1. Information and Consent

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The Ohio State University Consent to Participate in Research

Study Title: Religious Orientation and the Reparative Therapy Experience
Researcher: Julie Hupp and Elizabeth Weiss

This is a consent form for research participation. It contains important information about this study and what to expect if you decide to participate.
Your participation is voluntary.
Please consider the information carefully. Feel free to email the researcher if you have questions before making your decision whether or not to participate. If you decide to participate, you will be asked to indicate your consent before accessing the survey. You are free to print or save a copy of this form for your records.

In this study, we are examining ways in which people handle conflicts between their religion and their sexuality. We are interested in how people think about the role of religion in their lives and how they think about questions regarding religion and sexuality.


If you consent to participate in this study, you will be asked to complete a survey containing questions about your attitudes and experiences.


It should take about 30 minutes to complete this survey. It may take more or less time, depending on how much detail you provide regarding some topics.

You may leave the study at any time; simply close your browser window. If you exit your browser before completing the survey, no data will be transmitted. If you decide to stop participating in the study, there will be no penalty to you, and you will not lose any benefits to which you are otherwise entitled. Your decision will not affect your future relationship with The Ohio State University.

Risks and Benefits:

The risks of participation in this study are minimal. Because you will be asked to provide information regarding life experiences with religion and sexuality, you may be uncomfortable with some topics. You are free to leave any item blank if you do not wish to answer.

Benefits of this study include the potential for better therapeutic options for people having difficulty with issues of sexual orientation or religion and a better understanding of how people deal with conflicts among important areas of their lives.


Although every effort to protect confidentiality will be made, no guarantee of internet survey security can be given as, although unlikely, transmissions can be intercepted and IP addresses can be identified. You will be asked to refrain from providing information that may identify you or others in your responses to items on the survey. If you choose to be entered in the raffle, then your email address will be collected and stored separately from your study data.

Efforts will be made to keep your study-related information confidential. However, there may be circumstances where this information must be released. For example, personal information regarding your participation in this study may be disclosed if required by state law. Also, your records may be reviewed by the following groups (as applicable to the research):
• Office for Human Research Protections or other federal, state, or international regulatory agencies;
• The Ohio State University Institutional Review Board or Office of Responsible Research Practices;
• The sponsor, if any, or agency (including the Food and Drug Administration for FDA-regulated research) supporting the study.