March 21, 2008
Thank you for your interest in participating in the Colorectal Cancer Survey. The purpose of the study is to gather information on levels of awareness and beliefs about colorectal cancer (CRC), one of the most common kinds of cancer found in the colon and rectum area. The survey also includes questions about your awareness of and beliefs about screening for CRC.
Please fill out the survey to the best of your ability. While it is not expected that the questions will cause any negative feelings, you may skip any questions you are uncomfortable about answering. Your responses will help make appropriate recommendations to the health professionals in our community about educational materials and other strategies that will help increase awareness of, and screening for, CRC.
Since the survey is anonymous, please do not put any identifying information on it (name, identification numbers, etc). It will take only about 8-10 minutes to complete the survey. Your participation in this study is crucial. The website for the survey will be active for about two weeks.
Upon submission of the survey, you will be given an opportunity to enter your name into a drawing for one of the several gifts (i.e. fitness center memberships, personal training packages, etc.) available. You are eligible to enter even if you chose to skip some of the questions, and participation in the drawing is voluntary. Any information you enter for the drawing will not be linked to your answers on the survey at any time.
Please print a copy of this page for your record. If you have any questions concerning this study, please feel free to call me at (716) 878-6503 or e-mail at email@example.com. Thank you for your kind cooperation.
By clicking “begin the survey” below, you certify that
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Last modified: 24-Mar-2008