WE MUST OBTAIN YOUR INFORMED CONSENT BEFORE PROCEEDING

Please complete the form at the bottom of the page to indicate your consent to paticipate in this study. Completing the form and beginning the survey completes an electronic agreement that means you have read, understand and accept the contents of this document and agree to participate in the study.

STUDY DETAILS

Northeastern University, Department of Counseling & Applied Educational Psychology

Name of Investigator(s): Takuya Minami & Christina Mulé

Title of Project: Non-liberarianism versus Free Will in Psychotherapy: In Search for Consistency in Theory, Research, Practice, and Training.

REQUEST TO PARTICIPATE IN RESEARCH

We would like to invite you to participate in a web-based online survey. The survey is part of a research study whose purpose is to explore the philosophical orientation of psychologists and psychology graduate students with regard to free will and determinism. This survey should take approximately 15 minutes to complete. We are asking you to participate in this study because you are a psychologist or are a student of psychology. You must be at least 18 years old to take this survey.

THE DECISION TO PARTICIPATE IN THIS RESEARCH PROJECT IS VOLUNTARY.

You do not have to participate and you can refuse to answer any question. Even if you begin the web-based online survey, you can stop at any time. The possible risks or discomforts of the study are minimal. For example, you may feel inconvenienced by the time it takes to complete the survey; however, as mentioned above you can stop at any time.

THERE ARE NO DIRECT BENEFITS TO YOU FROM PARTICIPATING IN THIS STUDY.

However, your responses may help us learn more about the philosophical orientations of psychologists and future psychologists. You will not be paid for your participation in this study. However, as a token of our appreciation for completing the survey, you will be entered into a drawing to receive a $50 gift card from a national retailer.

YOUR PART IN THIS STUDY IS ANONYMOUS TO THE RESEARCHER(S).

However, because of the nature of web based surveys, it is possible that respondents could be identified by the IP address or other electronic record associated with their response. IP addresses will be captured solely for the purpose of detecting potential duplicate submissions but will be stored as independent data that are not linked to the participants' survey responses. The IP address data will be destroyed once the raffle has taken place and the winner has been identified. Any reports or publications based on this research will use only group data and will not identify you or any individual as being affiliated with this project.

IF YOU HAVE ANY QUESTIONS REGARDING ELECTRONIC PRIVACY:

Please feel free to contact Glenn C. Hill, Director of Information Security and Identity Services, via phone at (617) 373-7718, or via email at privacy@neu.edu.

IF YOU HAVE ANY QUESTIONS ABOUT THIS STUDY:

Please feel free to contact Takuya Minami, the Principal Investigator, via phone at (617) 373-7527, or via email at t.minami@neu.edu.

IF YOU HAVE ANY QUESTIONS REGARDING YOUR RIGHTS AS A RESEARCH PARTICIPANT:

Please feel free to contact Nan C. Regina, Director of Human Subject Research Protection, via standard post to 960 Renaissance Park, Northeastern University, Boston, MA 02115, via phone at (617) 373-7570, or via email at irb@neu.edu. You may call anonymously if you wish.

Submit this form to give your informed consent

Your information will not be shared, sold, or distributed and will not be linked in any way to your individual responses to this survey. Your contact details will only be used to identify the winner of the raffle as described above.

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