Survey Introduction and Consent

Thank you for taking the time to complete this survey.  Your responses, combined with the responses of Village members across DC, will help your Village meet the needs of its members.  This survey should take you 30-45 minutes to complete and will ask you for information about: 

1.    You and your household
2.    Your internet and cell phone access
3.    Your mobility throughout the community (via walking, transit, etc.)
4.    Your experience with the Village Volunteer Driver program
5.    Your overall satisfaction with your Village experience

ALL INFORMATION YOU PROVIDE IS CONFIDENTIAL.  Your name and contact information will not appear on this survey; however, you will be asked to create a confidential, unique identifier using your initials and birthdate.  Your responses will be collected and analyzed by an external evaluation partner, Sharp Insight, LLC.  All multiple-choice data will be shared with your Village only using the unique identifier.  Also note that, because we will not be collecting contact information, your Village will not be able to follow up directly with you regarding your responses. 

ALL WRITTEN COMMENTS YOU PROVIDE WILL BE SHARED VERBATIM WITH YOUR VILLAGE.  Any identifying information you choose to provide in free-response questions will be included in their original form in the data sent to your Village. 

PARTICIPATION IN THIS SURVEY IS VOLUNTARY.  It is up to you to decide whether or not you would like to participate. If you decide to participate but then change your mind, you can stop the survey at any time. Your Village will give you the same services whether or not you complete a survey, and your membership will not be affected in any way.

* Are you willing to participate in this survey?