You are being asked to participate in a research study. Please take your time to read all of the information below.



Investigator: Natalia Peczkowska, B.A.



Purpose: The purpose of the study is to gain a better understanding of people’s attitudes and beliefs about rape and sexual assault.



Procedures: If you choose to participate in this study, you will be asked to fill out two questionnaires. The first questionnaire will ask you to provide basic demographic information about yourself. The second questionnaire will ask you to rate the degree to which you agree or disagree with twenty statements pertaining to rape and sexual assault. Completion time will vary from person to person, but the study should not take longer than fifteen minutes.



Risks to Participation: The risk of participation in this study is that you will be exposed to material that is potentially upsetting. You may stop and quit the study at any time without penalty.



Benefits to Participants: There may not be any direct benefit to you from this study. However, we hope the information learned from this study will benefit society in our understanding of people’s attitudes and beliefs about rape and sexual assault.



Alternatives to Participation: Participation in this study is voluntary. You may refuse to participate or you may withdraw once the study has started without any penalty.



Confidentiality: Each participant will remain anonymous, as there are no personal identifying markers required for the completion of this study. Datasets obtained in this study will be stored securely for a minimum of five years per American Psychological Association Ethical Principles of Psychologists and Code of Conduct. After this period, all data will be destroyed.



Questions/Concerns: Natalia Peczkowska designed this study to fulfill the requirement for the degree of Doctor of Psychology in Clinical Forensic Psychology at The Chicago School of Professional Psychology. If you have any questions or concerns, please contact Natalia Peczkowska at nmp6239@ego.thechicagoschool.edu. You may also contact Ms. Peczkowska’s Academic Advisor, Dr. Debra Warner, at dwarner@thechicagoschool.edu.



Additionally, if you have questions concerning your rights in this research study, you may contact the Institutional Review Board (IRB), which is concerned with the protection of subjects in research projects. You may reach the IRB office Monday through Friday by calling 312.467.2343, or by writing to:

Institutional Review Board

The Chicago School of Professional Psychology

325 N. Wells Street

Chicago, Illinois, 60654



Do you accept the informed consent and choose to participate in this study?