Recovery and Smoking Survey |
Informed Consent
| 1 / 3 | 33% |
The researcher requests your consent for participation in a study about behavioral health and smoking.
This questionnaire will remain anonymous unless you enter our drawing for $25. 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 two years. 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 researchers at Corinna@poetryforpersonalpower.com
Thank you in advance for your participation! -Corinna
This questionnaire will remain anonymous unless you enter our drawing for $25. 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 two years. 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 researchers at Corinna@poetryforpersonalpower.com
Thank you in advance for your participation! -Corinna