There are no known risks in this study.

6. The survey results will be anonymous and none of the data you provide will ever be linked to your identity. None of the following questions are required. Participants are free to skip any question(s) as they wish.

7. The data received from this survey will be stored in SurveyMonkey. It will be protected by a password. Only the researchers will have access to the data. The researchers will not have any way to connect any data to anyone’s identity

8.  Persons under the age of 18 should not participate in this study.

9. Refusal to participate in this study will have no effect on any future services you may be entitled to from the city. You are free to withdraw from the study at any time without penalty.

If you have any questions at any time during the study, you may contact Daniel Funk at funkd@jbu.edu or 316-765-2271, or Dr. Rick Froman at rfroman@jbu.edu or the Chair of John Brown University’s Institutional Review Board at (479) 524-7164.

I have been given information about this research and about any potential risks or benefits that may accompany my participation.  I also have been given, and understand, my rights as a participant in this research.  By clicking on the button to continue the survey, I give my consent to participate in this project and have my data included in the analysis.

* 1. Please rate each of the following aspects of the quality of life in Siloam Springs:

  Excellent Good Fair Poor Don't Know
Siloam Springs as a place to live
Your neighborhood as a place to live
Siloam Springs as a place to work
Siloam Springs as a place to retire
The overall quality of life in Siloam Springs

* 2. Please rate each of the following characteristics as they relate to Siloam Springs as a whole:

  Excellent Good Fair Poor Don't Know
Sense of community
Openness and acceptance of the community toward people of diverse backgrounds
Overall appearance of Siloam Springs
Cleanliness of Siloam Springs
Overall quality of new development in Siloam Springs
Variety of housing options
Overall quality of business and service establishments in Siloam Springs
Shopping opportunities
Recreational opportunities

* 3. Please rate each of the following characteristics as they relate to Siloam Springs as a whole:

  Excellent Good Fair Poor
Educational opportunities
Employment opportunities
Opportunities to participate in social events and activities
Opportunities to volunteer
Opportunities to participate in community matters
Ease of car travel in Siloam Springs
Ease of walking in Siloam Springs
Availability of paths and walking trails
Traffic flow on major streets
Amount of public parking

* 4. Please rate each of the following characteristics as they relate to Siloam Springs as a whole:

  Excellent Good Fair Poor Don't Know
Availability of affordable quality housing
Availability of affordable quality child care
Availability of affordable quality food
Quality of overall natural environment in Siloam Springs
Dining opportunities
Visibility of public art
Handicap accessibility on sidewalks and crosswalks
Unique identity

* 5. To what degree, if at all, are run down buildings, weed lots or junk vehicles a problem in Siloam Springs?

* 6. Please rate the speed of growth in the following categories in Siloam Springs over the past 2 years:

  Excellent Good Fair Poor Don't Know
Population growth
Retail growth (stores, restaurants, etc.)
Jobs growth

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