Welcome to The National Neighborhood Noise Survey. The purpose of this survey is to gather a better understanding about how and to what extent noise issues in your city impact your well-being and health. This is a research project being conducted by Erica Walker, a doctoral candidate in the department of Environmental Health at Harvard T.H. Chan School of Public Health.
The procedure involves filling out a brief 1-page online survey that will take less than 5 minutes to complete. The questions are divided into three sections:
- Address and Demographic information
- Attitudes toward community and occupational noise
- Health questions
Your participation in this survey is voluntary. You may choose not to participate. If you decide to participate in this survey, you may withdraw at any time. Your information is collected only if you choose to submit your response by clicking the SUBMIT button. Otherwise, no data has been collected. Refusal to participate or discontinuing participation at any time will involve no penalty or loss of benefits you are otherwise entitled to.
You may be assured of complete confidentiality. Your responses are encrypted and will be stored in a password protected electronic format. While there is no direct benefit to participation, the results of this survey will be used in two ways (1) advancing the discussion on how community noise impacts residents’ well-being and health; and (2) in a community noise report card summarizing our findings in your community. This report card will be available for download at www.noiseandthecity.org upon completion of the study. Further, upon the completion of the survey, you may enter a raffle to win one (1) gift card worth $100.00.
The researcher for this study is Erica Walker who can be reached at 617 425 4206 or email email@example.com.
This research has been reviewed by the Committee on the Use of Human Subjects in Research at Harvard T.H. Chan School of Public Health. If:
- Your questions, concerns, or complaints are not being answered by the research team,
- You cannot reach the research team,
- You want to talk to someone besides the research team, or
- You have questions about your rights as a research participant.
You can contact them here:
Harvard T. H Chan School of Public Health | Office of Human Research Administration
90 Smith Street, 3rd Floor | Boston, MA 02120
Main Office Phone Number: 617-432-2157 or 1-866-606-0573 (toll free number for participants)
ELECTRONIC CONSENT: Please select your choice below.
Clicking on the “AGREE” button below indicates that:
- You have read the above information
- You voluntarily agree to participate
- You are at least 18 years of age