Thank-you for taking part in our Survey!

*Survey Consent for Collection, Storage and Use of Participant Information.


You are invited to participate in this survey because we would like to know which mental health topics that you feel would support you best in keeping your child or teen mentally strong. The results will be collected anonymously and all results will be de-identified (data that can be used to identify you will be stored separately from your responses and your name will be replaced with a study code), and participation is voluntary. It will take 1-2 minute of your time to complete the survey. The survey will be closed February 28th, 2019 at 12:00am PST.

As participants of the Provincial Health Services Authority (PHSA), you are invited to participate in this survey to be administered by BC Children's Kelty Mental Health Resource Centre.

Your personal information is subject to protections under the BC Freedom of Information and Protection of Privacy Act (FIPPA). The collection of your individually identifiable information is authorized by section 26(e) of FIPPA. The identifiable information collected through the survey will only be used for the purposes listed on this form. To participate in this study as a survey respondent, you are being asked to provide the following information for use by PHSA:

  • Personal views/opinions as expressed in the survey. These views and opinions are considered personal information. 
  • Your email address 
  • Profession
  • Geographic location 
We do not intend to identify you. For open ended responses, we encourage you not to provide any information that might identify you or another individual. In reporting the results of the survey we will not include any individually identifiable responses.

Access to your information is limited to the survey administrator and the technical support team at Checkbox. The survey administrator will maintain the survey, and analyze the results. You will not be identified in any reports, presentations, or publications that describe these results. You will not be provided with survey results.

As a participant in this survey, the information you choose to provide will be stored in the PHSA’s BC Children’s Hospital Secured Network electronically for 3 years. Participation in the survey is voluntary. There will be no consequences to you if you choose not to participate. This survey uses de-identified anonymized data and individual responses will not be linked back to you. You do not have to answer any question that you do not want to.

Questions about your information and this survey may be directed to the Principal Investigator, toll-free 1-800-665-1822 or email keltycentre@cw.bc.ca . Because this survey collects responses anonymously and cannot link them back to you, it will not be possible to withdraw your consent after you participate.

*Consent
I have read and understand the consent for collection, storage and use of participant information. I voluntarily consent to PHSA collecting, using and disclosing the information I provide as a participant in this survey. Your consent is implied through completion of this survey.