Consent Form

Dear Participant,

I am asking you to participate in a study regarding your thoughts, feelings and experiences during the Covid-19 pandemic. If you agree to participate, you will be asked to complete a survey that should take no more than 30 minutes to complete. All questions are for research purposes and will be on the topic of study.


The purpose of this study is to investigate the impact of the Covid-19 pandemic on the well-being of college students. The data obtained from this survey will be used for research purposes only, and your responses and behaviors should in no way negatively impact your life.


The survey is expected to last for 15-30 min, and is 100% online, which means that you can move through it at your own pace at a time that is convenient for you.


Your participation in this study is voluntary and confidential. No identifying information will be collected from you at any time during the survey. If you wish to receive credit for a course and/or be entered into a raffle to win an Amazon gift card, you will be provided with an email address at the end of the survey; however, the email address you use can not be linked to your survey responses. If you win, the gift card will be sent to you via email. If at any time you feel a lack of confidentiality, you can withdraw from this study.

While there are no foreseeable risks in this study that go beyond what you may face in everyday life, a few of the questions will pertain to prejudice or discrimination that you may have anticipated, experienced or witnessed during the Covid-19 pandemic. Recalling and writing about these events may cause some psychological discomfort. If you feel uncomfortable during this, or any other, section of the study, please be aware that you are free to skip any question(s) that you do not want to answer, and you are free to withdraw your participation from this study at any time without penalty.


Your participation in this study will contribute to research on how to improve the well-being of college students during and after the Covid-19 pandemic. You may also receive extra credit in one or more of your classes (this is at the discretion of the course instructor). Finally, all participants will be given the opportunity to win one of four $50 Amazon gift cards or one of two $100 Amazon gift cards. The drawing for these prizes will take place at two points during data collection; once in February 2021, and once in June 2021. More details about the raffle can be found at the end of the survey.

If you have any questions or concerns about your rights or well-being as a research participant, you may contact, anonymously if you wish, the principal investigator, Dr. Sarah Nosek at, or the Institutional Review Board at St. Michael’s College which has granted approval for this study. You can contact the chair of the Institutional Review Board, Dr. David Boynton at or the administrative assistant of IRB, Diana Hoppe can be reached at

Question Title

* 1. I have read the above information about this study and understand what it entails. I agree to participate, and understand that I will do so voluntarily and that I have the right to withdraw at any time. I certify that I am at least eighteen years of age and currently attending college at the undergraduate OR graduate level.

10% of survey complete.