1. Consent Form

This consent form is part of an informed consent process for a research study and it will give you information that will help you decide whether you want to volunteer for this research study. The information provided below will help you to understand what the study is about and what will happen during the course of the study.

If you have any questions at any time during the research study, please contact the principal researcher or the researcher’s advisor as indicated below.

It you decide to take part in this research study on this secure website, you will be asked to indicate that you agree by selecting the "Yes” button after reading this consent form. You will not be giving up any legal rights by volunteering for this research study or by agreeing to this consent form.

WHY IS THIS STUDY BEING DONE?

Sexual victimization is a major problem that impacts millions of people each year. There is very little research that exists examining sexual victimization among deaf individuals. Research is needed for deaf and hard of hearing individuals.

This survey will ask sensitive and personal questions. The survey asks questions about sexual experiences that you did not want. It does not matter if hearing or deaf people caused these unwanted sexual experiences.

WHO MAY TAKE PART IN THIS STUDY? AND, WHO MAY NOT?

If you are a deaf or hard of hearing woman who has had an unwanted sexual experience, you are invited to participate in this survey. If you are uncomfortable answering questions about your sexual victimization experiences, or feel that these questions will be upsetting to you, you should not participate in this survey.

WHAT WILL YOU BE ASKED TO DO IF YOU PARTICIPATE IN THIS RESEARCH STUDY?

Before answering the questions on the survey, you must first indicate that you agree to participate by selecting the “I agree” button on the bottom of this consent form. You will then be directed to the survey questionnaire where you will answer all of the questions honestly. You will click on the number or choice that is your answer. If there is no choice that fits what you want, then type in your response if there is an “Other” option. All of your responses are completely anonymous. You should clearly understand that the survey will ask you to recall past sexual victimization experiences. If you believe doing this survey will be too upsetting, you should not participate in this research.

The survey takes approximately 20 - 30 minutes to complete. You will occasionally find words underlined and the definition will be provided for you.

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