CONSENT TO PARTICIPATE IN RESEARCH
Title of Study: Women’s Social Identity
You are invited to participate in a research study conducted by Sherry Bergeron, from the Department of Psychology at the University of Windsor. The study will be used as the basis for Sherry Bergeron’s doctoral dissertation. This research is being supervised by Dr. Charlene Senn, Professor, Department of Psychology.
If you have any questions or concerns about the research, please feel free to contact Sherry Bergeron at 519-253-3000, ext. 2256 or Dr. Senn at 519-253-3000 ext. 2255.
PURPOSE OF THE STUDY
The purpose of this study is to learn about women’s social identity and the perceived role of relationships with other women in their lives.
Please read this consent form and decide whether you would like to participate in this study. To participate you are asked to do the following:
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University of Windsor
It should take approximately 30-40 minutes to complete this survey. Following completion of the survey you will be provided with a web address where survey results will be available once the research is completed. For your convenience this address is also included under the “Feedback” section of this consent form.
POTENTIAL RISKS AND DISCOMFORTS
No potential risks or discomforts are anticipated to you through your participation in this study beyond those normally experienced in everyday interactions.
POTENTIAL BENEFITS TO SUBJECTS AND/OR TO SOCIETY
Results from this survey will be used to help understand some of the unique aspects of women’s relationships with women and the impact of those relationships on other areas of women’s lives. Society may benefit from a greater understanding of the factors contributing to women’s social identity as women.
PAYMENT FOR PARTICIPATION
All participants are invited to enter their name in a lottery for a $300.00 Canadian dollar cash prize. Following completion of the survey you will be provided with an area where you can choose to enter your contact information to be included in the lottery. This information will not be linked to your survey responses in any way.
Students recruited from the Department of Psychology Participant Pool are eligible for one bonus mark for participation in this research. If you select this option, you will be asked to provide your student number and the number of the course you would like your bonus mark applied to, at the completion of this survey.
Following completion of the data collection phase, a winner will be randomly selected from among the entries. The winner will be contacted by the researcher in the way you request when you provide your contact information. A money order for $300.00 Canadian dollars will be mailed to the winner. The winner of the lottery will be posted to the survey results website. Consent of the winner will be sought prior to posting this information.
- If you wish to participate, click the “I Agree” button at the bottom of this page. This indicates your consent.
- Follow the instructions for completing the survey items as indicated at the beginning of each survey section.
Your answers to the survey are confidential and will be released only as summaries in which no individual’s answers can be identified. No identifying information will be collected about the computer you are using, or the Internet service provider through which you are accessing this web site. Individual information will not be released to any third parties. Submission for your bonus research participation mark and entry into the lottery is accomplished through a procedure that does not link your name or contact information with your answers on the survey.
PARTICIPATION AND WITHDRAWAL
Your participation in this study is voluntary. You may withdraw at any time without consequences of any kind. You may end your participation by either rerouting your web browser to another website or closing your web browser. You may also choose to skip any questions that you do not wish to answer, however, you are encouraged to answer as many items as possible for statistical purposes.
FEEDBACK OF THE RESULTS OF THIS STUDY
It is anticipated that the findings of this study will be available by Fall 2005. A summary of the results will be posted on Dr. Senn’s web page, located at the following address:
SUBSEQUENT USE OF DATA
This data will be used by the researcher for subsequent publications but will not deviate from the purpose as described in this form.
RIGHTS OF RESEARCH SUBJECTS
You may withdraw your consent at any time and discontinue participation without penalty. This study has been reviewed and received ethics clearance through the University of Windsor Research Ethics Board. If you have questions regarding your rights as a research subject, contact:
Research Ethics Coordinator Telephone: 519-253-3000, ext. 3916
University of Windsor E-mail: email@example.com
SIGNATURE OF INVESTIGATOR
These are the terms under which I will conduct research.
Sherry Bergeron Mar. 1, 2005
Signature of Investigator Date
SIGNATURE OF RESEARCH SUBJECT/LEGAL REPRESENTATIVE
I understand the information provided for the study “Women’s Social Identity” as described herein. My questions have been answered to my satisfaction, and I agree to participate in this study. I may print out a copy of this form for future reference.
I agree to participate (please click here to continue on to the survey)
I do not wish to participate (please click here and exit the survey)