Welcome to My Survey
Please read below carefully before consenting.

The study: I am invited to take part in a study, “Detecting Authenticity in Dating Partners” The study is being conducted by Alexandra Marie Lomuto, who is the principal investigator, and by Professor Lawrence Josephs, co-investigator. Alexandra Marie Lomuto may be reached at (631) 742-0968 or at alexandralomuto@mail.adelphi.edu Co-investigator, Dr. Lawrence Josephs, can be reached at (516) 877-4814 or at josephs@adelphi.edu. 

Purpose: The study is designed to see if a person in a dating relationship can judge when their dating partner is being authentic and inauthentic and how that affects their authenticity.

Procedures: If I agree to participate in this study, I will be asked to do the following: fill out a questionnaire about my demographic information, of my own relationship, and my own personality.

Benefits: I will receive no direct benefits from participation in this study.
Risks: There are minimal risks associated with this study. The questionnaires ask personal questions about my feelings and relationships, which may be uncomfortable for me. I will be able to ask questions, before or after the study, by emailing the investigator and co-investigator at alexandralomuto@mail.adelphi.edu and josephs@adelphi.edu.  If any unpleasant psychological events occur, the investigators will be able to provide participants with information as to sources of mental health assistance.

Confidentiality: The data for this study is collected via an online service called Survey Monkey, and is therefore electronic. All electronic records will be erased after 7 years. None of my professors will be able to access my responses, and the content of my responses will not influence my academic evaluation in any way. My information will be strictly confidential. The Survey Monkey default settings will be set so as to not collect IP addresses. There is, however, a limit to the confidentiality that can be guaranteed due to the nature of online data collection. As with any information collected online, no guarantees can be made regarding the interception of data sent via the Internet by any third parties. Moreover, the information obtained during this research (research records) will be kept confidential to the extent permitted by law.  However, this research record may be reviewed by government agencies (such as the Department of Health and Human Services), the agency sponsoring this research, individuals who are authorized to monitor or audit the research, or the Institutional Review Board (the committee that oversees all research in human subjects at Adelphi University) if required by applicable laws or regulations.

Consent: Participation in this study is voluntary. Non-participation or withdrawal will not affect my grade or academic standing. I may withdraw from the study at any point during my participation.

Estimated time commitment: 30 minutes.

The investigator and the above have informed me about this study and answered my current questions to my satisfaction. Therefore, I agree to participate in this study. If I have any additional questions I may contact the principal investigator, Alexandra Marie Lomuto or co-investigator, Dr. Lawrence Josephs. I may print a copy of this consent document to keep.
This research has been reviewed and approved by the Adelphi University Institutional Review Board. If you have any questions, concerns or comments, please contact the IRB chair, Dr. Carolyn Springer, 516-877-4753; springer@adelphi.edu.

Question Title

* 1. Do you consent to participate in this survey?