Sample Informed Consent form
Anonymous Survey
Understanding College Students' Development and Their Academic
Choices.
This research is being conducted by Joe Schmoe, an undergraduate student at
Troy University and Dr. Susy Schmoozy, Associate Professor of Psychology at
Troy University.
Purpose of Study: The purpose of this research is to explore issues of
attachment styles and resulting academic choices. We are studying how students’
perceptions helped form their decision-making process.
Who Can Participate: If you are aged 19 or older and are currently enrolled as
a student at Troy University, Troy Campus, you are eligible to participate.
Undergraduate and graduate students are welcome to participate.
Procedure: In order to participate you need to complete this online survey.
Your participation in this online survey is completely anonymous. No
information you share electronically can be traced to you or the computer you
used. Your participation in the survey indicates you read this consent information
and agreed to participate in this anonymous survey. Depending upon the depth of
your responses, participation time varies from 20 minutes to 45 minutes.
Risks of Being in the Study: Some individuals may experience temporary
discomfort if they are not pleased with previous academic choices, or if they are
not content with the status of their relationship with their parents. Resources for
support are listed on the last page of the survey.
Potential benefits: Research participants will be contributing to the young
adult development knowledge base and may feel good about helping research
efforts. Second, students who are pleased with the relationship they have with
their parents or with their academic choices may experience some pride upon
evaluation of their success. In addition, some faculty may offer extra credit
points for students who participate in research. If you need proof of participation,
print the thank you page (located at the end of the survey) to provide
documentation.
Anonymity: Your participation in this research is completely anonymous.
No information you share can be traced electronically to you, the computer you
used, nor can you be traced by any information you provide. Data will be kept
stored in the on-line survey site’s databank. Only Joe Schmoe and Dr. Susy
Schmoozy will have access to the data.
Voluntary Nature of the Study: Your participation is voluntary, and you may
refuse to participate or withdraw at any time without penalty or loss of benefits to
