RCI :: Questionnaire

Researcher/Administrator Inquiry Form

Thank you for your interest in using the RCI. Your responses to the following items will assist us in determining the appropriateness of the instrument for your needs.

1. Is the proposed project a research study or program assessment?

Research Study
Program Assessment

2. What are the research questions or program outcomes you are exploring?

3. What is the research or program assessment design, including population description and sample size?

4. What, if any, additional measures are you using for the study or assessment?

5. What is the desired time frame for administering the RCI?

6. Your name

7. Your institution or organization

8. Your email

9. Your phone

10. Any additional information you think is relevant to your study or questions you have:

By checking the box below, I acknowledge the following:

I will be charged a $35 setup fee if I choose to use the RCI, along with a $2 per participant fee (or a reduced rate of $1 per participant for graduate students).

I understand that I will receive a single report at the conclusion of my RCI administration and that payment is due at the time I receive this report.

The RCI is a copyrighted instrument and I only have access to using it for the purposes of the project described above. I will not reproduce the dilemmas or associated viewpoint statements in any manner.

I will not share the credentials for accessing the RCI other than for the purposes of this project.

The minimum sample size is 30 participants. Data for smaller groups will not be analyzed.

My project will be approved by the appropriate Institutional Review Board for the Protection of Human Subjects, as applicable.

Required demographic data are collected on all RCI participants (education level, birth date, gender, race/ethnicity, citizenship)

I agree to contribute the data resulting from this project to the overall RCI database which is being used to develop normative comparison data and RCI psychometric properties

I agree to send copies of any articles or reports which are published using RCI data to the RCI administrator.

I agree to the conditions described above.

Please allow one month prior to the anticipated start of your administration to accommodate questions and set-up time.