| For CPS Teachers: Survey on Health Topics for Students
For CPS Teachers: Survey on Health Topics for Students

Thanks for your interest in distributing a survey about health topics to your students!

The Museum of Science and Industry (MSI) has received funding from the National Institutes of Health (NIH-SEPA) to develop programs related to youth health. MSI is now partnering with an external research non-profit named New Knowledge Organization Ltd. to get information from youth on what matters to them about health topics.

We are looking for CPS science teachers who teach students in grades 7 to 12 to participate in this survey project. WE ARE SEEKING TEACHERS LIKE YOU, teachers who are interested in having their classes attend MSI health-related programs to help us by distributing a survey about youth health beliefs and practices to your students. We are looking for volunteer teachers to do the following during spring 2014:

  1. Distribute parent consent forms to the students for their parents to provide consent to take the survey;
  2. Collect the completed consent forms;
  3. After allowing two weeks for parents to provide consent, distribute the surveys only to those students who have returned a signed consent form (note: the surveys can be completed online or mailed directly to the evaluators. Some students may return the surveys to you as well.)
  4. After one month, return the signed consent forms and any completed surveys returned to you to MSI.

All surveys can be completed in one sitting in approximately 15 minutes. Students may work on the survey in school during their free time, but not during a regular class period.

All survey responses will be anonymous. No identifying information will be requested from students. Students’ participation is completely voluntary, and they can choose to decline participation or opt out of the study at any time without penalty.

There is no direct compensation for your students’ help with the study. However, results of this research will be used to develop customized programs to support health education in CPS public schools, potentially supporting teachers to explain complex health topics, introduce health careers, and help students be better able to interact with medical professionals and simulation technologies.

If you choose to participate, you will receive an honorarium of $50 as compensation for your help with the study. Your choice to volunteer or not to volunteer in this study will not impact your future opportunities with MSI.

As mentioned above, MSI and NewKnowledge are working together to collect this information. If you have any questions regarding the research or the rights of participants, you may contact the head of MSI’s Evaluation & Research, Aaron Price, Ph.D., at (773) 947-3101, or email at:

To participate in the study as a volunteer teacher, email Kenneth Lo from NewKnowledge at

We look forward to hearing from you!

Thank you,

Kenneth Lo, MUP
SimLab Evaluation Coordinator
New Knowledge Organization Ltd.
349 FifthAve, Suite 311
New York, NY, 10016
direct dial: 646-286-2593
main office: 347-766-3399


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National Institutes of Health Science Education Partnership Award R25 RR026013-01A1