Self-Compassion Informed Consent Form

By clicking “I agree” below you are indicating that you are at least 18 years old, have read and understood this consent form and agree to participate in the research group "From Self-Criticism to Self-Compassion" as described.

Question Title

By clicking “I agree” below you are indicating that you are at least 18 years old, have read and understood this consent form and agree to participate in the research group "From Self-Criticism to Self-Compassion" as described.

I agree with the above statement and wish to join the Self-Compassion Intention Program.

Contact Information (all information required-Scroll to end)

Question Title

Contact Information (all information required-Scroll to end)

First Name Participant:

Last Name Participant:

Gender:

Date of Birth (for statistical reasons):

Name of person paying (if different than participant, otherwise enter "Self")

Street Address (where you live)

City/Town

State/Province

Zip Code/Postal Code

Country

Cell Phone (required)

Verify Email Address

Consent For Children (If Applicable)
If you are the parent or legal guardian of a minor under the age of 18 participating in the study, please write their names and ages below as consent for their participation. Children are paid participants.

Question Title

Consent For Children (If Applicable)
If you are the parent or legal guardian of a minor under the age of 18 participating in the study, please write their names and ages below as consent for their participation. Children are paid participants.

First Name Child 1:

Last Name Child 1:

Age Child 1 [MM/YYY]:

First Name Child 2:

Last Name Child 2:

Age Child 2 [MM/YYY]:

Thank you for submitting your Informed Consent form. If the form re-loads blank, your original responses are now saved, so you can click [Done] . Please complete payment process below before closing the window.

Question Title

By clicking “I agree” below you are indicating that you are at least 18 years old, have read and understood this consent form and agree to participate in the research group "From Self-Criticism to Self-Compassion" as described.

Question Title

Contact Information (all information required-Scroll to end)

Question Title

Consent For Children (If Applicable)If you are the parent or legal guardian of a minor under the age of 18 participating in the study, please write their names and ages below as consent for their participation. Children are paid participants.

Consent For Children (If Applicable)
If you are the parent or legal guardian of a minor under the age of 18 participating in the study, please write their names and ages below as consent for their participation. Children are paid participants.