AP Research: Childhood Trauma and Sociocultural Factors of Adults

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AP Research: Childhood Trauma and Sociocultural Factors of Adults

This survey will be used in a research report, conducted by Kaitlyn Smith, for the Advanced Placement Research course at Crystal River High School. This research report will be finding the correlations between childhood traumas and sociocultural factors of adults. Many articles and studies show the neurological damage childhood abuse causes, but little show the impact it may have on adults in society. This significance of this project isn’t just to show the correlations, it’s to show the true measures childhood abuse has on adults, that is not just mental disorders or neurological dysfunctions.

***PLEASE NOTE: You must be 18 or older for this information to be used***

Email *

Record my email address with my response

Prior to completing the survey, please complete the consent form below. This consent form (which is only on the first part of this survey) will NOT be used within the project and will ONLY be submitted to College Board for Advanced Placement grading. Once you click on “next” at the bottom of this page, ALL given answers WILL be used for the following conducted research.

PLEASE READ THE FOLLOWING:

ALL information given within this project will be kept secure and not causally distributed. If you DO NOT want to submit your information, please exit the survey. The start of the survey asks about forms of abuse you may have experienced as a child; if you are uncomfortable answering at the start of the survey, please exit and do not submit your information. If you are interested in receiving the finalized research report, there is an option at the last page of the survey to state your e-mail to receive the finalized report.

Please state today’s date: *

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PLEASE STATE YOUR NAME IN THE BOX BELOW (your name stated below will NOT be used in the project):

I, ____________________________, understand the information I am giving, through the survey, will be used in an AP Research report conducted by Kaitlyn Smith. I understand that the questions I may be asked may be mentally challenging to answer. If I, at any moment, feel that I am uncomfortable with what I am being asked, I have been informed that I can stop the survey and have all my data be deleted immediately. I understand that if I do not want to have my name possibly used within the report, I do not have to state my name in the survey/interview.

I understand the following (check ALL that apply): *

What the survey will be used for.

Who will be conducting the survey and the overall research project.

Where the consent form will be held and that it will be kept private.

What will happen with my data if I no longer want to be surveyed.

How I can stop being surveyed.

If I do not want my name to be possibly used within the report, I do not have to give my name.

Required

I agree to the following (check ALL that apply, DO NOT check anything you’re uncomfortable with): *

Having my information be used within a research report.

If prompted, my name may be used.

Giving my contact information, in case Kaitlyn Smith needs to reach out for more data.

Required

Please state your name and today’s date again, as a final virtual signature verifying the information you put it is how you want it: *

FINAL NOTICE:

***Note, this document will be kept private and only be submitted to College Board for AP grading, your information will NOT be released from this form.***

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