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1 .

Informed Consent to Participate in a Research Project



Project Title: Thoughts about others



Investigator(s): R. Matthew Montoya, Ph.D.

Bridget P. Lynch

Haylee DeLuca



Description of Study: You will answer questions about your evaluation of a customer who frequents your café, including how frequently you see him/her and how much you like him/her. You will also answer a couple of questions about yourself and your work experiences.



Adverse Effects and Risks: A unique combination of demographic indicators and your IP address may make you identifiable to the researchers conducting the study, although that information will not be reported in a way such that you could be identifiable to others.



Duration of Study: The study will last approximately 10 minutes.



Confidentiality of Data: Your data will be confidential. The website on which you will complete this study, SurveyMonkey, will collect your IP address. Your data will be stored on a secured website. Only the investigator named above will have access to data on the secure website.



Contact Person: You may contact Matthew Montoya, PhD, by phone, (937) 229-2656, or by e-mail, matt.montoya@udayton.edu if you have questions or problems after the study. If you have questions about your rights as a research participant you may also contact the chair of the Research Review and Ethics Committee for the University of Dayton, Greg Elvers by phone, (937) 229-2171, or via e-mail, gelvers1@udayton.edu.



Consent to Participate: I have voluntarily decided to participate in this study. If I had questions about this study, I have contacted the investigator named above and he has adequately answered any and all questions I have about this study, the procedures involved, and my participation. I understand that I may voluntarily terminate my participation in this study at any time. I understand that if I decide to terminate my participation during the study and I do not want my data included, I can contact the investigator. In addition, I certify that I am 18 (eighteen) years of age or older.



(Please print this page for your records)



By selecting "I agree" below, I consent to participate in this study. If I do not want to participate, I can choose "I do not agree."





