University of North Florida
Department of Psychological Sciences
Purpose of Research and Specific procedures to be used: In this study, you will be asked read a
short story. It should take approximately 10 minutes to complete. All answers will remain anonymous.
Please answer the questions about the short story to the best of your ability. There are no right or wrong answers.
Duration of Participation: Your participation should take 10 minutes.
Benefits to the Individual: Your participation in this research will contribute to the body of psychological knowledge about stress.
You will have the opportunity to gain a deeper understanding of psychological research.
Risks to the Individual:This study poses no risks greater than those encountered in daily social interactions.
Anonymity: Strict anonymity of all data will be upheld. Your responses will remain anonymous and will not be associated with any identifying information.
Your informed consent will be kept separate from your responses to the questionnaires.
The project’s research records may be inspected by the University of North Florida Institutional Review Board
or its designees to ensure participants’ rights are being protected.
Compensation to the individual: There is no compensation for your participation in this study.
Voluntary Nature of Participation: Your participation in this research project is strictly voluntary.
You do not have to participate. If you agree to participate you can withdraw at any time without penalty.
You do not have to answer any question you find objectionable.
Human Subject Statement: If you have any questions about this research project, you can contact Dr. Curtis Phills, (904)620-1665, email@example.com.
If you have concerns about the treatment of research participants, you can contact the UNF Institutional Review Board, (904) 620-2498.
If after participating you feel as though you have suffered emotionally or psychologically please visit the Counseling Center on campus,
Bldg. 2, Founders Hall, Room 2300 where services are free and strictly confidential (904) 620-2602.
I ATTEST THAT I AM AT LEAST 18 YEARS OLD. I HAVE HAD THE OPPORTUNITY TO READ THIS CONSENT FORM,
ASK QUESTIONS ABOUT THE RESEARCH STUDY & I AM PREPARED TO PARTICIPATE IN THIS STUDY.