Chicago Rat Project Survey
The Chicago Rat Project is studying how rats affect people in neighborhoods all across Chicago. We are asking for your help by participating in a brief survey that will help us learn from your experiences with rats.
This survey is anonymous and it will take about 20 minutes. We will use your answers to write a scientific report. This project has been reviewed and approved by the Lincoln Park Zoo Institutional Review Board.
Benefits: You will not benefit directly from this study. We hope our results will help reduce rats in Chicago to improve public health.
Risks: Some of the survey questions may be uncomfortable to answer. For example, we will ask about rat droppings in your home and how you feel when you see a rat. You can choose not to answer any question, for any reason.
Participation: Participating in this survey is completely voluntary. You are free not to participate, to end the survey at any time for any reason, or to refuse to answer any question.
Confidentiality: We will record your age and gender, but no other information about you. If you choose to provide your contact at the end of the survey, it will not be stored with your responses and will not be shared with any other party.
Persons to Contact: If you have questions about this study, please contact Dr. Maureen Murray at firstname.lastname@example.org. If you would like to talk with someone other than the researchers to discuss problems or concerns or to discuss your rights as a research participant, you may contact the Lincoln Park Zoo Institutional Review Board at email@example.com.
Consent: If you are willing to participate in this study, please check the boxes below. By filling out this survey, you are providing consent for us to use this data in our study. Please only fill out this survey if you are over 18 years of age and have lived in your residence for more than six months. Please note that checked boxes indicates that:
1. You consent to participate in this study
2. You understand that participation in this study is entirely voluntary and that you may refuse to participate or withdraw from the study at any time without penalty
3. You have received a copy of this consent form for your own records.
If you would prefer to fill out this survey on paper please email us at ChicagoRatProject@gmail.com.
Please only take this survey once