Informed Consent for Student Experience Survey 2023: Physical and Social Activities and Psychological Well-Being

Psychology Research Participants Needed for a Study Examining

Physical and Social Activities and Psychological Well-Being

You are invited to participate in a research study concerning the experiences of undergraduate college students enrolled full-time (12 credits+) during the current academic semester. If you are interested in participating, please read the informed consent study description below. If after reading, you want to participate in the study, simply click CONTINUE at the bottom of the page.

Thank You in advance for your time and effort!

Informed Consent

DESCRIPTION: You are invited to participate in a research study concerning the experiences of undergraduate college students enrolled full-time (12 credits+) during the current academic semester. Your participation will involved the completion of an online survey consisting of approximately 75 questions. The questions concern the format of your classes, how you spend your typical week, and your current attitudes and experiences. All of your responses will be anonymous and completely confidential. Individual responses will be combined with those of other students and only group, aggregate responses will be shared. The results of the survey will be used to better understand student experiences and explore ways to enhance those experiences, with the findings published in academic journals and presented at academic conferences.  

TIME INVOLVEMENT: Your participation will take approximately 15-20 minutes and consists solely of responding to this one-time survey.

RISKS AND BENEFITS: This study was reviewed and approved by the human subjects IRB at Elizabeth City State University. Your participation is not expected to involve any risks risks of harm greater than those ordinary encountered in daily life. The questions do not address sensitive or embarrassing topics. Nevertheless, the data will be collected in such a way that it will not be possible to link survey responses to specific individuals. Data will be maintained anonymously on secured servers.  The

BENEFITS which may reasonably be expected to result from this study are learning more about your own experiences and the contributing to the body of knowledge in Psychology. We cannot and do not guarantee or promise that you will receive any benefits from this study.

PAYMENTS: To thank you for your time and effort in completing the survey, participants will have the option of providing their name and contact information to be included in a drawing for one of thirty $25 gift cards. The drawing will be conducted at the end of data collection in the Spring 2023 semester.     

PARTICIPANT’S RIGHTS:  If you have read this form and have decided to participate in this project, please understand your participation is voluntary and you have the right to withdraw your consent or discontinue participation at any time without penalty or loss of benefits to which you are otherwise entitled. The alternative is not to participate.  You have the right to refuse to answer particular questions. The results of this research study may be presented at scientific or professional meetings or published in scientific journals.  Your individual privacy will be maintained in all published and written data resulting from the study.  All Identifiers will be removed from potentially identifiable private information and, after such removal, the information could be used for future research studies without additional informed consent from you.


Questions:  If you have any questions, concerns or complaints about this research, its procedures, risks and benefits, contact the Principal Researcher, Dr. Scott Bradshaw at Elizabeth City State University, 1704 Weeksville Road, Elizabeth City, North Carolina 27909 ([email protected] , 252-335-3722). 

Independent Contact:  If you are not satisfied with how this study is being conducted, or if you have any concerns, complaints, or general questions about the research or your rights as a participant, please contact Elizabeth City State University’s Research Compliance Officer for Sponsored Programs, Mr. George Cox ([email protected]; 252-335-3823) or the Chair of the Human Subjects IRB, Dr. Kulwinder Kaur-Walker ([email protected]; 252-335-3410).

If you would like to participate in this study, then click CONTINUE below.

By clicking CONTINUE, you are agreeing that you have read the informed consent above and have decided to participate. After you click CONTINUE, you will be redirected to a new webpage where you will begin the study.

If you choose not to participate at this time, simply close the current webpage to exit.

Thanks again for your time and effort - it is greatly appreciated.

Continue ONLY when finished. You will be unable to return or change your answers.