Informed Consent

Before agreeing to participate in this research study, please read the following description of the purpose, benefits, and risks of this study. You will be asked to consent to participation at the bottom of this page.

PURPOSE: The purpose of this study is to examine the potential impact of natural and manmade disasters on psychological wellbeing. This survey has been approved by the Bendictine University Istitutional Review Board.

SURVEY: This is a five page, 25 question survey, and should take 10 to 15 minutes to complete.

BENEFITS: There is no monetary compensation for participation in this study, but the results of this study may help quantify and identify the impact of disasters on the mental and emotional wellbeing of the community members.

RISKS: There are no physical risks of participation, however, there are some questions that may have some emotional impact on participants as they answer. There are mental health resources widely available online.

CONFIDENTIALITY: All information will be kept entirely confidential by the research team. No contact information or easily identifiable data will be collected. A large sample (1000 responses) will be collected before data analysis occurs so that identification of individuals would be improbable. Data analysis and reporting will be done in the aggregate and not by individual responses.

VOLUNTARY PARTICIPATION: Your participation is entirely voluntary. You may stop the questionnaire at any time. There is no penalty for not participating or withdrawing from the study.

MINOR: You must be at least 18 years old to participate in this study. If not, please select the appropriate response below.

Please complete this survey one time only. 

Questions or concerns may be directed to the PI Dr. W. Susan Cheng ( or the IRB chair Alandra Devall (

Thank you for your participation!

* 1. By selecting "I agree to participate in this study," you are acknowledging that you have reviewed and understood the above information regarding the purpose, benefits, and risks, and voluntary participatory nature of this study, and that you consent to participate in this study.

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