Clinical Practices Survey

* 1. Annonymous Survey Consent Form

You are invited to complete an anonymous online questionnaire 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 25 minute 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 email (Brandie.Kretzschmar@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 01-10-24-1038396.  

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.