Consent Form

Question Title

* You are invited to participate in a web-based online survey on nutritional research and the co-relation between nutrition and quality of life. This is a research project being conducted by Almeda Labs.  It should take approximately 3 minutes to complete.

Your participation in this survey is voluntary. You may refuse to take part in the research or exit the survey at any time without penalty. You are free to decline to answer any particular question you do not wish to answer for any reason.

You will receive no direct benefits from participating in this research study. However, your responses may help us learn more about the relationship between quality of life from a nutrition and wellness perspective. If you indicate an interest on joining our pilot study, you will be contacted via the email id which was provided.


There are no foreseeable risks involved in participating in this study other than those encountered in day-to-day life.

Your survey answers will be sent to a link at where data will be stored in a password protected electronic format. Survey Monkey does not collect identifying information such as your name, email address, or IP address. Therefore, your responses will remain anonymous. No one will be able to identify you or your answers, and no one will know whether or not you participated in the study. The email information provided by the participants who are interested in pilot study will be kept confidential and not shared with anyone.

If you have questions at any time about the study or the procedures, you may contact the research coordinator via email at

ELECTRONIC CONSENT: Please select your choice below. You may print a copy of this consent form for your records. Clicking on the “Agree” button indicates that

·       You have read the above information

·       You voluntarily agree to participate

·       You are 18 years of age or older