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Pedestrian Behavior and Device Usage Survey

Questions marked with a * are required

Consent Information

Study Information

Principal Investigator: Dr. Rafael Patrick
IRB # 2 2 - 0 8 0 
Title of Study: Connected electric vehicles: Vehicle-pedestrian communications to enhance vision impaired pedestrian safety
Sponsor: Center for Advanced Transportation Mobility
You are invited to participate in a research study.  This form includes information about the study and contact information if you have any questions.

What Should I Know?

If you decide to participate in this study, you will complete a survey. As part of the study, you will proceed through the virtual survey and indicate what answer best applies to you. This survey includes questions about your vision ability, minor demographic information, personal device usage, and street crossing behaviors and habits. This survey also asks about preferences in design of new devices. 
This study should take 20 to 30 minutes of your time. 
We do not anticipate any risks from completing this study. 
You can choose whether to be in this study or not.  If you volunteer to be in this study, you may withdraw at any time without consequences of any kind.  You may also refuse to answer any questions you don’t want to answer and remain in the study. The investigator may withdraw you from this research if circumstances arise which warrant doing so.

Confidentiality

We will do our best to protect the confidentiality of the information we gather from you, but we cannot guarantee 100% confidentiality.
Any data collected during this research study will be kept confidential by the researchers. Your survey information will be protected and only visible to the research team. The researchers will only use nonidentifiable information as part of the data analysis. Any information that is identifiable will only be used for compensation purposes or if you wish to participate in this study further. After compensation is received or participation in further trials (if you choose to do so) is completed, this information will be destroyed. 

Who Can I Talk To?

If you have any questions or concerns about the research, please feel free to contact our team at the following email address: humanimpact@vt.edu.  You are not waiving any legal claims, rights or remedies because of your participation in this research study.  If you have questions regarding your rights as a research participant, contact the Virginia Tech HRPP Office at 5 4 0 - 2 3 1 - 3 7 3 2 (irb@vt.edu).

If you would like to participate, please click yes to the following question. If you do not wish to continue, please click no to exit the survey.

Would you like to continue? (required)