Please read this consent form carefully
This consent form contains important information to help you decide whether to participate in this survey
After reading the information in this consent form you should know:
Why this research survey is being done
What will happen during the survey
The possible risks to you
Resources available to you in the event you become uncomfortable during the survey
How your personal information will be treated during, and after the survey
What to do if you have problems or questions about this survey
Online Consent Form
You are invited to take part in a research survey about the loss of a blood related or fictive kin sibling to violent crime. The purpose of the survey is to investigate how the death of a blood related or fictive kin sibling to violence affects the mental, emotional, physical, and financial health of the surviving sibling.
Your participation will require approximately 20-30 minutes and is completed online at your computer. While there are no known risks or discomforts associated with this survey, due to the sensitive subject matter, and your relationship to the deceased person, this survey involves questions that may surface memories that can potentially cause emotional pain. In the event you become emotionally distraught while taking the survey, stop taking the survey, and contact, Behavioral Health Response (BHR) at 1-800-811-4760 for 24-hour access to a clinician, or your personal therapist or counselor to speak with someone immediately.
Taking part in this study is completely voluntary. If you choose to be in the study you can withdraw at any time without consequence. Your responses will be kept strictly confidential, and digital data will be stored in secure computer files. Any report of this research that is made available to the public will not include your name or any other individual information by which you could be identified. If you have questions or want a copy or summary of this study’s results, you can contact the researcher, Cheeraz Gormon at firstname.lastname@example.org. If you have any questions about whether you have been treated in an illegal or unethical way, contact St. Louis Community College, Human Subject Research Board, https://www.stlcc.edu./About/Institutional_Research_and_Planning/HSRB.html Please feel free to print a copy of this consent page to keep for your records.