Exploring the complex mental health and program access needs of Deaf and hard of hearing Manitobans 

TO SEE QUESTIONS IN ASL, CLICK ON ASL video

If you want to watch it in a bigger view, click on the box (bottom right).

If you want to watch again, hit Replay (box bottom left). 

After watching ASL, click OK.

Enter answers in the survey.

Then click, NEXT.

Remember, if want to skip or not answer a question, you can.

Important: Must be age 18 and over  to participate.

Must hit DONE at end.

 

   

You can print this screen to keep a copy of the consent form.

 

 
Principal Researcher: Dr. Tracey Bone, University of Manitoba, Faculty of Social Work, Email: Tracey.bone@umanitoba.ca

If you have any questions about this study, please contact Tracey Bone Tracey.bone@umanitoba.ca or 204-227-2372 (telephone or text)

This consent form is only part of the process of informed consent. It should give you the basic idea of what the research is about and what your participation will involve. If you would like more detail about something mentioned here, or information not included here, you should feel free to ask. Please take the time to read this carefully and to understand any accompanying information.

Introduction
You are invited to participate in this survey to help Tracey, and the research team from MANITOBA POSSIBLE (was Society for Manitobans with Disabilities – SMD Inc.) understand about the experiences Deaf and hard of hearing Manitobans have when trying to access mental health supports in the community.

Team from Manitoba Possible - Who?

Sherry Clark

Jenna-Lee Irwin

Jaylene Irwin

Bill Muloin and

Karamat Kelani (Research Assistant University of Manitoba)

Tracey Bone is a social worker and professor at the University of Manitoba, and has an older brother who is Deaf. She has worked with members of the Deaf community for many years.

The survey has 20 short questions, some about you and some about your experiences. We are interested in your experiences, both good and bad.

Your participation is voluntary – you decide to participate or not. Please review all the details below or watch the ASL video to help explain about the study before deciding.

It is important that you understand all points before participating.