Consent to Participation in Research

Thank you so much for your interest in participating in this study. Please review the terms of consent below. 

You are being asked to participate in a study about social attitudes toward Lesbian, Gay, Bisexual, Transgender, and Queer/Questioning (LGBTQ) individuals.  The purpose of this consent form is to give you the information you will need to decide whether or not to be in the study.

Study Title
Counselor Educators’ Attitudes toward LGBT(Q) People: Association with Critical Consciousness Levels

The Purpose of This Study
I hope to better understand counselor educators’ social attitudes toward LGBTQ persons and the degree of awareness about other social issues. 

Procedures
If you choose to participate in this study, you will be asked to respond to a survey that consists of 45 questions that cover a range of topics involving the historically marginalized and oppressed groups of individuals as well as demographic information. The survey will take about 10 to 15 minutes to complete. Your participation is completely voluntary. You can choose not to answer any question or discontinue participation at any time. Even after you agree to participate you may decide to leave the study at any time without any penalty or negative consequences. All information obtained in this study is strictly confidential.

Potential Risks and Discomfort
The risk of taking this online survey is minimal but you may feel uncomfortable and experience an emotional reaction to some questionnaire items. A time loss may occur as a result of taking the survey. Because your participation is voluntary, you can decide to stop taking the survey at any time.

Benefits of This Study
Although you may not receive direct benefit from your participation, findings may ultimately benefit others and society in general through your contribution to and advancement of knowledge in the field of counselor education training.

Confidentiality
This is an anonymous survey. You will not be asked for any identifying information. All information obtained in this study is strictly confidential. Your survey responses will be sent to a link at SurveyMonkey.com where data will be stored in a password protected electronic format. Survey Monkey’s security statements state the protection of collected data to ensure privacy and confidentiality (Survey Monkey Security Statement https://www.surveymonkey.com/mp/policy/security/). In addition, the research data will be stored in password protected files on a portable hard drive. You may request for the result of data analysis by emailing me at rmiyakuni@student.govst.edu and/or calling me at 708-552-1393, or contacting my faculty advisor, Dr. Maucieri at lmaucieri@govst.edu and/or calling him at 708-534-4844.

IRB Approval
This study has been approved (#16-11-08) by the Institutional Review Board of Governors State University. If you have questions concerning your rights as a research participant that have not been answered by the investigator or if you wish to report any concerns about the research study, you may contact Dr. Renee Theiss via email at irb@govst.edu at the Institutional Review Board of Governors State University or via letter to 1 University Parkway, University Park, IL 60484.

Electronic Consent 
By clicking on the “YES” button, you are verifying that you have read the explanation of the study and you voluntarily agree to participate in the study.

Question Title

* Please select your choice below.

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