Name:
Year & Section:
Age:
Gender:
This informed consent form is for the participants that fitted in our research
entitled. “The Impact Of Object Concealment On Fear: An Experimental Study On
The Effect Of Visual Deprivation On Fear Response To Touch.”
CONFIDENTIALITY
The findings will not include any of your personal information or responses.
The data will be archived and used solely for educational reasons. You can be
confident that all identifying information will be kept anonymous and that all data will
be handled with the strictest discretion.
I have read the foregoing information, or it has been read to me. I have had
the opportunity to participate and to ask questions about it and any questions that I
have asked have been answered to my satisfaction. I understand that my
participation is voluntary and that I am free to withdraw.
Signature of the Participant ___________________
Date ___________________________
MM/DD/YY