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RESEARCH PARTICIPANT CONSENT FORM

Reproductive Technologies

Kara Stewart

Animal Science

Purdue University

IRB Protocol #1609018169

                                                                                                                                 

What is the purpose of this study?

The purpose of this study is to evaluate what reproductive technologies are being used in the swine industry and identify barriers to adopting new technologies.  The responses to this survey will be anonymous and will be used to create publications for research as well as to steer research projects.  No reference will be made in written or oral reports that could link you to this study.  We hope to get a minimum of 50 sow farms to participate. 

 

What will I do if I choose to be in this study?

 You will voluntarily participate in an anonymous online survey designed to take less than 15 minutes of your time. 

 

How long will I be in the study?
 Less than 15 minutes.

What are the possible risks or discomforts?

 All research carries risk.  The standard for minimal risk is that which is found in every day life.  Therefore, the risk to participate in this study is considered minimal.

 

Are there any potential benefits?   

 There are no direct benefits to the subjects for participating in the survey. 

 

Will information about me and my participation be kept confidential? 

 The project's research records may be reviewed by departments at Purdue University responsible for regulatory and research oversight.  The survey will not ask for identifiable information such as your name or farm name.  All surveys will be anonymous.

 

What are my rights if I take part in this study?

 Your participation in this study is voluntary.  You may choose not to participate or, if you agree to participate, you can withdraw your participation at any time without penalty or loss of benefits to which you are otherwise entitled.     

 

 

Who can I contact if I have questions about the study?

 If you have questions, comments or concerns about this research project, please contact Kara Stewart (765-496-6199, krstewart@purdue.edu).

 

If you have questions about your rights while taking part in the study or have concerns about the treatment of research participants, please call the Human Research Protection Program at (765) 494-5942, email (irb@purdue.edu)or write to:

Human Research Protection Program - Purdue University

Ernest C. Young Hall, Room 1032

155 S. Grant St.,

West Lafayette, IN 47907-2114

 

Documentation of Informed Consent

 

 

 

I have had the opportunity to read this consent form and have the research study explained.  I have had the opportunity to ask questions about the research study, and my questions have been answered.  I am at least 18 years of age and prepared to participate in the research study described above.

 

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