Has Your Household Been Selected?
This form is for Guam residents to verify if their household has been randomly pre-selected for the Household Income & Expenditures Survey. Please fill out the information below, and our HIES representative will reach out to you regarding your household's status. If your household has been selected, your participation is voluntary although very highly encouraged to ensure that the cost of living in Guam is accurately represented throughout Guam's population. If your household has not been selected, you may opt in as a potential alternate to assist this important effort. Participants who complete the survey in its entirety will receive gas and/or grocery gift cards as incentive.Any questions or concerns can be emailed to uoghies@triton.uog.edu.
Full Name
*
First Name
Last Name
Email
*
Example: guamman@gmail.com
Phone Number
*
Example: (671) 789-5432
Home Address
*
Street Address
Street Address Line 2
Village
State
Zip Code
If your household is not on the list of randomly pre-selected addresses for the survey, would you like to opt in as an alternate? To find out what participating in the survey will involve, go to url.uog.edu/hies.
*
Yes, I would like to opt in as an alternate.
No, I would not like to opt in as an alternate.
This research study is approved by the University of Guam Institutional Review Board under CHRS# IRB-22-61 as meeting the applicable ethical and legal standards for protecting the rights and welfare of the human subjects.
Submit
Should be Empty: