Pharmacists Medical Marijuana Survey

* INFORMED CONSENT

You are invited to participate in a research study which will involve how and to what degree health care professionals interact with patients who use medical marijuana.  My name is Dara Szyliowicz, and I am an Associate Professor at the University of the Pacific, Eberhardt School of Business.   The other members of the research team are Professor Peter Hilsenrath, Long Chair of Health Care Management and Brandon Le, Pharmacy and MBA candidate.  You were selected as a possible participant in this study because of your work as a health care professional.

The purpose of this research is to understand how health care professionals interact with patients, if at all, regarding the legal use of medical marijuana. Additionally, we are interested in the extent and sources of knowledge that health care professionals have about medical marijuana and its products.  If you decide to participate, you will be asked to fill out the survey which is linked below.  It should take no more than ten minutes to complete.

You will benefit from this research by receiving a copy of the results which will provide information about the ways in which health care professionals  deal with the many complexities in the medical marijuana field.  

If you have any questions about the research at any time, please call me at  209-946-7633 or Peter Hilsenrath at 209-946-2642.  If you have any questions about your rights as a participant in a research project please call the Research & Graduate Studies Office, University of the Pacific (209) 946-7716. 

Any information that is obtained in connection with this study and that can be identified with you will remain confidential and will be disclosed only with your permission.  To ensure your confidentiality, no one other than the primary researchers will have access to the data which will be maintained in a safe, locked location and destroyed once the data is of no more intellectual use. 

Your participation is entirely voluntary and your decision whether or not to participate will involve no penalty or loss of benefits to which you are otherwise entitled. If you decide to participate, you are free to discontinue participation at any time with out penalty or loss of benefits to which you are otherwise entitled.

By completing and submitting this survey you indicate that you have read and understand the information provided above, that you willingly agree to participate, that you may withdraw your consent at any time and discontinue participation at any time without penalty or loss of benefits to which you are otherwise entitled, that you will receive a copy of this form, and that you are not waiving any legal claims, rights or remedies.

The results of the study will be emailed to you on completion.

You may print this screen in order to retain a copy of your consent for your record.