Appalachian State University

Informed Consent for Participants in Research Projects Involving Human Subjects

Title of Project:
Outdoor Recreation Survey

Investigator(s)
John Whitehead

I. Purpose of this Research/Project

The survey is designed to gather information about economic values of outdoor recreation in the High Country.

II. Procedures

Would you be willing to answer a few questions? It will only take about 5 minutes.

III. Risks

There are no risks.

IV. Benefits

The results will be used for student research and class purposes only.

V. Extent of Anonymity and Confidentiality

The information provided is anonymous and cannot be traced to survey participants.

VI. Compensation

There is no compensation.

VII. Freedom to Withdraw

You are free to withdraw from the study at any time without penalty.

VIII. Approval of Research

This research project has been approved, as required, by the Institutional Review Board of Appalachian
State University and .

IRB Approval Date Approval Expiration Date

IX. Subject's Responsibilities

I voluntarily agree to participate in this study. I have the following responsibilities:

Respond orally to survey questions.

X. Subject's Permission

I have read and understand the informed Consent and Conditions of this project. I have had all my questions answered. I hereby acknowledge the above and give my voluntary consent:


 
Subject Signature Date

Witness (Optional except for certain classes of subjects) Date
 
Should I have any questions about this research, I may contact:
Investigator(s) Telephone e-mail

John Whitehead

262-6121
whiteheadjc@appstate.edu
Faculty Advisor (if applicable) Telephone e-mail




     
 
Robert L. Johnson
828-262-2692
johnsonrl@appstate.edu

Administrator, IRB
Graduate Studies and Research
Appalachian State University
Boone, NC 28608

Telephone e-mail
Subjects must be given a complete copy (or duplicate original) of the signed consent form.