Informed Consent to Participate in Research Study
We are asking you to take part in an anonymous survey. Antioch University Seattle is conducting this dissertation research to study treatment providers' knowledge and experiences related to eating disorders. Eating disorder treatment experience is NOT required. This study will help us learn more about the perspectives of treatment providers, and providers in training, who are currently engaging in clinical work. As an incentive for participation, you may enter for a chance to win one of two $50 Amazon gift cards following the completion of this survey (entry information will not be linked in any way to survey responses). Regardless of whether or not you participate in the gift card drawing, $2 per participant will be donated to the National Eating Disorder Association (NEDA)* for the first 250 participants who complete this survey.

If you agree to take part, you will not be asked to provide any identifying information, nor will you be identified individually in any outcomes or publications associated with this research. Some demographic information including, age, race/ethnicity, State where your practice is located, licensure status and general practice information will be requested. If you agree to the terms in this consent document you will be taken to an online survey that is designed to take approximately 10 minutes to complete.

There are some minimal risks associated with taking this survey due to the potentially upsetting nature of topics related to symptomology and clinical decision making associated with eating disorders. Some items may ask you about your personal and professional experiences and/or perspectives. Unwanted, unpleasant or confusing feelings or thoughts may result, but these risks are not anticipated to exceed what you may normally encounter in a mental health practice/setting during engagement with clients, treatment teams or other healthcare service providers as a normal part of your role as a mental health professional. You are free to refuse to answer any/all questions and to discontinue your participation in this survey at any time by exiting the survey.

Confidentiality: This research is anonymous. No one outside of the research team will know about your participation in this research study and demographic information collected will not include information that could be used to identify you. If you would like to be entered in the drawing to win one of two $50 Amazon Gift Cards, you will be provided an opportunity to enter the drawing at the end of this survey. If you choose to participate in the drawing, you will be directed to a separate website hosted by SurveyMonkey where you will be asked to provide your first name, initials of your last name and an email address where you would like the gift card to be sent should you be selected as the winner of the drawing. Responses to the "Gift Card Drawing" will not be linked in any way to the responses provided in the survey. You may choose not to participate in the gift card drawing survey by selecting the "no" response when prompted. 

Retention of Records: Non-identifying information will be stored using a randomly assigned participant number that will be automatically generated by SurveyMonkey, and will be stored on a secured, encrypted server that is only accessible by the research team. Responses to the "Gift Card" entry, should you choose to participate, will be stored until the end of the data completion period (December 31, 2019) and will be automatically deleted on January 1, 2020, following the random selection and notification of the gift card recipient.

Please see the Survey Monkey Privacy Policy for additional information regarding your privacy rights associated with the use of Survey Monkey technology/software used to complete this survey.
*NEDA is grateful to be receiving donations as part of your participation in this study. Please note NEDA is not formally a part of this research in any aspect; the design, data collection, analysis etc.*
If you have any questions you may contact the primary researcher Jessica Cowan at or the chair of this dissertation research, Chris Heffner, Psy.D., Ph.D. at

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* I have read the informed consent and privacy information provided above, and agree to participate in this research study