Research Study Consent Form

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* 1. The contents of my informed consent form can be found here: https://qrsinformedconsent.carrd.co/

I have read and understood the informed consent form.

Yes

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* 2. I, _____________________, (please enter your first and last name or a pseudonym) have read and understood the details provided about this study. I consent to participate, understanding that I may withdraw at any time without penalty.

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* 3. Please enter your Tumblr username so I can contact you for future details!

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* 4. I consent to having my chat transcripts being stored for this study:

Yes

No

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* 5. Signature (please enter your first and last name or a pseudonym)

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* 6. Date

Please enter today's date.

Date