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2012
March
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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. 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 [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
Please indicate your region.
Asia Pacific
Americas
EMEA
Please indicate your age.
0-24
25-29
30-34
35-39
40-44
45-49
50+
Would you describe yourself as?
Decided: I understand the goal; and I know what I should do
Interested: I understand the goal; need to determine if I want to be involved in pursuing it
Aware: I know of the goal; need to know more to understand it
Unaware: I do not know about this effort
How would you characterize your opinion of this goal?
Favorable: I support this goal
Unfavorable: I do not support this goal
How actively are you pursuing this goal?
I will do whatever it takes to achieve this goal
It is important to me that we achieve this goal
I am pursuing this goal and I care about achieving it
I am pursuing this goal; it is one of my tasks
I have not done much in support of this goal
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