413047-Underground-Commercial-Sex-Economy

Voluntary Participation: You may refuse to answer any questions or provide any information
whenever you want. You may stop the interview at any time. If you do not answer our
questions, we will not tell anyone here in [name of the facility]. Talking to us will not change
the programs or services you get in prison or when you go home. Same if you don’t talk to us.
Possible Risks or Discomforts
Some of the interview questions are personal and it is possible that they may make you feel
uncomfortable or upset. There are no right or wrong answers and you can skip any questions you do
not want to answer. If you become upset for any reason, you can ask to stop the interview. If you want
to take a break at any time during the interview, please let us know. I can also alert your case counselor
who can meet with you if you feel that would be helpful.
If you have any questions about the interview or the study, you can write to:
The Urban Institute
Attn: Meredith Dank
Justice Policy Center
2100 M Street, NW
Washington, DC 20037
By signing this form, I agree to participate in this interview process as described above:
Individual’s Name:_______________________________________________________
(Please Print)
Individual’s Signature:____________________________________________________
Date:___________________________________________
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