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You are being asked to participate in a survey about your attitudes, knowledge, skills with regard to the LGBT (lesbian, gay, bisexual, or transgender) community. The study is conducted by Peter Ji at the Institute for Health Research and Policy, University of Illinois at Chicago. We ask that you read this form and ask any questions you may have before agreeing to be in the research.

Your participation in this research is voluntary. Your decision to or not to participate will not affect your current or future relations with the University or Institute for Health Research and Policy. If you decide to participate, you are free to withdraw at any time without affecting that relationship.

What is the purpose of this research?

This research is being done to determine how people develop their attitudes, knowledge, and skills in relation to the LGBT community.

What procedures are involved?

If you agree to be in this research, I will ask you to do the following things:

Complete the questions on this website.

What are the potential risks and discomforts?

You may experience discomfort when answering questions about your attitude, knowledge, and behavior in relation to the LGBT community. To minimize this risk, you have the opportunity of not answering any question you do not feel comfortable asking and you can withdraw from participation at any point during the study.

You may experience risks due to loss of confidentiality. To minimize this risk, no identifying information will be recorded on the survey measures.

Are there benefits to taking part in the research?

There are no direct benefits to participants for their participation in this research. The knowledge gained from this study will help other non-LGBT persons to become allies to the LGBT community. The knowledge from this study will be used to inform the creation of programs to educate or train persons who wish to be allies to the LGBT community. The knowledge from this study will hopefully reduce the social stigma associated with the LGBT community.

What about privacy and confidentiality?

No information about you, or provided by you during the research will be disclosed to others without your written permission, except:
- if necessary to protect your rights or welfare (for example, when the UIC Institutional Review Board monitors the research or consent process); or
- if required by law.

When the results of the research are published or discussed in conferences, no information will be included that would reveal your identity. 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 or as required by law.

Will I be reimbursed for my participation in this research?

There are no reimbursements to the participants.

Can I withdraw or be removed from the study?

You can choose whether to be in this study or not. If you volunteer to be in this study, you may withdraw at any time without consequences of any kind. You may also refuse to answer any questions you don’t want to answer and still remain in the study. The investigator may withdraw you from this research if circumstances arise which warrant doing so.

Who should I contact if I have questions?

The researcher conducting this study is Peter Ji. If you have questions, you may contact the researcher at: 312-413-1940 or at petji@uic.edu.

What are my rights as a research subject?

If you have any questions about your rights as a research subject, you may call the Office for Protection of Research Subjects at 312-996-1711.

You may copy and paste this link: tigger.uic.edu/~petji
to learn more about the investigator and download articles about this study.

You may copy and paste this link: tigger.uic.edu/~petji/LGBTResearch.htm

to learn more about the study and view the Internal Review Board Approva
What are my rights as a research subject?

If you have any questions about your rights as a research subject, you may call the Office for Protection of Research Subjects at 312-996-1711.

What if I am a UIC student?

You may choose not to participate or to stop your participation in this research at any time. Not participating will not affect your class or academic standing at UIC. The investigator may also end your participation in the research. If this happens, your class standing or grades will not be affected. You will not be offered or receive any special consideration if you participate in this research.

What if I am a UIC employee?

Your participation in this research is in no way a part of your university duties, and your refusal to participate will not affect your employment with the university, or the benefits, privileges, or opportunities associated with your employment at UIC. You will not be offered or receive any special consideration if you participate in this research.

Question Title

* 1. I have read (or someone has read to me) the above information. I have been given an opportunity to ask questions and my questions have been answered to my satisfaction. I agree to participate in this research. I will indicate my consent to participate by checking the appropriate selection box below on the survey website. This form can be printed from the survey website. Do you wish to participate in this research?

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