For EXAMPLE Purposes Only
Researchers should modify and create forms that meet the needs of the research project.
Motivation and Psychology
Welcome to "Motivation and Psychology," a web-based experiment that examines some of the finer
points of what motivates a person. Before taking part in this study, please read the consent form below
and click on the "I Agree" button at the bottom of the page if you understand the statements and freely
consent to participate in the study.
Consent Form
This study involves a web-based experiment designed to understand how people are motivated.
Participation in the study typically takes 50 minutes and is strictly confidential. Participants begin by
answering a series of questions, after which they watch several randomly assigned video vignettes.
These vignettes involve either direct motivational prompts or neutral contexts. After watching a random
sample of 9 vignettes, participants rate whether or not the vignettes were meaningful.
All responses are treated as confidential and your responses will not be linked to your identity. You are
being asked to provide your email addresses. This email addresses is not linked to your responses and is
only used to avoid duplicate surveys. Be aware that confidentiality will be maintained to the extent
possible. There is always the risk of compromising privacy, confidentiality and/or anonymity when
using email and the internet. However, the risk to your physical, emotion, social, professional or
financial well-being is considered to be less than minimal
There are no direct benefits to you as a result of participation. The research may result in better
understanding of what motivates a person. If you are completing this study through the Department of
Psychology’s research pool (SONA), you will receive 0.5 of research participation credit for taking part
in the study. You may write a three-page research paper if they prefer not to participate in this study.
Other visitors to this web site are welcome to complete the study, although they will receive no credit or
monetary compensation.
Participation is voluntary, refusal to take part in the study involves no penalty or loss of benefits to
which participants are otherwise entitled, and participants may withdraw from the study at any time
without penalty or loss of benefits to which they are otherwise entitled.
If you have further questions or concerns about your rights as a participant in this study, contact the
Compliance Office at (704) 687-1871. If you have questions concerning the study, contact the principal
investigator, Professor (Name) at (123) 456-7890 or by email at drname@email.address
You may print a copy of this form. If you are 18 years of age or older, understand the statements above,
and freely consent to participate in the study, click on the "I Agree" button to begin the experiment.
I Agree
I Do Not Agree