• Survey Consent Form

    Survey Consent Form
  • Teacher Survey on Teaching Best Practices


    Project Director: John Smith

    You are invited to participate in this online survey on Teacher Survey on Teaching Best Practices. This is a research project being conducted by John Smith and his group at the University of Timbuktu.  

    This survey should take fifteen to twenty (15-20) minutes of your time approximately to complete.

  • ABOUT THE STUDY

    This is a research project that shall serve as partial fulfillment of the project of John Smith and his group for his class. This survey aims to identify the best teaching practices practiced by teachers and in order to understand the perception of students.

    WHY ME?

    You are being asked to participate in this study because you are a student or a teacher.

    PARTICIPATION

    Please understand that your participation in this survey is voluntary and you may, anytime, refuse to take part in this research. In case you do wish to withdraw, please let anyone from John Smith's group know your wish to withdraw. You may freely decline in answering particular questions that may feel uncomfortable to you.

    BENEFITS

    You will not gain any material benefit in your participation in this research. However, you will feel good in helping us reach our intention in completing this project and may lead to further progress in how the University will address any difficulties or challenges that may come out on this research.  

    COSTS

    Your participation in this project will not cost you anything.

    RISKS

    There are no known foreseeable risks involved in participating in this study other than those encountered in day-to-day life. However, there might be some questions that may give you discomfort in answering. In this case, you may let us know that you intend to not answer the specific question involved.

    CONFIDENTIALITY

    The answers to the survey will be stored in JotForm.com. Access to the information is password protected and secured. We will not share your name, IP address, or any information shall personally identify you. We assure you that any information we receive will be held in trust and confidence. 

    If you wish to be reached out by us for further participation in this project, you may leave your phone number in this form, or you can provide any of the proponents your phone number where we can reach you.

    UPDATES/CHANGES IN THE STUDY

    We will reach out to you if you leave your contact information with us and if you are willing that we keep you posted, any changes or updates in the furtherance of the study will make us update there are significant changes in the study that may appear that you would be interested in.

    CONTACT

    If you have questions, you may get in touch with us anytime at 1-900-233-1234, or via email at john@samplesmith.com.

    If you feel you have not been treated properly as to what this form describes, you may contact the school board at 1-111-123-1234 or via email at board@schoolinstitute.edu.

  • CONSENT

     

    By signing this form, I agree and affirm that:

    1. I have read and understood the purpose of the information stated above
    2. I am over 18 years of age or older.
    3. I am submitting this form and participating in the project voluntarily and that I was not coerced, forced, threatened, or intimidated.


               

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