2019 Kansas Young Adults Survey

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Scroll down to see if you are eligible for a $10 gift card. 

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On behalf of the Kansas Prevention Collaborative, we are asking for your help on an important study surveying young adults about public health issues, including the effectiveness of drug treatment and education programs among those between the ages of 18 to 25. Your participation is incredibly important, as only 700 adults statewide in Kansas have been randomly selected to take part in this study. This should only take about 10 minutes.

Your answers are confidential. Confidential means that the research records will include some information about you, and this information will be stored in such a manner that some linkage between your identity and the response in the research exists. All data will be stored on independent secured sites with access limited to members of the research team. After information that could identify you has been removed, de-identified information collected for this research may be used by or distributed to investigators for other research without obtaining additional permission from you.

To help us protect your privacy, we have obtained a Certificate of Confidentiality from the Substance Abuse and Mental Health Services Administration. We can use this Certificate as researchers to legally refuse to disclose information that may identify you in any federal, state, or local civil, criminal, administrative, legislative, or other proceedings, for example, if there is a court subpoena. We will also use the Certificate to resist any demands for information that would identify you, except for voluntary disclosure of information by yourself or any disclosure that you have provided written consent in writing.

As a thank you for completing our survey, we would like to offer you a $10 Amazon/Walmart gift card. If you are eligible to participate, you will be re-directed to a link at the end of the survey. After providing us with your email, which will not be linked in any way with your survey responses, your gift card will be processed and sent to the email you provided.

If you have any questions about this research project, you may contact Ashley Koning at Eagleton Center for Public Interest Polling by email akoning@rutgers.edu or by phone. If you have any questions about your rights as a research participant, you can contact the Institutional Review Board at Rutgers (which is a committee that reviews research studies in order to protect research participants) at: Arts & Sciences Institutional Review Board, Rutgers University, the State University of New Jersey. Liberty Plaza / Suite 3200 335 George Street, 3rd Floor, New Brunswick, NJ 08901, 732-235-2866 human-subjects@ored.rutgers.edu.

If you do not wish to take part in the research, close this website address. If you wish take part in the research, follow the directions below. Please print out this consent form if you would like a copy of it for your files.

By beginning this research, I acknowledge that I am 18 years of age or older and have read and understand the information. I agree to take part in the research, with the knowledge that I am free to withdraw my participation in the research without penalty.

Click on the “I Agree” button to confirm your agreement to take part in the research.

By beginning this research, I acknowledge that I am 18 years of age or older and have read and understand the information. I agree to take part in the research, with the knowledge that I am free to withdraw my participation in the research without penalty.

Click on the “I Agree” button to confirm your agreement to take part in the research.

Please print a copy of this consent form for your records.

I AGREE       I DISAGREE

If you have any questions about the study or study procedures, you may contact Eagleton Center for Public Interest Polling (ECPIP) Director Dr. Ashley Koning at 848.932.8995 or via email at poll@eagleton.rutgers.edu.

If you have any questions about your rights as a research subject, please contact an IRB Administrator at the Rutgers University, Arts and Sciences IRB, Institutional Review Board at Rutgers University, the State University of New Jersey, Liberty Plaza / Suite 3200, 335 George Street, 3rd Floor, New Brunswick, NJ 08901 and by phone at 732.235.2866 or email at humansubjects@orsp.rutgers.edu.

To find out more about the Rutgers-Eagleton Poll, click here.