Information and Consent

I understand by participating in the Canadian Index of Wellbeing survey in Oxford County, my questionnaire responses are being collected by the Canadian Index of Wellbeing on behalf of Oxford County and Safe and Well Oxford for the purposes of striving to improve the quality of life for all Oxford County residents.

I give permission to the Canadian Index of Wellbeing (CIW) to use my responses for the purpose of compiling a summary report based on the overall survey results and share the summary report with Oxford County, Safe and Well Oxford, and their partners.

Your participation is entirely voluntary and your identity and individual responses will be completely anonymous. There are no known or anticipated risks with your participation in the survey. You are not asked for your name or address at any point during the survey. You may skip questions that you do not wish to answer, but we believe that you will see how important all the information is to understand your perspectives on wellbeing in Oxford County. Only one adult member of your household, 16 years of age or older, should complete the survey.

All the findings will be reported at a level of geography that will not identify individuals (e.g., for the entire County or for individual municipalities). The data gathered will be presented in a report that will summarize the findings of the survey and will be made available to the public through the Oxford County and Safe and Well Oxford websites.

Given the information provided above:

• By agreeing to participate, you are not waiving your legal rights or releasing the investigator(s) or involved institution(s) from their legal and professional responsibilities.
• By filling out and submitting the survey, you hereby give permission for the use, collect, and disposal of your information for the following uses: (1) to help improve the quality of life of Oxford County residents, (2) to develop a report that reflects the needs of residents geographically and to address the gaps, and (3) to be used by the Canadian Index of Wellbeing at the University of Waterloo for research on community wellbeing and future research topics.

This study has been reviewed and received ethics clearance through a University of Waterloo Research Ethics Board (File #: 47414). If you have questions for the Board, contact the Office of Research Ethics at 1-519-888-4567, ext. 36005, or reb@uwaterloo.ca(External link).