Consent for Participation in the Study

The researcher requests your consent for participation in a study about ___. This consent form asks you to allow the researcher to record and view the interview and to use your comments to enhance understanding of the topic. The form also asks your permission to use related observations, images or posts as data in this study.

This questionnaire asks for your preferences about whether to remain anonymous or to allow the researcher to name you and your [school/organization/business] and to quote you directly. It also asks you to indicate your preferences for use of visual images shared or generated in the interview.


Participation in this study is completely voluntary. If you decide not to participate there will not be any negative consequences. Please be aware that if you decide to participate, you may stop participating at any time and you may decide not to answer any specific question.

The researcher will maintain the confidentiality of the research records or data, and all data will be destroyed in [state time frame.]

By submitting this form you are indicating that you have read the description of the study, are over the age of 18, and that you agree to the terms as described.


If you have any questions, or would like a copy of this consent letter, please contact me at ---.

Thank you in advance for your participation!
[researcher]

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* 1. I agree to participate in the research study. I understand the purpose and nature of this study and I am participating voluntarily. I understand that I can withdraw from the study at any time, without any penalty or consequences.

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* 2. I grant permission for the data generated from this interview to be used in the researcher's publications on this topic. 

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* 3. I grant permission for the interview session to be recorded and saved for purpose of review by the researcher. [If others (such as research assistants, dissertation supervisor) will view the recording then note here.]

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* 5. Any information that is obtained in connection with this study and that can be identified with you will remain confidential and will be disclosed only with your permission. Choose one of the following options:

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* 6. Choose one of the following options:

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* 7. Please note your preference in terms of information in your online profile.

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* 8. Please note your preference in terms of information in your social media pages (groups, memberships, posts, etc.). 

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* 9. For interviews in virtual worlds, games, or social media sites where you have a digital representation, do you give the researcher permission to make note of your avatar's appearance and attire, and the interview setting?

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* 10. Please type your name in the box below to indicate agreement to participate in this study. 

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