Informed Consent Form
Date: July 2011
Study Name: Examining individuals’ decision making
Researchers: Prof Janne Chung, S348, SSB, York University, ext 77930, Prof Jeff Cohen, Boston College, USA, and Prof Sylvia Hsu,S344, SSB,York
University, ext 77929.
Purpose of the Research: The purpose of this study is to understand how individuals make decisions
What You Will Be Asked to Do in the Research: You will be asked to complete a questionnaire which will take about 20 mins.
Risks and Discomforts: We do not foresee any risks or discomfort from your participation in the research.
Benefits of the Research and Benefits to You: The results of the study will contribute to our understanding of how decisions are made.
Voluntary Participation: Your participation in the study is completely voluntary and you may choose to stop participating at any time.Your decision
not to volunteer will not influence the nature of your relationship with York University either now, or in the future.
Withdrawal from the Study: You can stop participating in the study at any time, for any reason, if you so decide. If you decide to stop
participating, you will still be eligible to receive the promised payment for agreeing to be in the project. Your decision to stop participating,
or to refuse to answer particular questions, will not affect your relationship with the researchers, York University, or any other group associated
with this project. In the event that you withdraw from the study, all associated data collected will be immediately destroyed wherever possible.
Confidentiality: All information you supply during the research will be held in confidence and unless you specifically indicate your consent, your
name will not appear in any report or publication of the research. The data will be safely stored in a locked facility and only research staff will
have access to this information. The questionnaires will be destroyed one year after the publication of the paper. Confidentiality will be provided
to the fullest extent possible by law.
Questions about the Research? If you have questions about the research in general or about your role in the study, please feel free to contact
Prof. Janne Chung either by telephone at (416) 736 2100 extension 77930 or by e-mail (jchung@schulich.yorku.ca) and Prof. Sylvia Hsu, either by
telephone at (416) 736 2100 extension 77929 or by e-mail (shsu@schulich.yorku.ca). This research has been reviewed and approved by the Human
Participants Review Sub-Committee, York University’s Ethics Review Board and conforms to the standards of the Canadian Tri-Council Research Ethics
guidelines. If you have any questions about this process or about your rights as a participant in the study, please contact the Sr. Manager &
Policy Advisor for the Office of Research Ethics, 5th Floor, York Research Tower, York University (telephone 416-736-5914 or e-mail ore@yorku.ca).
* LEGAL RIGHTS AND SIGNATURES:
By clicking on "I agree" below you consent to participate in Examining individuals’ decision making conducted by Profs. Janne Chung,Jeff Cohen, and
Sylvia Hsu.You confirm you have understood the nature of this project and wish to participate. You are not waiving any of your legal rights by giving
your consent.