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You must be 18 years of age or older to participate in this study
Purpose. You are invited to participate in our study, Eating and Health Risk Behavior. The purpose of this research is to study health risk and eating behavior in women and men. We are interested in learning about you as a person, your background, your health risk and eating behaviors, and their effect on your personal wellness.
Your participation. We welcome anyone 18 years or older to take part who is English speaking. We encourage a diversity of participants from around the world willing to take our short, 15-minute survey.
Your rights. Your decision to participate in this study is entirely voluntary. This means you may decide at any time to withdraw from the study. If you do not wish to submit your responses, simply click the browser page closed. Should you wish to withdraw your responses after submitting them, please e-mail Dr. W. Andrew Harrell with the approximate time and date that you completed the questionnaire, and he will remove your responses from the study.
Anonymity and Confidentiality. Your responses will be anonymous, and they will remain confidential. Your name will not appear on the questionnaire or be associated with your responses in any way. Only researchers associated with the project will have access to the questionnaires. You may obtain a summary of results by e-mailing Dr. Harrell. The results of this study may be presented at scientific conferences or published in journals. No individual results will be released; only grouped (aggregated) data will be presented. The data will be safely stored by Dr. Harrell for a minimum of seven years.
Benefits and risks. A personal benefit of completing the questionnaire is that it may stimulate your thinking about your eating habits, attitudes and behaviors. This research will contribute to the advancement of our understanding of eating behavior, including body image and eating concerns in women and men, along with factors that might affect this behavior.
There is no known risk to you as a participant. The questionnaire does address some sensitive issues, and you may find some of the questions unsettling or upsetting. You do not have to answer any questions that make you feel unsettled or upset.
Contact information. If you have any questions or comments on the study, or if you wish a clarification of rights as a participant, you can contact Dr. Harrell at the address below. Please print out this page for reference.
Dr. W. Andrew Harrell
1241 Johnson Ave, Suite 323
San Luis Obispo, CA, 93401
E-mail: harandrw@aol.com
Research Ethics Approval. This study was approved by the Institutional Review Board (REB) of the University of Alberta. If you have any questions/concerns about your rights as a participant or the content of this questionnaire, you may contact Dr. Harrell at the phone number or address above.
Signatures. Again, your participation is entirely voluntary. Your signature indicates that you have decided to participate in this research after having read the information above. Please click below to indicate that you have read and understood the nature and purpose of the study. Your selection of the “Begin Survey” button indicates your willingness to participate in this study.
By selecting the button below, you are agreeing that you have read this form and understand the details of the study. Click the “Begin Survey” button below to consent to and complete the survey.
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