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Participation in research is completely voluntary.\nThe purpose of the main study is to examine the effect of providing key information to subjects in a consent form on their comprehension of the study. This consent form pertains to the screening portion of the study, which will determine whether you are eligible to participate in the main study.\nThe screening will take 10 minutes, and you will be asked to answer some questions. This information will be stored for future use.\nRisks and/or discomforts may include the risk of breach of confidentiality.\nThere is no direct benefit to you from participating in the screening procedure.\nKey Information*\nYou are being invited to participate in a research study. Participation in research is completely voluntary.\nThe purpose of the study is to [one sentence explanation of why]. This consent form pertains to the screening portion of the study.\nThe study will take a total of [total time commitment] and you will be asked to [one sentence explanation of study procedures].\nRisks and/or discomforts may include [list possible risks and/or discomforts].\nThere is no direct benefit to you [or list possible direct benefits]. The results from the study may [one sentence explanation of societal benefits of study].\n[If applicable, list appropriate alternative procedures or courses of treatment].\n*Key information is required for consent forms over two pages in length, where a page is one side of a\nstandard 8.5x11 inch document.\nIntroduction\nMy name is _______________ [if there are co-investigators, note here, e.g., \"and my research colleagues are ___________ and ___________\"].  I am a(n) [undergraduate/ graduate student/ faculty member] at the University of California, Berkeley, [if lead investigator is a student, introduce faculty sponsor here, e.g., \"working with my faculty advisor, Professor __________,\"] in the School/Department of _________.  I am [We are] planning to conduct a research study, which I invite you to take part in.\nYou are being invited to participate in this study because [specify reason why prospective subject is being recruited for study, e.g., \"you have signed up for the Research Participant Pool (RPP)\"].\nPurpose\nThe purpose of this screening is to collect eligibility information and determine whether or not you can participate in the main study, and to store this information for future use.\nThe purpose of the main study is to __________.  [Give brief explanation of why study is being done, using one or two sentences written in clear language understandable to the target population].\nProcedures\nTo find out whether you are eligible, [Describe screening procedures. For example, “we will ask you some questions about your background, including [describe questions].\nIf you are eligible to be in the study and you are interested in participating, you will be given another consent form to read and sign. That consent form will further explain the procedures, risks, and potential benefits of the main study.\nStudy time: Your study participation in the screening portion of the study will take a total of approximately [minutes/hours].\nStudy location: The screening procedure will take place at ___________.  [If different procedures will take place at different locations, specify accordingly].\nBenefits\nThere will be no direct benefit to you from participating in the screening portion of the study.\nRisks/Discomforts\nBreach of confidentiality: As with all research, there is a chance that confidentiality could be compromised; however, we are taking precautions to minimize this risk.\nConfidentiality\n[Since there is no legal privilege between investigator and subject, a \"guarantee\" of “complete” or \"strict” confidentiality should not be given or implied in the consent form.  This section should explain","cbCaicYPue0eIkN9","https://ap.wps.com/l/cbCaicYPue0eIkN9","docx",95999,"English","# Purpose\n## Introduction\n## Purpose\n## Procedures\n## Benefits\n## Risks and/or Discomforts\n## Confidentiality","[{\"question\":\"What is the purpose of the screening portion of the study?\",\"answer\":\"The screening collects eligibility information and determines whether participation in the main study is possible. It also stores this information for future use.\"},{\"question\":\"How long does the screening take and what will you be asked to do?\",\"answer\":\"The screening will take about 10 minutes. You will be asked to answer questions used to determine eligibility.\"},{\"question\":\"What risks are associated with participating in the screening?\",\"answer\":\"The primary risk mentioned is potential breach of confidentiality. The form notes precautions to minimize this risk.\"}]","TEMPLATE SCREENING CONSENT DOCUMENT - BEHAVIORAL STUDY - CONSENT TO PARTICIPATE IN RESEARCH | DOCX"]