I agree to participate in a study
examining my thoughts and attitudes toward sexual behavior and identity, which
is being conducted by James Griffin, a pre-doctoral student in Clinical Psychology
at Fordham University. The general purpose of this study is to determine the
relations between identity and behavior.
As a participant, I understand that:
1) I will be expected to provide answers to a series of online questionnaires which
will take approximately 20 minutes.
2) Completion of the questionnaires is purely voluntary. I am under no
obligation to complete them. I am free to stop participating at any time
3) Some temporary stress or discomfort may be experienced as a result of
providing private, personal views on potentially sensitive topics.
[We have had participants in the past answer questions similar to the ones you
will be responding to without problems, but if any of the items should cause
you concern or distress it is okay for you to not answer the questions or
discontinue answering the question].
4) My contact information (kept separate from my survey answers) will be
entered into a raffle for a chance to win either a $150 prepaid Visa giftcard.
No other external incentive will be provided.
5) My consent on this page does not waive my legal rights of protection.
6) All information is guaranteed to be confidential. Only the principal
investigator and his faculty advisor will have access to my responses. My data
will be used only for the purpose of this study and will remain in a locked
office. [Please be assured that your identity will not be identifiable from
these questionnaires. All responses from all participants will be pooled for
the analysis of the study and reported as group values. Therefore your
responses will remain totally anonymous].
7) I agree that any survey information obtained from this research may be used
for publication or education, provided that I am in no way identified.
8) If I have any questions or problems that arise in connection with my
participation in this study, I should contact James Griffin, the project
investigator at email@example.com, or Dr. David Marcotte (718-817-4060 or firstname.lastname@example.org).
This study has been explained to me and I understand that I am voluntarily
consenting to participate.
THIS PROJECT HAS BEEN REVIEWED AND APPROVED BY THE FORDHAM UNIVERSITY HUMAN
SUBJECTS REVIEW OFFICER. FOR HUMAN SUBJECTS REVIEW QUESTIONS OR ETHICAL CONCERNS
PLEASE CONTACT THE OFFICE OF THE IRB AT email@example.com (PHONE: 212-636-7946). REFERENCE #
am 18 years of age or older and agree to the terms above.