Post-Debrief Consent Form - Free Download
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Sample!Post,Debrief!Consent!Form!
This!consent!form!template!is!used!after!the!debriefing.!!The!purpose!of!this!form!is!to!
allow!the!participant!to!withdraw!themselves!from!the!study!after!learning!the!real!
purpose!of!the!study.!!Please!tailor!this!form!so!that!it!accurately!desc ribes!your!study.!!
Delete!all!red!text!from!the!form.!!Please!see!Consent!and!Deception!for!more!
information.!!
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Post,Debrief!Consent!Form!for!Deception!Studies!
Project!Title:!!!
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During(the(experiment,(you(were(asked(…Describe(the(task.(You(were(told(that(the(
purpose(of(the(study(was(to(…Describe(the(deception.((This(is(not(true,(…Explain(the(
actual(purpose(of(the(study(and(describe(how(the(deception(worked.((
(
Because(you(were(deceived,(you(now(have(the(right(to(refuse(to(allow(your(…Specify(
what(materials(will(be(used(to(be(used(and(to(ask(that(they(be(destroyed(immediately.((
If(you(do(so,(there(is(no(penalty.((You(will(still(receive(full(credit(…or(payment,(if(
applicable(for(the(experiment.(
(
(
___( I(give(permission(for(my(materials(to(be(used(in(the(analysis(for(this(experiment.(
(
___( I(do(NOT(give(my(permission(for(my(materials(to(be(used(in(the(analysis(for(this(
experiment.((Please(withdraw(them(from(the(study(and(destroy(them(immediately.(
(
(
(
(
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Signature:((____________________________________(Date:((_____________(((
(
You!will!receive!a!copy!of!this!form!f or!your!records.!
