I am conducting research on how individuals make decisions. This survey should take about 60 minutes to complete. Your participation is voluntary and you may withdraw at any time without penalty. You may leave any questions that you are uncomfortable with blank. There are no anticipated risks to participating in this survey. Your participation is anonymous and your name will not be associated with your answers. Your responses will be kept completely confidential, to the extent permitted by law.
Although you may not directly benefit from your participation, others may ultimately benefit from the knowledge obtained in this study. The University of Nebraska at Omaha Institutional Review Board has approved this study.
If you have any questions or concerns about this study, please contact the principal investigator,or advisor
Theresa Houlihan, email@example.com, phone (402)-554-2121.
Dr. Lisa Scherer at firstname.lastname@example.org, phone (402)-554-2581.
Should you have questions regarding your rights as a participant in research, please contact the Institutional Review Board Office, UNMC Institutional Review Board, 987830 Nebraska Medical Center, Omaha, NE 68198-7830, Phone (402) 559-6463, email IRBORA@unmc.edu
Note that you must be at least 19 years old or 18 with parental permission to participate in this survey.
I understand the above information, and my questions about participation in this research study have been answered. Furthermore, I understand that the return of a completed survey indicates consent to participate in the study. I accept this as my copy of informed consent, and will print out this completed form if I wish to retain a copy.
You continuance with the study implies that you have read and understood this consent form.