Consent |
Doctors and researchers at the Institute on Aging at the University of Florida are conducting a study to understand how COVID-19 is impacting their lives. We are asking you to take this survey. This survey consists of questions about your medical health, activity levels, mood, use of technology and food availability before and during the COVID-19 outbreak.
Participation in the survey study is optional. You do not have to complete the survey or submit your answers. You may skip a question if it makes you feel uncomfortable. Responses after you click “submit” will be stored under a code that has no identifying information or link to you. There is no direct benefit to you for taking this survey, but there may be benefits to others depending on the results of the study
Your participation in this survey is not related to your healthcare provided the University of Florida or UFHealth. Your survey responses are entered into a secure online database called REDCap, which is compliant with United States privacy laws (HIPAA). The information we collect from each participant is stored with a unique ID number on UFHealth's secure server. Access to the data will be highly restricted and only granted to members of the study team.
The survey takes about 45 minutes to complete. Ideally, we would like for you to answer all the questions in one sitting. If you get tired, you may stop at any time. Questions that were submitted will be saved. You can go back later as long as you keep your application open.
At the end of the survey, we will ask you whether you will be willing to receive an email to take the survey again in about 2-3 months. This is optional and not required for participation. If you agree, then you can choose to provide your email address and we will recontact you. The information you give on the survey will not be linked to your email address.
Research risks and privacy authorization
Your participation in this research is confidential. The survey does not ask for any information that would identify who the responses belong to. In the event of any publication or presentation resulting from the research, no personally identifiable information will be shared because your name is in no way linked to your responses.
UF and Shands will be allowed to collect, use and/or give out your medical information, but only to: Other researchers whose research is approved by a University of Florida Institutional Review Board (IRB) and the National Institutes of Health who partly sponsors the study.
Please contact our research staff at 352-273-5919 or toll free at 866-386-7730 with questions or concerns about this study.
By selecting "yes", I confirm that I have read the information in this form, I am 20 years or older and consent to take part in the research.