Informed Consent
Study Title: Perfectionism, Life Satisfaction, and Spirituality

Principal Investigator: Elizabeth Hilton, ECSU Psychology Student

Faculty Superviser: James Diller, PhD, BCBA-D

For more information about this research and about research-related risks or injury, you can contact Elizabeth Hilton at hiltonel@my.easternct.edu or Dr. Diller at (860) 465-0214 or via email at dillerj@easternct.edu.

Purpose:
The purpose of this study is to learn more about how types of perfectionism relate to life satisfaction and spirituality.

Description of Procedures:
This study involves completing a series of surveys about perfectionism, life satisfaction, and spirituality. It will take no more than thirty minutes to complete.

Risks and Discomforts:
There are no known or expected risks from participating in this study, except for the mild emotional distress associated with answering the questions.

Benefits:
Participants will be able to receive experience participating in undergraduate research and students who go to Eastern Connecticut State University will be able to receive research participation.

Confidentiality:
Any information about you that is obtained as a result of your participation in this research will be kept as confidential as legally possible. Your research records and test results, just like hospital records, may be subpoenaed by court order or may be inspected by federal regulatory authorities without your additional consent. In addition, there are certain instances where the researcher is legally required to give information to the appropriate authorities. These would include mandatory reporting of infectious diseases, mandatory reporting of information about behavior that is imminently dangerous to you or to others, such as suicide, child abuse, etc.

In any publications that result from this research, neither your name nor any information from which you might be identified will be published without your consent.

Questions about the rights of research participants may be directed to Dr. Charles Booth, Chair of the Committee for the Use of Human Subjects in Research (860-465-5260).

Right to Withdraw

Your participation in this research is entirely voluntary and you may choose to withdraw from the study at any time. You have the right to withdraw consent and discontinue participation in the research project without penalty. You also have the right to not answer any specific question you do not wish to answer.

Voluntary Consent:
1. I have read the information above and have freely volunteered to participate in this study.
2. I understand that all aspects of this project will be carried out in the strictest of confidence and in a manner in which my rights as a human subject are protected.
3. I have been informed in advance as to what my task(s) will be and what procedures will be followed.
4. I have been given the opportunity to ask questions, and have had my questions answered to my satisfaction.
5. I am aware that I have the right to withdraw consent and discontinue participation at any time, without prejudice.
6. If I decide not to participate in this research project, I will not be met with any adverse consequences.
7. My selection of the “I consent to participate” checkbox below may be taken as affirmation of all the above, prior to participation.

I am at least 18 years or older.
I consent to participate.
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