I. Purpose of this Research Project
The purpose of this proposed research is to measure the impact of COVID-19 on wellbeing for the general US population. Exploring these factors will provide useful information for improving remediation efforts and society.
II. Procedures
This study uses an online survey design. Data will be collected using a 10-item, multi-part web-based survey. It takes approximately 2-3 minutes, on average, to complete the survey. Responses will be stored in a password-protected, secured server.
III. Risks
The risks of harm anticipated in this proposed research are minimal. They are not greater than those encountered in daily life. Risks are minimized by restricting access to data files using double-authentication tools and password-protected computer drives.
IV. Benefits
Possible benefits of this study include providing useful information that can improve social practices and policies. Moreover, the results of this study will contribute to the research literature.
V. Confidentiality
Confidentiality of each participant will be carefully preserved. To ensure confidentiality, no personally identifiable information will be collected or stored. Only the PI will have access to the data files and any research notes. Any information obtained from this study will be used for reporting purposes in aggregate or group form only. No reference will be made in oral or written reports that could link individual respondents to the survey.
VI. Compensation
There is no compensation for participation in this study.

VII. Participation
Your participation in this study is voluntary; you may decline to participate without penalty. If you decide to participate, you may withdraw from the study at any time without penalty and without loss of benefits to which you are otherwise allowed. If you withdraw from the study before data collection is completed, your data will be returned to you or destroyed.
VIII. Participant Rights
You may refuse to participate in this study without penalty or loss of benefits to which you are otherwise allowed. If you are a student or employee at Walden University, your decision will not affect your grades or employment status.
If you choose to participate in the study, you may discontinue participation at any time without penalty or loss of benefits. By offering consent, you do not give up any personal legal rights you may have as a participant in this study.
The Institutional Review Board responsible for human subjects research at Walden University reviewed this research project and found it to be acceptable, according to applicable state and federal regulations and University policies designed to protect the rights and welfare of participants in research. [IRB Protocol Number 06-10-20-8905279, Expires 06/09/21]
IX. Contacts and Questions
For questions, concerns, or complaints about the study, of if you feel you have been harmed as a result of study participation, you may contact Dr. Terrell Strayhorn at
For questions about your rights as a participant in this study or to discuss other study-related concerns or complaints with someone who is not part of the research team, you may contact the Research Participant Advocate at Walden University at 612-312-1210 or
X. Participant’s Permission
I voluntarily agree to participate in this study. (Please print or save a copy of this form for your records)

Question Title

* 1. Do you agree to participate voluntarily?