You are invited to complete this questionnaire for a study that examines your experiences and feelings in being a primary caregiver to your grandchild. You are eligible to participate in this study if you have a grandchild currently between the ages of 12- to 36-months old for whom you provide primary care for at least 10 hours per week. Primary care refers to providing children with basic needs such as bathing, feeding, soothing, either through babysitting, or if you provide full time care for your grandchild who may live with you.
Participation involves completing a survey about your experiences as a caregiver to your grandchild, your relationship with your grandchild and your grandchild’s development. The survey takes approximately 20 minutes to complete. Please contact me if you would rather have me phone you and complete the questionnaire over the phone or if you would like to fill out a paper questionnaire. You can reach me at the following email address – email@example.com – or by calling (510) 430-2031.
All participants will be entered in a raffle for a $25 Amazon or Target gift card that will be mailed to you at end of the study. One in every 25 participants is a winner! Be sure to fill in information to enter the drawing at the end of the survey.
Your participation is voluntary, confidential, and anonymous. You may choose whether or not you want to participate or continue with the study once you begin. You may discontinue participation at any time. Whatever decision you make, there will be no penalty to you. Your completion and submission of the survey indicates your consent to participate in the study.
Participants who would like to see a summary of the results of this study have the option of providing us with an email or mailing address at the end of the survey. We will forward the general results to you once the study is complete.
If you have any questions or concerns about this research, please contact Sonya Messina
c/o Dr. Carol George Department of Psychology Mills College 5000 MacArthur Blvd. Oakland, CA 94613 Email: firstname.lastname@example.org Phone: 510-430-2031
INFORMED CONSENT “By clicking ‘next,” I hereby give my consent to participate in the “My Experiences as a Grandmother Caregiver” study. I understand that my participation is confidential and anonymous. I understand that I may withdraw from this study at any time.”