Pre-Registration Survey (select an option below)

This is a research study being conducted by Dr. Alister Martin who is an emergency medicine doctor. We are asking you to participate in a study about voter registration in the emergency room. We are doing this study to understand rates of registration and voter turnout on election day from this registration initiative. If you decide to participate, you will complete a three question survey and the online voter registration process. This will take about 3 minutes. Taking part in the research study is up to you. Deciding not to participate won’t affect the medical care you receive at MGH or any of the Partners hospitals, now or in the future, or any benefits you receive now or in the future.

About 2000 people will take part in this research study.

You will not benefit directly from taking part in this study. There may be a risk of loss of confidentiality. To protect against this, we will keep your answers to the survey questions and the voter registration information safe in a secure cloud platform called REDCap. We will use publicly available voter file data to confirm that you have been successfully registered to vote and your voter participation status on election day 2020.

You do not have to take part in the study to register to vote in the Emergency Department. If you choose to not take part in the survey, you can still register to vote here. Dr. Martin is the person in charge of this research study. You can call him at 6177265274 M-F 10am-4pm. The phone will be answered by an assistant who will page him for you. If you’d like to speak to someone not involved in this research about your rights as a research subject, or any concerns or complaints you may have about the research, contact the Partners Human Research Committee at 8572821900.

Thank you for your time.

Sincerely,

Dr. Alister Martin MD MPP – Faculty – Center for Social Justice and Health Equity Harvard Medical School

Please select one:

I want to take part in the study and then register to vote.

I do not want to take part in the study, but only register to vote.