The dissertation of Kelley, IHM, MS_________________ entitled ...
The dissertation of Kelley, IHM, MS_________________ entitled ...
The dissertation of Kelley, IHM, MS_________________ entitled ...
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Information and Consent Form<br />
Grief in Women Religious 87<br />
This research project examines different aspects <strong>of</strong> grief. <strong>The</strong>se surveys should take<br />
about one hour <strong>of</strong> your time at most, and all your responses are confidential. Your<br />
responses will not be shown or given to anyone else, only the person who is given these<br />
surveys to you will see them and your name will not be on them. Overall results will be<br />
reported as group data, rather than individually.<br />
Your participation is completely voluntary, and if you feel uncomfortable you may<br />
discontinue at any time for any reason.<br />
If you are interested in hearing about the results <strong>of</strong> the study, write your name and phone<br />
number on a separate piece <strong>of</strong> paper (NOT on the survey) and the researcher will get in<br />
touch with you when the study is completed. This is the beginning <strong>of</strong> a study that will<br />
continue for several years, so there may be some delay in responding until all results are<br />
completed. If you have any questions feel free to contact Donna <strong>Kelley</strong>, <strong>IHM</strong> at<br />
dmkelley@loyola.edu or 410-337-1462 or David Powers, Ph.D. at dpowers@loyola.edu<br />
or 410-617-2093.<br />
Thank you very much for your consideration. If you are interested in participating,<br />
please sign the following statement<br />
I have read the information provided and agree to participate in the survey. I<br />
understand that my participation is voluntary and that I may stop participating at<br />
anytime.<br />
________________________________________<br />
Participant Date<br />
________________________________________<br />
Researcher Date