Exploring People’s Needs on Apps (mobile applications) for dose measurements & health/well-being related to ionising radiation exposure
Dear Sr./Md., Dear Sir/Madam,

If you are 18 years-old or more, we would like to invite you to participate in a survey to evaluate public awareness and needs for devices/mobile applications for radiation dose measurements and for information and monitoring of health/well-being in the event of accidental radiation exposure. This survey is being conducted in the framework of the SHAMISEN-SINGS project, funded by the European Commission .

Participation in the survey entails answering anonymously a short online questionnaire.

Your participation will be highly valuable in assessing citizen needs for information and for tools to measure radiation, obtain answers to their concerns and participate, if they wish, in health and well-being surveillance in case of a radiation accident.

Objective of the survey:
To assess the needs and interest of stakeholders (in particular the general public) in contributing to data collection on radiation measurements, health and well-being indicators and obtaining information and feed-back on their concerns in case of a radiation accident.
This information will help develop the concept for one or more APPs that could be used to monitor radiation, log behavior and health information, and provide a channel for practical information and professional support for developing concepts or guidelines for the APPs.

Confidentiality and anonymous data treatment
This questionnaire is designed only to collect information on people’s opinions and knowledge on the APPs. All data will be treated anonymously without any individual tracking (through an online survey).

Signed Consent for Participation
I have been informed about the purpose of study and the anonymous treatment of data. I agree to participate in the study on a voluntary basis.

If you agree to participate on a voluntary basis, please click below and you will be redirected to the questionnaire.

1- In the framework of CONCERT (European Joint Programme For the Integration of Radiation Protection Research), grant agreement H2020 –662287

Web of the SHAMISEN SINGS project: http://radiation.isglobal.org/index.php/ca/shamisen-sings-home

Signed Consent for Participation
I have been informed about the purpose of study and the anonymous treatment of data. I agree to participate in the study on a voluntary basis.

Signed ___ (click for YES) if you agree to participate on a voluntary basis, please click below and you will be redirected to the questionnaire.

Agreed and signed *
Date:
MM
/
DD
/
YYYY
Next
Never submit passwords through Google Forms.
This form was created inside of ISGlobal. Report Abuse - Terms of Service