Golf Survey - Study Information Sheet
IRB Study # 1006001443
STUDY INFORMATION SHEET
Study of Participation in the Game of Golf
by Persons with Disabilities and Persons Who have Health Concerns
You are invited to participate in a research study of golf participation by persons with disabilities or who have a health condition. You were selected as a possible subject because you responded to a request to participant in this study. We ask that you read this form and submit any questions you may have before agreeing to be in the study.
The purpose of this study is to examine why someone does or does not participate in golf. In other words, what encourages or discourages a person with a disability or health condition to play golf?
PROCEDURES FOR THE STUDY
If you agree to be in the study, you will do the following things:
Complete the on-line survey on golf participation. If you require the survey in an alternative format, you may contact Dr. Sherril York at email@example.com and a survey will be mailed to you or you may request to complete the survey by telephone.
Efforts will be made to keep your personal information confidential. We cannot guarantee absolute confidentiality. Your personal information may be disclosed if required by law. Your identity will be held in confidence in reports in which the study may be published.
You will not receive payment for taking part in this study.
CONTACTS FOR QUESTIONS OR PROBLEMS
For questions about the study, contact the researcher Dr. Sherril York at (812) 856-4422 or firstname.lastname@example.org or Jeffrey Chait at email@example.com. (812) 964-0667
For questions about your rights as a research participant or to discuss problems, complaints or concerns about a research study, or to obtain information, or offer input, contact the IUB Human Subjects office, 530 E Kirkwood Ave, Carmichael Center, 203, Bloomington IN 47408, 812-855-3067 or by email at firstname.lastname@example.org
VOLUNTARY NATURE OF STUDY
Taking part in this study is voluntary. You may choose not to take part or may leave the study at any time. Leaving the study will not result in any penalty or loss of benefits to which you are entitled. Your decision whether or not to participate in this study will not affect your current or future relations with the investigator(s).