TRUST IN RESEARCH

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This survey will ask you about your opinions on research and will take approximately 5 – 10 minutes to complete. We will also ask you for some basic information about yourself, but no information that could identify you (such as your name, birthday or address) will be collected. We do not foresee risks to subjects participating in this study. There is no direct benefit to you, however your participation may help inform and improve future research.
There is no penalty for declining to participate and you may stop at any time.
If you have any questions about the study or your rights as a research participant, we can provide you with a card with the contact information of the Principal Investigator as well as the contact information for the Rutgers New Brunswick/Piscataway HealthSci IRB.

Do you have any questions? [Research Assistant will answer any questions participates may have]

Do you agree to take part in this survey?

Yes No


For the following questions, answer [Strongly Agree / Agree / Neither Agree or Disagree / Disagree / Strongly Disagree]


The next questions ask about your opinions on health in the community.




If you have any additional questions about this study, you can contact:

Click here to read more about the study
DATA PROTECTION POLICY: We take the protection of your personal data very seriously. We treat your personal data as confidential and in accordance with the statutory data protection regulations and this privacy policy. Personal information is any data with which you could be personally identified. We will retain the data you provide on the form until you request its deletion, revoke your consent for its storage, or the purpose for its storage no longer pertains. Any mandatory statutory provisions, especially those regarding mandatory data retention periods, remain unaffected by this provision. Above form does not automatically transfer user data to the operators of any social media platform or advertisement agencies. Many data processing operations are only possible with your express consent. You may revoke your consent at any time with future effect.