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Psychology Consent Form

A psychology consent form is a form that is used by psychologists to obtain consent from their patients before conducting psychological research on them. This form typically contains information about the research project, the risks and benefits of participating in the research, and the patient's rights.

Time to complete

2 minutes

Eligibility

Anyone who is above 18 years of age and willing to take part in psychological treatment/research can fill out this form

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Questions for Psychology Consent Form

1.

Name

The answer should be a single choice:
    2.

    Email Address

    The answer should be an email input.
    3.

    I hereby consent to participate in psychological testing. I understand that the purpose of this testing is to gather information about my psychological functioning

    The answer should be a single choice:
    1. Yes
    2. No
    4.

    I understand that I am free to withdraw from the testing at any time, and that I may decline to answer any questions that I do not wish to answer

    The answer should be a text input.
    5.

    I understand that the information gathered during the testing will be confidential, and will only be used for the purpose of conducting psychological research or for providing psychological services

    The answer should be a single choice:
    1. Yes
    2. No
    6.

    I understand that I am free to withdraw from the testing at any time, and that I will be given the opportunity to ask questions about the testing procedures and my rights as a participant

    The answer should be a single choice:
    1. Yes
    2. No
    7.

    I understand that the information I provide during the testing will be confidential, and will only be used for research purposes

    The answer should be a single choice:
    1. Yes
    2. No
    8.

    I understand that the testing will be conducted by a qualified psychologist, and that I will be asked to complete a variety of tasks and answer questions during the testing session

    The answer should be a single choice:
    1. Yes
    2. No
    9.

    Signature

    The answer should be a signature.
    10.

    Date

    The answer should be a date input.

    Similar Ideas

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    Here are some FAQs and additional information
    on     Psychology Consent Form

    Can I withdraw my consent after I have signed the form?

    Yes, you can withdraw your consent at any time by contacting the researcher. However, please note that if you withdraw your consent, any data that has already been collected may still be used in the study.

    Can I change my mind about what I have consented to?

    Yes, you can change your mind about what you have consented to at any time by contacting the researcher. However, please note that if you change your mind, any data that has already been collected may still be used in the study.

    What will happen if I do not sign the consent form?

    If you do not sign the consent form, you will not be able to participate in the study.

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