IRB FORM

IRB Forms

IRB Forms

SURVEY COVER LETTER REQUEST FORM

Date

Dear Participant:

My name is Angela Hatcher and I am a graduate student at Central Michigan University. For my final project, I am examining Veterans Affairs Services Utilization by Veterans who participated in Operation Iraqi Freedom and Operation Enduring Freedom. Because you are a Veteran who returned from deployment within 3-6 months, I am inviting you to participate in this research study by completing the attached survey.

The following questionnaire will require approximately 3-5 minutes completing. There is no compensation for responding nor is there any known risk. In order to ensure that all information will remain confidential, please do not include . Copies of the project will be provided to my Central Michigan University instructor and to Kim Gribben, Assistant Director, and Masters of Science in Administration Program. If you choose to participate in this project, please answer all questions as honestly as possible. The completed questionnaires must be returned promptly (this is an online survey). Participation is strictly voluntary and you may refuse to participate at any time.

Thank you for taking the time to assist me in my educational endeavors. The data collected will provide useful information regarding Veterans Utilization of Veterans Affairs Services for Post Traumatic Stress Disorder. If you would like a summary copy of this study please complete and detach the Request for Information Form and return it to me in a separate envelope. Completion and return of the questionnaire will indicate your willingness to participate in this study. If you require additional information or have questions, please contact me at the number listed below.

Please note that if you are not satisfied with the manner in which this study is being conducted, you may report (anonymously if you so choose) any complaints to the MSA Program by calling 989-774-6525 or addressing a letter to the MSA Program, Rowe 222, Central Michigan University, Mt. Pleasant, MI 48859.

Sincerely,

Angela Hatcher

404 759 1970 or abhat13@hotmail.com

Dr Gordon Elwell

678 80 3461 or elwel1gr@cmich.edu

Detach here

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(This request for information form is an optional part of the cover letter and is not required for RRA approval.)

Request for Information

Please send a copy of the study results to the address listed below.

Name:

Address:

Please do not return this form with your survey. Return to: Angela Hatcher (abhat3@hotmail.com)

QUESTIONNAIRE

Post Traumatic Stress Disorder (PTSD) Test

Veterans returning from wars might suffer from Post Traumatic Stress Disorder (PTSD); following is the test for PTSD. If you suspect that you are suffering from PTSD, then complete the questions listed below by clicking “yes” or “no”.

Do you have distressing images or thoughts about the events of war that comes into your mind when you don't want them to?

? Yes

? No

Do you have bad dreams or night mares about the events of war in which you are always centered on being killed?

? Yes

? No

Do you feel like that you are living in the war, as if all is happening again?

? Yes

? No

Do you feel emotionally disturbed like feeling scared, sadistic, angry, guilty ...