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Assessing the Usefulness of Extra-Textbook Materials
Unformatted Document Text:  p. 3 of 7 Appendix A: First Questionnaire (used for Braden’s classes) Congratulations, if you are 18 or older, you have an opportunity to participate in a study to assess the usefulness of extra-textbook materials. This is a chance to for you to potentially influence the type of supplementary classroom materials available to you. You have been invited to take part because you are taking GEO1110 World Regional Geography. Dr. Ruth Ediger, Associate Professor of Political Science and Geography (x2937, ## email not listed ## ), is the principal investigator conducting this research. Participation in this study means that you will fill out and hand in this first questionnaire. Then after each of your geoquizzes you will fill out and hand in another short (4 question) questionnaire that assesses the materials you used to study for the geoquiz. Throughout this study Dr. Ediger will only identify you by your assigned ID number consequently she will not know who is participating or even if you participate. Dr. Kathleen Braden will only see the data in aggregate form so also will not know how you participate. Your grade in this class will not be helped or hurt by participating. Your participation in this study is voluntary; you may decline to participate without penalty. If you decide to participate, you may withdraw from the study at any time without penalty and without loss of benefits to which you are otherwise entitled. If you deliberately withdraw from the study before data collection is completed, your data will be returned to you or destroyed. Likewise, the Researcher may terminate your participation in the study at any time. The information in the study records will be kept confidential. Data will be stored securely and will be made available only to persons conducting the study unless you specifically give permission in writing to do otherwise. No reference will be made in oral or written reports that could link you to the study. Your de-identified data may be used in future research, presentations or for teaching purposes by the Principal Investigator listed above. CONSENT: Your filling out this form indicates that you have understood to your satisfaction the information regarding participation in this research project and agree to participate in this study. In no way does this waive your legal rights nor release the investigators, sponsors, or involved institutions from their legal and professional responsibilities. I have read the above information and agree to participate in this study. I have received a copy of this form (keep a copy of this form for your records).1. What is your ID number? _________________2. What year are you in school? (circle one) Freshman Sophomore Junior Senior Other 3. What is your major? ___________________4. Are you (circle one): Male Female 5. Have you ever traveled or lived outside the United States for a period of 3 months or more? (circle one) YES NO 6. If you answered “Yes” to the above question please list where, how long, and your approximate age when you traveled or lived outside the United States for 3 months or more (use the back of this paper if you need more room): Where traveled or lived How long How old were you? 7. Have you ever traveled or lived outside the United States for a period less than 3 months? (circle one) YES NO 8. If you answered “Yes” to the above question please list where, how long, and your approximate age when you traveled or lived outside the United States for less than 3 months (use the back of this paper if you need more room): Where traveled or lived How long How old were you?

Authors: Ediger, Ruth.
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p. 3 of 7
Appendix A: First Questionnaire (used for Braden’s classes)
Congratulations, if you are 18 or older, you have an opportunity to participate in a study to
assess the usefulness of extra-textbook materials. This is a chance to for you to potentially
influence the type of supplementary classroom materials available to you. You have been invited to
take part because you are taking GEO1110 World Regional Geography.
Dr. Ruth Ediger, Associate Professor of Political Science and Geography (x2937,
), is the principal investigator conducting this research.
Participation in this study means that you will fill out and hand in this first questionnaire. Then
after each of your geoquizzes you will fill out and hand in another short (4 question) questionnaire
that assesses the materials you used to study for the geoquiz. Throughout this study Dr. Ediger will
only identify you by your assigned ID number consequently she will not know who is participating or
even if you participate. Dr. Kathleen Braden will only see the data in aggregate form so also will not
know how you participate. Your grade in this class will not be helped or hurt by participating.
Your participation in this study is voluntary; you may decline to participate without penalty. If you
decide to participate, you may withdraw from the study at any time without penalty and without loss
of benefits to which you are otherwise entitled. If you deliberately withdraw from the study before
data collection is completed, your data will be returned to you or destroyed. Likewise, the
Researcher may terminate your participation in the study at any time.
The information in the study records will be kept confidential. Data will be stored securely and
will be made available only to persons conducting the study unless you specifically give permission
in writing to do otherwise. No reference will be made in oral or written reports that could link you to
the study. Your de-identified data may be used in future research, presentations or for teaching
purposes by the Principal Investigator listed above.
CONSENT: Your filling out this form indicates that you have understood to your satisfaction the
information regarding participation in this research project and agree to participate in this study. In
no way does this waive your legal rights nor release the investigators, sponsors, or involved
institutions from their legal and professional responsibilities. I have read the above information and
agree to participate in this study. I have received a copy of this form (keep a copy of this form for
your records).
1. What is your ID number? _________________
2. What year are you in school? (circle one)
Freshman
Sophomore
Junior Senior
Other
3. What is your major? ___________________
4. Are you (circle one):
Male
Female
5. Have you ever traveled or lived outside the United States for a period of 3 months or more?
(circle one)
YES
NO
6. If you answered “Yes” to the above question please list where, how long, and your
approximate age when you traveled or lived outside the United States for 3 months or more
(use the back of this paper if you need more room):
Where traveled or lived
How long
How old were you?
7.
Have you ever traveled or lived outside the United States for a period less than 3 months?
(circle one)
YES
NO
8. If you answered “Yes” to the above question please list where, how long, and your
approximate age when you traveled or lived outside the United States for less than 3 months
(use the back of this paper if you need more room):
Where traveled or lived
How long
How old were you?


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