Online survey about advocates' work history and demographics

DVHF Advocate Survey 1 – Demographics and Work History Survey

Thank you for agreeing to complete this survey! You received a link to this survey in your email because a survivor identified you as their advocate. Since this is the first time you have completed one of these online surveys, we have a few questions about you that we will only ask this one time. Your responses will be combined with those of other advocates simply to describe the sample and will not be used to identify your answers. After you have completed these you will receive an email directing you to the survey about the survivor who identified you as their advocate.

DVHF Demonstration Evaluation Informed Consent Form – Advocates*

*This consent language will be included on the first page of the Qualtrics survey.

• You are being invited to participate in a study conducted by Michigan State University researchers who are examining how your program may or may not be impacting the lives of people who receive their services.

• As an advocate at your organization, we are asking for your participate in this study in order to learn more about the services you provided to specific survivors. You will be asked to participate each time a survivor identifies you as their primary advocate at your organization during their 6-month interview.

• Advocates participating in this study are asked to complete a brief online survey for each survivor they are contacted about. Each survey will take about 20-30 minutes.

• Your participation is entirely voluntary. You have the right to withdraw from the study at any time. Your decision whether or not to participate in this study, or to withdraw from it, will not affect in any way your position within your organization.

• In the initial survey you will be asked to tell us a little about yourself so we can describe the sample of advocates participating in the study. You will then be provided with an ID# to include in a separate survey which will ask about a particular survivor’s housing status and barriers to housing, what you worked on with the survivor, and your perceptions of their housing stability and need for future services.

• Once we have results from the study, they can be made available to you, upon request. Given the longitudinal nature of this study, results may not be available until 2021.

• The potential benefits to you for taking part in this study are that we hope that you will find the interview interesting, and appreciate being part of a study that looks to improve services and community responses for survivors.

• The potential risk to you for taking part in this study is if you are concerned that your supervisor may pressure you to participate in the study or answer questions in a particular way. Please be assured that your participation is voluntary and your responses will be kept strictly confidential. The results of this study may be published or presented at professional meetings, but the identities of all research participants, including advocates, will remain anonymous.

• A master list containing your name and a research ID number will be kept under strictly confidential conditions and separated from all study materials on a secure server at MSU. This is just used to send you links to surveys to complete. Your actual de-identified data will be stored on a separate password-protected server at MSU, only accessible by password-protected computers. Only the research team and MSU’s Institutional Review Board will have access to the data.

• The data will be kept a minimum of three years after the project closes, after this time the data will be safely destroyed.

• By clicking the “I agree to participate” button below, you are consenting to take part in the study. Once you have clicked the button, you will be directed to the first section of the survey.

If you have concerns or questions about this study, such as scientific issues, how to do any part of it, or to report an injury, please contact the researcher Dr. Cris Sullivan. (310 Psychology Bldg., 316 Physics Rd. Michigan State University, E. Lansing, MI 48824-116 | 517-353-8867 | [email protected]).

If you have questions or concerns about your role and rights as a research participant, would like to obtain information or offer input, or would like to register a complaint about this study, you may contact, anonymously if you wish, the Michigan State University’s Human Research Protection Program at 517-355-2180, Fax 517-432-4503, or e-mail [email protected] or regular mail at 408 West Circle Drive, Olds Hall Room 207, MSU, East Lansing, MI 48824.

[I AGREE TO PARTICIPATE BUTTON HERE]

ADV1. What is YOUR advocate ID number (provided in the email to you)?

Advocate ID #: _______________

ADV2. How long have you been working at __________(org name)?

Less than 1 year	1
1 – 2 years	2
2 - 3 years	3
3 – 4 years	4
5 or more years	5

ADV3. How long have you been an advocate working with domestic violence survivors (even if at another organization)?

Less than 1 year	1
1 – 2 years	2
2 - 3 years	3
3 – 4 years	4
5 or more years	5

ADV4. How old are you? Age (in years): ______________

ADV5. What is your race or ethnic background? Please check all that apply.

	Check
African American/Black
African
Asian/Asian American
Cambodian
Chinese
Japanese
Korean
Filipin@
Indian
Vietnamese
Hispanic/Latin@
Native American/Native Alaskan
Native Hawaiian/Pacific Islander
Middle Eastern
White/Anglo-American
Other: _______________
Prefer not to say

ADV6. What sex were you assigned at birth?

Male	0
Female	1
Declined to answer	99

ADV7. How do you describe your gender?

Female	1
Male	2
Male-to-female Transgender (MTF)	3
Female-to-male Transgender (FTM)	4
Other gender identity (Specify)	5
Declined to answer	99

ADV8. Which of the following best represents how you think of yourself?

Gay (lesbian or gay)	1
Straight, that is not gay (or lesbian or gay)	2
Bisexual	3
Something Else	4
I don’t know the answer	5
Declined to answer	99

ADV9. What languages do you speak fluently?

English	1
Spanish	2
Other (Please specify: _____________)	3
Other (Please specify: _____________)	4

Thank you; after you submit this survey you will receive an email inviting you to complete a BRIEF survey about your work with a particular survivor.

SUBMIT