Northeastern University, Department of Psychology
Name of Investigator(s): Judith A. Hall, PhD and Danielle Blanch Hartigan, MA
Title of Project: Rate Your Doctor
Request to Participate in Research
We are inviting you to take part in a research study. This page will tell you about the study. If you decide to participate, click the box below and then proceed with the survey.
We are asking people about their most recent visit to a medical doctor. The questions will appear on the screen and you will click your answers as instructed. There will also be a few questions about your attitudes. The survey should take about 10 minutes. This study is anonymous and all data will be compiled together to create a summary of people’s answers.
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.
There are no foreseeable risks or discomforts to you for taking part in this study.
There are no direct benefits to you from participating in this study. However, your responses may help us learn more about evaluating doctors.
As a token of our appreciation for completing the survey, everyone who completes the survey will have the opportunity to enter a drawing to win a $50 gift card. Researchers will not link your email to your survey responses.
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 the response. Neither the researcher nor anyone involved with this survey will be capturing those data. 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 Mark Nardone, IT security analyst, via phone at 617-373-7718, or via email at firstname.lastname@example.org.
If you have any questions about this study, please feel free to contact Judith A. Hall, the Principal Investigator, at 617-373-3790; email@example.com.
If you have any questions regarding your rights as a research participant, please contact Nan C. Regina, Director, Ms. Nan Regina at Northeastern University’s Office of Human Subject Research Protection, 960 Renaissance Park, at 617-373-7570; firstname.lastname@example.org. You may call anonymously if you wish.
By clicking on the Accept button below you are indicating that you consent to participate in this study. Please print out a copy of this consent form for your records.
Thank you for your time.
Judith A. Hall