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Informed Consent Form

I. I agree to participate in a research study being conducted by Nathan Moon, M.A., Doctoral Candidate in Clinical Psychology at Pepperdine University in Los Angeles, California to fulfill dissertation requirements, under the supervision of Dr. Thema Bryant-Davis, Associate Professor of Psychology.

II. I understand that participation in this study is completely voluntary and that there will be no negative consequences if I choose not to participate. In addition, I understand I may choose to stop participating in the study at any time, for any reason, and there will be no adverse consequences to me.

III. I understand the purpose and nature of the research study is to explore the differences between the experience of the partners of Army Reservist/National Guard soldiers and active duty soldiers in regards to military deployment and the impact on their romantic relationships.

IV. My participation in this study will consist of completing one questionnaire that will ask about the following areas: demographic information (age, occupation, education, marital status, etc.); general partner deployment information; family contact during deployment; and relational dynamics.

V. I understand that participation in this study will be confidential. I will not be asked to divulge any personally identifying information on any of the research forms or questionnaire. Any findings from this study that are published in professional journals or shared with other researchers will only involve group data with no personally identifying information included.

VI. My participation in this study will take approximately 15 to 20 minutes. I understand that the materials are written in English. I understand that I will be given an opportunity to enter a drawing for one of two $50.00 gift certificates. If I choose to enter the drawing, I understand I will be asked to provide an email address, mailing address and preference of one of five national retailers I would like the gift certificate for. I understand that if I choose to participate in the raffle, my contact information will be stored separately from my questionnaire responses and will be destroyed as soon as the two prizes have been awarded. Following the data collection period, the drawing will be conducted and I will be notified if I win via the contact information I provide. Winners will receive the gift certificate via mail. I understand that following the completion of the study, results will be available and provided to all participants who endorse a desire to receive a summary of the results and submit an email address.
VII. I understand that there is no direct benefit to me for my participation in this research, apart from the chance to win a $50.00 gift certificate. However, I may feel a sense of satisfaction from contributing to a research study of military partners. The results of this study may contribute to increased knowledge about the effects of separation on reservist and active Army families. This information may be used to direct further research and allocation of resources to support ways of promoting relationship satisfaction during deployment.

VIII. I understand that participation in this study involves no more than minimal risk. Such risk is similar to what is encountered in daily life or during the completion of routine psychological questionnaires. It is possible that I may experience some emotional discomfort in responding to certain questions about my experience with deployment and relationship challenges. I understand that I am free to not answer any questions that I do not want to answer. I also understand that I may contact Nathan Moon at nathan.moon@pepperdine.edu or the dissertation chair, Dr. Thema Bryant-Davis at thema.s.bryant-davis@pepperdine.edu should I have any concerns that I wish to discuss further. Military support contact information will be provided following the questionnaire, whether or not it is completed, to assist with any distress which may arise.

IX. In the event that I have any questions regarding participation in this research project. I understand that I may contact Dr. Doug Leigh, Chairperson of the Graduate and Professional Schools Institutional Review Board (GPS IRB), Pepperdine University, 6100 Center Drive, Los Angeles, CA 90045, or by telephone at 310-568-2389.

X. I understand the information regarding participation in this research project. All of my questions have been answered to my satisfaction. I have read this informed consent document and I have understood it. I hereby consent to participate in the research described above.

* Informed Consent