INFORMED CONSENT FORM
Consent for Participation in Research Project
Laith Al-Shawaf, Ph.D. [E-mail: email@example.com]
Department of Psychology, Bilkent University
You are hereby invited to be a participant in a research study on disgust. You may only take part in this study if you are at least 18 years old.
Background Information and Purpose of this Study: The purpose of this study is to investigate people’s levels of disgust in response to certain sets of images and in relation to other psychological variables.
Procedures: If you agree to participate in this study, you will be asked to complete a survey about your disgust levels. You will also be asked to view a series of images, some of which may be quite disgusting. Finally, you will be asked to answer some questions of a personal nature, including questions about your sexual orientation and personality. Typically, this kind of study lasts about 15-20 minutes.
Risks and Benefits: Some of the pictures in this study could cause discomfort due to disgust. Please be aware that if you agree to participate in this study, you may encounter threatening or disgusting images. These may include images of disease, insects and rodents, feces, and possibly images of a sexually disgusting nature. You will also encounter questions that pose hypothetical scenarios that may be disgusting. However, we have no reason to expect any disgust to last beyond the study or to have any serious consequences. There are no direct benefits to participating, though you may gain some insight into your emotions.
Compensation: There will be no monetary compensation for participating in this study. Please note that you cannot participate in this study if you are a student in one of Dr. Al-Shawaf’s classes.
Confidentiality: The records of this study will be kept strictly confidential. It will be impossible to link your answers to your person, and all data will be stored on password-protected servers behind locked doors accessible only to the researchers associated with this study.
Voluntary Nature of the Study: This study is completely voluntary. Declining to participate will have no negative consequences. If you choose to take part in this study, you are free to quit at any time with no penalty whatsoever.
Contacts and Questions: If you have any questions or concerns regarding this study, please contact the researcher listed above.
Statement of Consent: If you understand the above information and choose to participate in this study, please click the arrow button at the bottom right of this page. Please note that by consenting to participate in this experiment, you are agreeing to the following statement: "I am at least 18 years old, I understand that there may be disgusting images in this study, and that they may be of a sexual nature. Finally, I am not currently enrolled in any courses taught by Dr. Al-Shawaf".
Laith Al-Shawaf, Ph.D.
Department of Psychology