Epilepsy Survey

Thank you for your interest in participating in the current study for individuals who have epilepsy. My name is Shandy Hether, and I am a graduate student in Towson University's Clinical Psychology program. I am conducting research to determine the relationship of factors involved in the psychological management of seizure activity and quality of life. If you choose to participate in this study, you will be asked to complete the following survey, which should take approximately 30-40 minutes to complete. Your responses to this survey will be completely anonymous and confidential.

At the end of the study, you will be provided with a link titled "Giveaway" that will allow you to enter to win a drawing for a $25.00 visa gift card. Your responses to this survey will not be associated with the information you provide on the "Giveaway" link. At the conclusion of the study four participants will be chosen at random to receive a gift card which will be mailed to the participant.

There are no anticipated risks associated with your participation, and your participation is completely voluntary. You are not obligated to respond to any questions that your are uncomfortable answering and may withdraw from the study at any time without penalty. Discontinuation of this study can be accomplished by clicking, "Exit this Survey" in the upper-right hand corner of the screen at any time.

The completion of this survey signifies your voluntary consent to participate in this research and that you are at least 18 years of age. The Towson University Institutional Review Board has approved this study. If you have any questions regarding this research or its purposes, please contact Shandy Hether at shethe1@students.towson.edu. You may also contact my faculty advisor, Dr. Paz Galupo, at pgalupo@towson.edu. If you have any questions pertaining to your rights as a participant, please contact Dr. Debi Gartland, Chairperson of the Institutional Review Board for the Protection of Human Participants, at (410)704-2236.

* I have read the Informed Consent, agree to participate in this study and certify that I am at least 18 years of age.

 
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