We are asking that your child help us evaluate the effectiveness of the Resilience Reminders program by completing an online survey designed to measure their resilience. If you consent, your child will be given the survey now, before the Resilience Reminders program begins, and then again at the end of the year. The results will be compared to see if their resilience has improved.

 

The survey is voluntary. We are asking all children in the middle school to complete the survey, so we can evaluate the effectiveness of the Resilience Reminders program at the end of the year.

 

The survey consists of 64 questions and takes about 10 minutes to complete. Your child can skip questions they do not want to answer or stop the survey at any time.

 

You can view the survey questions HERE.

 

The survey will be conducted on a secure, online platform that is HIPAA compliant for protecting the respondents’ private information. 

 

Your child’s responses will be used for program evaluation purposes only and will not be made available to anyone, including to you or to school personnel. Your child’s responses will be kept confidential to everyone except program evaluators.

 

If you do not consent for your child to take the survey, your child will still be included in the Resilience Reminders discussions.

 

Parental Consent 

 

Typing your name and the date below represents your signature affirming that you agree that the above information has been explained to you and all your current questions have been answered. You understand that you may ask questions about any aspect of this survey during the course of the Resilience Reminders program and in the future. By signing this form, you agree, as a parent or legal guardian, that your child may participate in the survey to evaluate the effectiveness of the Resilience Reminders program. 

 

Minor’s Assent 

 

Typing your child’s name and the date below represents your child’s signature affirming that the survey has been explained to them and they agree to take the survey for program evaluation purposes.

 

Please contact the school/ organization's office for any questions about the Resilience Reminders program, this survey, your parental rights, your child’s rights, or any concerns or suggestions you may have.