CONSENT FORM: You are invited to participate in a web-based online survey on the effects of quarantine on psychological distress during the coronavirus outbreak. This research is being conducted by Rana Tawfik and members of Nexus Laboratories Inc. Participants: In order to qualify for this study and participate in this survey, you must be a Canadian resident (living in Canada) who is at least 18 years of age. Procedure: You will complete an online questionnaire to measure the amount of distress you have experienced in the last 30 days as well as in the 30 days before quarantine started. Completion of the questionnaire takes approximately 20 minutes. Participation in this study is completely voluntary. In order to fully participate in the study, you must complete and answer all 21 questions of the survey. Benefits and Risks of Participation: There are no foreseeable risks involved with completing this study. As a participant, you will be asked to answer questions that pertain to negative emotions and emotional distress. If you are distressed by anything in this study, please advise the researcher. There are also no direct benefits, however, the results obtained may eventually aid in the prevention and remediation of psychological distress during a quarantine. Voluntary Participation: Participation in this study is voluntary. Refusal to participate will result in no penalty or loss of benefits to which you are otherwise entitled. You may refuse to take part in the research or exit the survey at any time without consequence. Withdrawal from the study will in no way prejudice your future interactions with the personnel administrating or supervising the study. Confidentiality: All of the information collected is considered strictly confidential and results will not be shared with anyone, and all data will be collected anonymously. The survey answers will be stored indefinitely in a password protected electronic format, and will not collect any identifying information such as name, email address, or IP address. Therefore, all responses will remain anonymous. It is intended for the results of this study to be published and/or presented at academic conferences. If findings from this study are published or presented, no reference will be made in verbal or written formats which could link you to the study. Presentation and distribution of the results will only occur at the group level, and no individual participant's responses or information will be identified. Participant Consent: I have read and understood the information above, have had any questions answered satisfactorily, and I willingly consent to participate in this study. I acknowledge that all information gathered on this project will be used for research purposes only and will be considered confidential. I am aware that permission may be withdrawn at any time without penalty by advising the researchers.
Nexus Laboratories ethics board
Health and Wellness, Psychology
Polls and Surveys
Weekdays, Weeknights, Weekends, Overnight
15 minute(s) - 25 minute(s) per session
Do this one out of kindness
This study doesn't require any in-person visits. Complete it in the comfort of your own home!
Do this one out of kindness