This page is to help you know what our project is about and why we need your input. Please read this consent document carefully before you decide to participate in this study. You must be 18-years-old to participate.

Protocol Title: A Survey of Female Response to Postpartum Sexual Interaction

This is a completely voluntary and anonymous survey and questionnaire. Please take the time to consider if you would like to help with the research we are doing. At the end of this consent form you will be asked to agree or disagree to giving your consent to take this survey. Your consent to participate in the survey will be time-stamped and recorded along with your responses. The purpose of the survey and questionnaire for this research study is to investigate depression after your baby’s birth and how women respond to sexual interaction they may experience in the 12-month postpartum period, after you have had your baby. The answers to the survey and questionnaire will be used in two ways. It will be used to educate doctors, nurses and health care professionals regarding what women experience sexually in the 12 month period postpartum or after you have had your baby. Also, it will be used as information in a paper for candidacy as a doctorate in philosophy. If you choose to participate, it is entirely voluntary and you will voluntarily complete an information questionnaire about things like your age and a brief survey about what happened to you. The time required to complete this survey is approximately 30 minutes. The possible risk to you could be thoughts, feelings, or emotional upset based on your interactive memory of those events during the 12 months postpartum that you experienced. If you do experience any thoughts, feelings of emotions that are upsetting to you, this researcher believes that you should seek counseling from a trained and experienced therapist. This is another risk that you may incur in the form of monetary investment in seeing a therapist to resolve any issues arising from your participation. You may experience relief because of participating in the study. Experiencing relief could be a benefit and it might open communication between you and others that might be a benefit; however, there are no other known direct benefits from participation in this study. We do not guarantee that you will have risks or benefits of any kind. Compensation, monetary or otherwise, will not be provided nor payments to you or others should you decide to seek help from a therapist as a result of your participation. Your identity and all information provided by you will remain completely anonymous. Your participation in this study is completely voluntary and there is no penalty for not participating. No one will know you participated unless you tell them you have done so. You have the right to withdraw from the study, or stop participating at anytime without any consequence from the researchers. As an alternative, you may just choose not to participate.

The researchers may stop the study at any time or remove people from the study for any reason they think is needed. An example might be that the study is no longer needed, or some answers given are not about sexual interaction after childbirth. You and others who participate have no control or input into decisions to stop, limit, or remove those who answer the survey. No individual information obtained from the survey will ever be made public. Your responses will be stored electronically on the Survey Monkey secured server for one year and then they will be deleted. Your confidentiality will be protected in every way we are able to protect it.

Please proceed to next page to complete consent.

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