Caregiver Survey

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You are invited to participate in a research study about the experience of providing care to an adult with mental illness. Tyler Corson, MSG from the Department of Gerontology at Virginia Commonwealth University is conducting this study.

In this study you will be asked to answer questions about your experiences and feelings about caring for your loved one with mental illness. Sometimes thinking about these feelings can cause people to become upset. You do not have to answer any questions that you do not want to answer, and you are free to stop the survey at any time.

You may not get any direct benefit from this study, but, the information we learn from people in this study may help us design better programs for caregivers and their loved ones. There are no costs to participate in the study.

This survey is anonymous and no IP addresses will be collected. No one will be able to identify you or your answers, and no one will know whether or not you participated in the study. Should the data be published, no individual information will be disclosed.

QUESTIONS? If you have any questions or concerns while completing the survey, please feel free to contact Tyler Corson at corsontr@vcu.edu

If you have any questions, complaints, or concerns about your participation in this research, contact:

Dr. Tracey Gendron

Department of Gerontology

730 E. Broad Street

 P. O. Box 980228 

Richmond, VA 23298-2018

Phone: (804) 828-1565

E-mail: tlgendro@vcu.edu

The researcher/study staff named above is the best person(s) to call for questions about your participation in this study.

If you have any general questions about your rights as a participant in this or any other research, you may contact:

Office of Research

Virginia Commonwealth University

800 East Leigh Street, Suite 3000

P.O. Box 980568

Richmond, VA 23298

Telephone: (804) 827-2157

You may also contact this number to ask general questions, to obtain information or offer input, and to express concerns or complaints about the research. You may also call this number if you cannot reach the research team or if you wish to talk with someone else. General information about participation in research studies can also be found at http://www.research.vcu.edu/human_research/volunteers.htm.

Your participation in this study is voluntary. By completing this survey, you indicate that you have read and fully understand this information form.

You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.