Survey on Belonging, Relationships, and Well-being

You are invited to complete an anonymous online questionnaire for a Walden University study. To provide your informed consent, please review the information below and continue on to the survey if you choose to proceed.

· is completely voluntary and can end at any time you wish

· is anonymous (your name will not be requested)

· involves completing a questionnaire

· involves little or no risk

To protect your privacy, the researcher will not collect, track, or store your identity or contact info. In place of a consent signature, your completion of the questionnaire would indicate that you consent to your responses being analyzed in the study. Data will be kept secure by using password-protected devices and platforms. Data will be kept for a period of at least 5 years, as required by the university. The study results will be available online, and can be located via any search engine by the researcher’s name and the study topic.

Questions about the study can be emailed to the researcher via curtis.peterson@mail.waldenu.edu. If you want to talk privately about your rights as a participant or any negative parts of the study, you can call Walden University’s Research Participant Advocate at 612-312-1210 or email IRB@mail.waldenu.edu. Walden University’s ethics approval number for this study is 04-10-26-7383776. You might wish to retain this consent form for your records. You may ask the researcher or Walden University for a copy at any time using the contact info above.