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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 enter todays date
 
Contact Information
First Name : 
Last Name : 
Phone : 
Email Address : 
 
 
Please provide the name of your organization
   
 
 
How long has your organization existed? (i.e. 2 years and 4 months)
   
 
 
 
How many male members are their in your organization?
   
 
 
How many female members are their in your organization?
   
 
 
 
What do you believe will happen to your general circumstances over the next year ?
 
My circumstances will improve
 
My circumstances will worsen
 
My circumstances will remain the same
 
 
 
Please explain in the space below why you 1selected your answer to the above question.
   
 
 
 
How long have you been at your current residence?
   
How long have you been living as a refugee?
   
How many family members do you have in your household?
   
 
Survey details are confidential. Thank you for taking the time to shre your views.
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