Participant Consent Form
My name is Craig Lamb, and I am a graduate student in the Masters in Mental Health Counseling program at the Tampa, Fl campus of Springfield College. I am conducting a research project on polyamory as it relates to the mental health field. The purpose of this study is to discover experiences in counseling by polyamorous individuals and uncover any possible concerns those persons may have when seeking mental health counseling. You will be asked to fill out a questionnaire which will take approximately 15 minutes of your time. Thank you in advance for your participation.
You have the option to decide not to participate in this study, and may withdraw at any time. The information collected will be confidential, and you should not put your name anywhere on the questionnaire. My purpose is to educate mental health counselors on alternative relationships so that they will be better advised on productive ways of approaching the subject of polyamory.
If you agree to participate, please complete and return the attached survey “questionnaire”. Your completion and return of this survey indicates your consent to participate in this study and you should keep this letter of notice of your consent. If you have any questions you may contact me at email@example.com
, or my faculty supervisor Dr. Gerald Thomas, at GThomas@spfldcol.edu
Link to survey: