Research Study Consent Form

Research Study Consent Form

Title of Research Study: {Title}

Principal Investigator: {Name}

Study Number: {Number}

Thank you for participating in this study. We appreciate your help. By taking part, you affirm that you are at least 18 years of age and are participating voluntarily.

SUMMARY

The purpose of this study is {purpose}. You will be asked to {take a survey/answer questions/download an app/etc.}. It is a {one/two/etc.}-part study. {Further details}. The study {may/may not} have benefits to you as follows: {potential benefits}. If you decide at any point not to take part in this study, you may withdraw your consent without penalty.

RISKS AND DISCOMFORTS

We {do/do not} anticipate any discomforts from participating in this study. Some participants may experience {emotional triggers/social perceptions/etc.}.

COMPENSATION

As monetary compensation, you will receive {amount}. {Addition amount if applicable for multi-part surveys or studies}. Your submission may be rejected without compensation if: {inattention is detected/bots or AI are used/questions are skipped/etc.}.

PRIVACY AND CONFIDENTIALITY

Your participation in the survey or study is anonymous, with no identifying information attached to your answers. {Survey code or other information needed for compensation} will be encrypted and stored on a drive as part of an anonymized data set accessible only to {framework/repository/etc.}. Despite the researchers’ efforts to maintain confidentiality, there is always a remote chance that your information could be viewed by a third party, but this is no greater risk than that of typical consumer use of the internet.

CONTACT

You may address any questions or concerns about the study to Principal Investigator: {Name, title, and contact information}. For any concerns about your rights as a survey/study participant, contact: {Institutional Review Board contact information}. Visit the following link for more information about the project: {URL}.

If you have changed your mind about participating in this study, simply {leave/close your browser} now.

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