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Hello:
This survey will help us to understand who is using the services offered by the Collaborative Justice Project, why and what you hope to achieve through our processes.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, you do not need to answer any questions which make you uncomfortable and you are free to withdraw from the survey at any time. If you do withdraw, we will not use any of the information you have provided.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate, that is, all he data will be combined and it will not be possible to distinguish individual contributions to the data. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact the researchers, Jane Dickson-Gilmore or Vanessa Ciampa at Carleton University at 613-520-2600, extension 3686. or by email at the email addresses specified below.

Thank you very much for your time and support.
 
 
I. Personal Information: This section helps us to know who is served by the CJP.
 
 
Marital Status
 
Single
 
Married
 
Common-law
 
Separated
 
Divorced
 
Widowed
 
 
Annual Household Income
 
$20,000 and under
 
$21,000-$35,000
 
$36,000-$50,000
 
$51,000-$65,000
 
$66,000-$80,000
 
$81,000-$100,000
 
$101,000-$150,000
 
$151,000+
 
Unemployed
 
Student
 
 
 
Highest Level of Education Completed. Please choose one.
 
Primary school
 
Some high school
 
High school diploma
 
Some post-secondary
 
College diploma
 
Bachelors degree
 
Masters degree
 
PhD.
 
Other: (Please Specify) ____________________________
 
 
II. Motivation for Seeking the CJP's Services. This section will help us to understand why people seek our services and what they hope to gain through our services.
 
 
 
 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
I. Personal Information. This section helps us to know who we are serving at the CJP

Date of birth: ___________________ (Month/Date/year)

Gender
 
Female
 
Male
 
Other

 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
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