UNIVERSITY OF WISCONSIN-MADISON
Research Participant Information and Consent Form
Title of the Study: Residential Life and Roommate Study
Principal Investigator: Professor Bradford
Student Researcher: Yanzhuo (Amy) Niu
WHAT IS THIS STUDY ABOUT?
You are invited to participate in a research study about students’ college residence life. We would like to learn from your experiences about how your experience living in the residence hall and your roommate relationship would influence your college satisfaction. To participate in this study, you must be an undergraduate student currently enrolled in U.W.-Madison, 18 years old and older, living in an on-campus university residence hall and sharing a room with someone else.
WHAT WILL MY PARTICIPATION INVOLVE?
You will be asked to complete a confidential online survey about your experience living in the residence hall, living habits, roommate relationship, attitudes toward social/academic aspects of college life and satisfaction with college. The survey takes about 25 minutes.
WILL I BE COMPENSATED FOR PARTICIPATING?
If you complete the survey, you will receive the chance to enter a drawing for one of 50 $10 gift cards. If you and your roommate both complete the survey, you can enter another drawing for a $200 cash prize ($100 for each person). The odds of winning depend on the number of students who participate, but we estimate that 1 in 6 participants will win a $10 gift card.
WHAT ARE THE RISKS AND BENEFITS?
It could be embarrassing if the information you provide on the survey becomes public, but we have taken several steps to minimize this risk. Your name will not appear on the survey; the information you provide will be stored on a secure server and only members of the research team can see it. No highly personal, sensitive or identifiable information is being asked, but if any happens to be revealed by your responses to the survey, it will be scrubbed from the data and not published. Also, you might find some of the survey questions to be upsetting, but you are free to skip any question you don’t want to answer. At the end of the survey, you will be provided with a list of counseling services available at the University in case you feel that you need to talk to someone about your experiences. There are no direct benefits for participating in this research. We hope your participation will improve the University's ability to help students complete college successfully.
HOW WILL MY CONFIDENTIALITY BE PROTECTED?
What you say on the survey is strictly confidential. No one besides the research team will see your answers. While there will probably be publications as a result of this study, your name will not be used. When sharing excerpts of your responses to open-ended questions, we will not include material that contains identifying information.
WHOM SHOULD I CONTACT IF I HAVE QUESTIONS?
You may ask any questions about the research at any time. If you have questions about the research you should contact the Professor Bradford Brown (phone: 608-262-0838, e-mail: firstname.lastname@example.org) or the student researcher, Amy Niu at email@example.com. If you are not satisfied with response of research team, have more questions, or want to talk with someone about your rights as a research participant, you should contact the Education and Social/Behavioral Science IRB Office at 608-263-2320.
Your participation is voluntary and you can stop participating at any time. If you decide not to participate it will have no effect on your course grades or access to University services.
By clicking the arrow below, you indicate that you have read and understand this form, had an opportunity to ask questions, and agree to participate in the study.