The Effects of Compounded Trauma Exposure on the Emotional Well-being and Retention of Sexual Assault Nurse Examiners

Consent Form

Anonymous Survey Consent Form


You are invited to complete an anonymous survey for a Walden University doctoral study. To provide your informed consent, please review the information below and continue on to the survey if you choose to proceed.

Your role:
  • is completely voluntary and can end at any time you wish
  • is anonymous (your name will not be requested)
  • involves completing a questionnaire
  • involves little or no risk
Privacy:
To protect your privacy, the researcher will not collect, track, or store your identity or contact info. In place of a consent signature, your completion of the questionnaire would indicate that you consent to your responses being analyzed in the study.

Data will be kept secure by using password-protected devices and platforms. Data will be kept for a period of at least 5 years, as required by the university.

Once the doctoral student graduates, the study’s results will be posted online in Scholarworks (a searchable publication of Walden University research).

Contacts and Questions:

Questions about the study can be emailed to the student researcher via Alyssa.Neitzert@Waldenu.edu . If you want to talk privately about your rights as a participant or any negative parts of the study, you can call Walden University’s Research Participant Advocate at 612-312-1210 or email IRB@mail.waldenu.edu. Walden University’s ethics approval number for this study is ___.

You might wish to retain this consent form for your records. You may ask the researcher or Walden University for a copy at any time using the contact info above.
1.By selecting “Yes”, you confirm that you have reviewed and understand the consent information, are at least 18 years old, and agree to participate in this study voluntarily.
Please answer the following two questions to determine your eligibility to participate in this survey.