Climate Change Activity Survey
WILFRID LAURIER UNIVERSITY
INFORMED CONSENT STATEMENT
REB #5400

Studying the Impact of Climate Change activities, Scott Nicholson, PI

You are invited to participate in a research study by Scott Nicholson, professor at Wilfrid Laurier University. The purpose of this study is to report to the Government of Ontario about the impact of Climate Change games and information resources. It will produce data that we use for our reports about the event in scholarly research. Finally, we will use this information to improve the games and information resources.

INFORMATION
You have just completed a randomly selected activity. You will now be asked to fill out a survey immediately after completing the activity, which will take approximately 30 minutes to complete.
We will ask for your e-mail address, and will contact you with a follow-up survey 1 month, 3 months, 6 months, and 12 months from today. On the survey, we will ask you demographic questions, questions about the activity and questions about your opinions and behaviours related to climate change. Each of these surveys will take approximately 15 minutes to complete. We will ask for your e-mail address, and will contact you with a follow-up survey 1 month, 3 months, 6 months, and 12 months from today. Each of these surveys will take approximately 15 minutes to complete.
Our goal is to identify 300 participants for the study.

RISKS
Risks for this survey will be minimal, but confidentiality cannot be guaranteed when data are in transit over the Internet. We will be asking for your e-mail address each time you fill out the survey, and will be using that to connect your surveys together so that we can look at the longitudinal effects of the activities. You will be asked to reflect upon your feelings about climate change before and after the survey. You will also be asked to indicate behaviours you have taken to fight climate change during each of the post-activity surveys. After the data analysis is complete, the results from the surveys will be deleted.

You may choose to stop filling out these surveys at any time. You may choose not to complete this survey. Every question on the survey is optional, and you can choose to only fill out part of the survey. Because this project employs e-based collection techniques, the confidentiality and privacy of data cannot be guaranteed during web-based transmission.

BENEFITS
The benefits of this survey is that we will gain an understanding on the impact that Climate Change games and information resources can have on the knowledge and motivation of players. The resulting activities will be released to the world to allow others to use these games and information resources in their own activities.

CONFIDENTIALITY
The only personally identifiable information we will be asking from you is your e-mail address. This will be used so that we can contact you with follow-up surveys and so that we can connect your surveys together. After collection, the email addresses will be replaced in the survey results with a unique identifier. The email addresses will then be moved to a non-internet server, and only used to send out requests for follow-up surveys. This process will be repeated with the results of every follow-up survey. The anonymized data will be kept in files that are shared only with the research team, and deleted after five years. While confidentiality cannot be guaranteed when data are in transit over the Internet, the only people who will have access to this data are the staff of the Brantford Games Network lab and the students hired to work on this project. Your e-mail address will not be released nor used for any purpose other than to communicate with you about this study.

CONTACT
If you have questions at any time about the study or the procedures, (or you experience adverse effects as a result of participating in this study,*) you may contact the researcher, Scott Nicholson , at 73 George Street, Brantford, Ontario, N3T 2Y3 and 519.756.8228.5893. This project has been reviewed and approved by the University Research Ethics Board. If you feel you have not been treated according to the descriptions in this form, or your rights as a participant in research have been violated during the course of this project, you may contact Dr. Robert Basso, Chair, University Research Ethics Board, Wilfrid Laurier University, (519) 884-0710, extension 4994 or rbasso@wlu.ca

PARTICIPATION
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 withdraw from the study, every attempt will be made to remove your data from the study, and have it destroyed. You have the right to omit any question(s)/procedure(s) you choose.

FEEDBACK AND PUBLICATION
The results of this survey will be presented in 2018. We will be emailing our results to all participants of the Climate Change Game Jam using this same e-mail address. We will also be posting links to our results at http://bgnlab.ca.

I have read and understand the above information. I may print a copy of this form. I agree to participate in this study: *
What is your primary email address? (This is so we can match your answers to the previous survey and so we can follow up.) *
Your answer
What is your age?
Your answer
What is your gender?
Your answer
What is your primary employment status?
How would you describe the area where you live?
Which activity did you participate in today? (Note - after the study is completed, we will send you links to all of the activities.) *
If your activity was Casual Critters or 6 Degrees, please indicate if you remember a game and if you enjoyed it.
Enjoyed
Somewhat enjoyed
Neutral
Did not enjoy
Do not remember playing
Parking - parks cars and bikes
Food Leftovers - make recipes with leftovers
Heatlock - Control the temperature in a home
Clothing Donation - Fit clothes into the grid
Tire Pressure - Keep tires pumped and outrun the moose
Frog - Get your frog safely across the street
Escape Room - Turn off your electronics
Spending - Make goods and make profit
How would you describe your daily one-way commute to school or work?
What’s your *most* common method of commuting?
What’s your *least* common method of commuting?
In general, what were your feelings about climate change before the activity?
What is your comfort with games?
In general, what are your feelings now about climate change after the activity?
How much did the activity affect your feelings on climate change?
Can you clarify your feelings about the impact what you looked at had or didn't have? What worked well for you, or didn't work at all for you?
Your answer
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