Long Island University, POST CAMPUS
Informed Consent Form for Human Research Participants
You are being asked to volunteer in a research study called “Eating Habits and College” conducted by Elizabeth Barcia, Alexandra Maglione, Sean Alpert, and Gabrielle Cantileno, undergraduate students in the Psychology Department at LIU Post, under the supervision of Dr. Nancy Frye, Psychology Department. The purpose of this research is to determine if past eating behaviors influence current eating behaviors, and if living situation strengthens this relationship.
As a participant, you will be asked to anonymously complete an online survey that will ask questions about your eating habits in high school, your current eating habits, and your current living situation. There are no anticipated risks involved in this study and rest assured that your participation is 100% voluntary and you may cease at any time.
The study consists of 20 questions regarding your eating habits, both past and present, as well as 9 questions regarding your demographics.. You should expect to take about 10-15 minutes to complete the whole survey. It is reasonable to expect that the results may provide information of value for the field of Psychology and related disciplines.
Your identity as a participant will remain anonymous. Your name will not be included in any forms, questionnaires, etc. Results will be reported only in the aggregate. If you are interested in seeing these results, you may contact the principal investigator.
If you have questions about the research you may contact the investigators, Elizabeth Barcia at
elizabeth.barcia@my.liu.edu, Alexandra Maglione at
alexandra.maglione@my.liu.edu, Sean Alpert at
sean.alpert@my.liu.edu, and Gabrielle Cantileno at
gabrielle.cantileno@my.liu.edu, or the faculty sponsor, Dr. Nancy Frye at (516) 299-2377. If you have questions concerning your rights as a subject, you may contact the Administrator of the Institutional Review Board, Dr. Lacey Sischo (516) 299-3591.
Again, please remember that your participation in this research is completely voluntary. Refusal to participate or discontinue participation at any time will involve no penalty or loss of benefits to which you are otherwise entitled.
By submitting your answers, you are giving your consent to participate.
