Kansas 2017 Young Adults Survey


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

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 across Kansas have been 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. Data will be destroyed after 10 years.

To help us protect your privacy, we have obtained a Certificate of Confidentiality from the National Institutes of Health. 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.

The survey does include questions dealing with illegal drug use. The survey does include questions dealing with illegal drug use and sexual identification. If you are concerned about yourself or a loved one, please contact the Kansas Support Network at 800-273-8255.

Your participation is voluntary. You may end the survey at any time and you may skip questions you do not want to answer.

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 at 848.932.8940.

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, 732-235-9806, humansubjects@orsp.rutgers.edu.

As a thank you for completing our survey, we would like to offer you a $10 Amazon 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 anyway with your survey responses, your Amazon gift card will be processed and sent to the email you provided.

If you are 18 years of age or older, understand the statements above, and will consent to participate in the study, click on the “I Agree” button to begin the survey. If not, please click on the “I Disagree” button, which will exit you from this survey and will unsubscribe you from future texts about this study.

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