Consent Form: Psyc 201 Social Attitudes Project
As part of a class demonstration, we would like to invite you to participate in a survey that will examine
college students' attitudes toward social rules and potentially disgusting situations. We are not seeking IRB
approval for this study, and therefore our results will not be used for research purposes. The intended use is
restricted to practicing data collection and statistical computation, but we hope to collect authentic responses.
In this study, we will first ask you to provide general information about yourself. Then we will request that
you complete questionnaires that ask a variety of questions (a) concerning attitudes towards social rules and
(b) potentially disgusting things and situations. The survey will take about 15 minutes to complete.
The procedures described above are thought to involve minimal risks to research participants. Although you
may become psychologically uncomfortable in answering some of the questions, these risks are not thought
to be greater than those encountered in everyday life. There is no compensation offered, and no other
benefits are expected to result from participation in this study. However, the research will help develop our
students research skills.
Information obtained as part of this study will remain confidential, and no information on individual
participants will be released. Signed consent forms and demographic information will be stored in a locked
filing cabinet in Dr. Aspelmeier’s research office, separate from the questionnaires, so that your survey
answers cannot be matched to your personal information.
You may withdraw consent and terminate participation in this study at any time. You are also in no way
required to provide any information, whether it is on a written questionnaire or at any other point during the
testing session, if you do not feel comfortable doing so.
If you have any questions, complaints, or concerns regarding this study, you may contact Dr. Jeff
Aspelmeier, Box 6946, Department of Psychology, Radford University, Radford, VA 24142. (540) 8315520.
Consent
The investigation and my part in the investigation have been defined and explained to me by the
researcher, and I understand his/her explanation. I understand the procedures as well as the possible risks
and discomforts. I have been given an opportunity to ask questions and all such questions and inquiries
were answered to my satisfaction.
By signing, I provide my consent to participate in this study.
___________________________________________
Participant’s Signature
Date
Debriefing Form
Thank you for participating as a research participant in the present study concerning your
view of morality and disgust (Disgust Sensitivity). The present study tests whether peoples belief
in the importance of adhering to moral standards influence how sensitive individuals are to being
disgusted.
Again, we thank you for your participation in this study. If you know of any friends or
acquaintances that are eligible to participate in this study, we request that you not discuss it with
them until after they have had the opportunity to participate. Prior knowledge of questions asked
during the study can invalidate the results. We greatly appreciate your cooperation.
If you have any questions regarding this study, please feel free to ask the researcher at this time,
or contact Dr. Aspelmeier (email: jaspelme@radford.edu; telephone: 540 831-5520).
In the event that you feel psychologically distressed by participation in this study, we encourage
you to call Dr. Jeff Aspelmeier, Box 6946, Department of Psychology, Radford University,
Radford, VA 24142. (540) 831-5520
Thanks again for your participation.
Debriefing Form
Thank you for participating as a research participant in the present study concerning your
view of close relationships (Attachment) and disgust (Disgust Sensitivity). The present study
tests whether attachment styles and gender roles influence disgust sensitivity.
Again, we thank you for your participation in this study. If you know of any friends or
acquaintances that are eligible to participate in this study, we request that you not discuss it with
them until after they have had the opportunity to participate. Prior knowledge of questions asked
during the study can invalidate the results. We greatly appreciate your cooperation.
If you have any questions regarding this study, please feel free to ask the researcher at this time.
or Dr. Aspelmeier (email: jaspelme@radford.edu; telephone: 540 831-5520).
In the event that you feel psychologically distressed by participation in this study, we encourage
you to call Dr. Jeff Aspelmeier, Box 6946, Department of Psychology, Radford University,
Radford, VA 24142. (540) 831-5520.
Thanks again for your participation.