TIES Record

IRB-SBS Identification
Protocol #2012-0156-00
Approved from 26 Aug 2015 to 30 Apr 2017

Informed Consent Agreement

Please read this consent agreement carefully before you decide to participate in the study.

Purpose of the research study: This questionnaire is concerned with complete mental silence.

Illustration of complete mental silence

Complete mental silence

What you will do in the study: The study consists of a questionnaire or survey. You can skip any question that makes you feel uncomfortable and you can stop answering the questionnaire at any time.

Time required: Most participants finish in less than 5 minutes.

Risks: There are no anticipated risks in this study.

Benefits: There are no direct benefits to you for participating in this research study. The study may help us understand what makes some experiences more engaging and enjoyable than others.

Confidentiality: You do not need to provide any contact information. If you choose to provide contact information, this information will be handled confidentially. When the study is completed and the data have been analyzed, the data will be anonymized. Your name will not be used in any report.

Voluntary participation: Your participation in the study is completely voluntary.

Right to withdraw from the study: You have the right to withdraw from the study at any time without penalty.

How to withdraw from the study: If you want to withdraw from the study, simply close your browser window. There is no penalty for withdrawing. If you are participating for course credit, you will still receive full credit for the study. If you would like to withdraw after your responses have been submitted, please contact Joshua Pritikin (434) 218-2280 jpritikin@virginia.edu.

Payment: There is no payment for participating in the study.

If you have questions about the study, contact:
Joshua Pritikin
University of Virginia, Psych Dept
485 McCormick Rd, Gilmer Hall Room 102
Charlottesville, VA 22903

Karen Schmidt
University of Virginia, Psych Dept
485 McCormick Rd, Gilmer Hall Room 102
Charlottesville, VA 22903

If you have questions about your rights in the study, contact:
Tonya R. Moon, Ph.D.
Chair, Institutional Review Board for the Social and Behavioral Sciences
One Morton Dr Suite 500
University of Virginia, P.O. Box 800392
Charlottesville, VA 22908-0392
Telephone: (434) 924-5999
Email: irbsbshelp@virginia.edu
Website: www.virginia.edu/vpr/irb/sbs

>> Clicking here is equivalent to agreeing to participate in the research study described above. <<