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INFORMED CONSENT CHECKLIST

Be sure to include these elements in your consent form or script.

_____The name of the researcher and his or her institutional and departmental affiliation

_____Statement that this is a research activity (e.g., use the word “experiment”)

_____The purpose of the study

_____Why the participant has been invited to participate

_____What the participant is expected to do

_____How long it should take to participate

_____Potential inconveniences, discomforts, and risks

_____The extent to which and the means by which confidentiality will be maintained

_____Potential benefits

 

Statement(s) specifying that:

_____participation is voluntary

_____the individual may refuse to participate

_____the participant may skip questions or  tasks

_____the participant can discontinue participation at any time without penalty

_____the participant has had the chance to ask questions and that any questions have been answered

_____Contact information for the primary researcher and the IRB chair (Contact information for Senior Project Advisor is optional)

_____When applicable, notification that the participant will receive a copy of the consent form

_____When applicable, a statement verifying that the participant is at least 18 years old

_____When applicable, signatures of participant and primary investigator

The consent form must be expressed in clear, simple language that participants can easily understand

 

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