Parent Informed Consent

Dear Parents,

My name is Dr. Shoshana Dayanim. Dr. Kelly Schmitt and I are Developmental Psychologists conducting an online research study including children between the ages of 8-14 years from across the nation in order to better represent the views of preadolescents from all areas of the United States.

The purpose of the study is to find out if there is a connection between children’s television/video viewing habits and their beliefs about people of various races, ethnic groups, cultures, and religions. There are no right or wrong answers and children can give neutral answers or check ‘I don’t know.’  They may also quit at any time without penalty.

Because we are interested in children’s TV watching, it is important to tell you that this study is not connected with any company or organization affiliated with the production of TV programs or the manufacturing or distribution of TVs and related devices.  
You may view the survey before you agree to have your child participate.  If you wish to do this, please continue clicking forward but please do not respond to the items as these are for your child to complete.

We appreciate your cooperation and participation in this study. If after you read the following consent form, you decide to allow your child to be a participant in this study, please forward the survey link to your child.  The study will conclude on April 1st, 2021.

 This study has been approved as meeting ethical standards by the Keiser University Institutional Review Board (IRB).  If you would like more information or have questions concerning IRB approval, you may contact:  the IRB at .

Thank You.

Consent Form

1.    Identities of Researchers: My name is Dr. Shoshana Dayanim. I am a Developmental Psychologist, licensed counselor and faculty member at Keiser University in Florida. This study is being conducted with my colleague, Dr. Kelly Schmitt who is also a Developmental Psychologist and faculty member at Keiser University.

2.    Study’s Purpose: You are being asked to allow your child to participate in a research study. The purpose of this study is to gain understanding about how television effects the beliefs of children between the ages of 8-14-years, specifically their beliefs concerning various races, ethnicities, cultures, and religions.

3.    Procedures: You understand that the following will occur in this study:

a.    You, as the parent or guardian of a child between 8-14 years, will forward the study’s survey link to your child or open the survey link for your child to participate. Passing the information to your child will serve as agreement that you say it is O.K for your child to participate.

b.    Each child will go to the website, log-in and complete the survey, which should take approximately 20 minutes to complete.

c.    The survey includes questions about your child’s television/video viewing habits, information, and beliefs concerning various ethnicities, races, cultures and religions.

4. Right to withdraw: I understand that participation in this study is voluntary and my child may stop the study at any time without penalty.

5.    In Case of Questions or Inquiry: I understand that if I have any questions regarding my child’s participation in this study, I should contact the researcher, Dr. Shoshana Dayanim at or (754) 216-5059.

Summary of Consent:

I have carefully read this permission form.

I agree that by forwarding the survey information to my child, I agree to his/her participation in the study.

I give permission voluntarily.

If you do agree to all of the above, please have your child continue. 

Thank you!