Consent Form
Relationship Attitudes

Hi, my name is Stephanie Pogan and I am a student at Long Island University. I am doing a study that I would like to ask you to participate in. Participants must be 18 years of age or older to participate. This is a completely voluntary study about your attitudes and beliefs regarding relationships. Questions will pertain to your feelings and beliefs in personal relationships. It will take approximately 15-20 minutes to complete. You do not have to answer any questions you do not feel comfortable answering. The answers are kept anonymous. If you would like to know the results of the research or if you have any other questions you can contact me at or my faculty advisor at My faculty advisor can also be reached by telephone at 516-299-4290.

By clicking the “continue” button below, and completing the following questions you are indicating your consent to your participation in the study. Thank you for your participation.