INFORMED CONSENT FORM
This research is being conducted to better understand the struggles that women face with regards to eating attitudes, behaviors, body image, and appearance. If you agree to participate, you will be asked to complete surveys that cover questions related to these topics. The surveys should take no longer than one hour to complete.
The foreseeable risks or discomforts include the potential to cause you to experience emotional discomfort or emotional distress when completing the surveys. You do not have to answer any questions that you do not want to. If any questions or concerns do arise for you, you are encouraged to email Dr. Talleyrand at firstname.lastname@example.org. Participants can also contact the Counseling and Psychological Services office at George Mason University at (703) 993-2380.
There are no direct benefits to you for participating. Your participation may help further research in the struggles with eating attitudes, behaviors, body image, and appearance among women between the ages of 18 and 25. We hope that in the future, other people might benefit from this study through improved understanding of how these struggles affect women.
The data in this study will be confidential. No data will be obtained electronically. Our surveys are confidential and therefore, names and other identifiers will not be placed on surveys or other research data.
Participants must be at least 18 years old to participate in this research. Your participation is voluntary, and you may withdraw from the study at any time and for any reason. If you decide not to participate or if you withdraw from the study, there is no penalty or loss of benefits to which you are otherwise entitled. There are no costs to you or any other party.
A raffle will take place after all of the data is collected. The two participants that win the raffle will each receive a $50 gift certificate to Amazon.
This research is being conducted by Dr. Regine Talleyrand in the Counseling and Development department at George Mason University. She may be reached at (703) 993-4419 for questions or to report a research-related problem. You may contact the George Mason University Office of Research Subject Protections at (703) 993-4121 if you have questions or comments regarding your rights as a participant in the research.
This research has been reviewed according to George Mason University procedures governing your participation in this research.
I have read this form and agree to participate in this study.