Informed Consent
Invitation to take part
Thank you for considering taking part in this study, conducted by Dr Dominique Makowski from the University of
Sussex and his team (see contact information below). Taking part is entirely up to you, and you can decide not
to without giving a reason.
Why have I been invited, and what will I do?
The aim of this study is to validate a questionnaire measuring interoception. Interoception refers to the
sensing, interpretation and processing of internal bodily signals (e.g., feeling changes in the way one's heart
beats). You will answer a series of questions on screen, one at a time, mostly by picking a point on a scale:
first a few questions about yourself, then questionnaires about the sensations you notice in your body, plus
other measures which help us contextualize your answers, such as your mood and health over the past weeks and
months.
That first part takes about 20 to 25 minutes and is the whole of the study. If you are taking part for
course credit or payment, it is awarded for finishing it. You will then be told that you have finished, and
offered the choice of carrying on through further questionnaires if you would like to.
That second part is entirely optional, carries no additional credit or payment, and you can stop anywhere
in it.
Please make sure that you are attentive and in a quiet environment, and that you have the time to complete it in
one go. You must be 18 or older to take part.
What will happen to the results and my personal information?
The group results of this research may be written into a scientific publication. Your anonymity will be ensured
in the way described in the consent information below. Please read this information carefully and then, if you
wish to take part, please acknowledge that you have fully understood this sheet, and that you consent to take
part in the study as it is described here.
Your answers are recorded as you give them, rather than only at the end: each one is sent for storage the
moment it is given. This means that if you stop partway through, or close the tab, the answers you have already
given are kept and may be used in the research. Because the study is anonymous, there is no way to find your
answers again afterwards, and so no way to take them back.
We ask for the day you were born only to work out your star sign for the feedback. It is removed, or
reduced to the star sign it gives, before any data are made public.
The feedback you are shown along the way is for interest only. It is generated from brief questionnaires scored
against reference values, and it is not a diagnosis, an assessment or advice. If you are worried about your
mood, your health or anything the questions bring up, please speak to your doctor or another qualified
professional.
Consent
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I understand that by pressing Start below I am agreeing to take part in the University of Sussex research
described here, and that I have read and understood this information sheet.
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I understand that my participation is entirely voluntary, that I can choose not to participate in part or
all of the study, and that I can withdraw at any stage without having to give a reason and without being
penalised in any way (e.g., if I am a student, my decision whether or not to take part will not affect my
grades).
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I understand that my answers are recorded as I give them, and that since the study is anonymous, it will be
impossible to withdraw my data once it has been given, whether or not I finish the study.
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I understand that my personal data will be used for the purposes of this research study and will be handled
in accordance with Data Protection legislation. I understand that the University's Privacy Notice provides
further information on how the University uses personal data in its research.
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I understand that my collected data will be stored in a de-identified way. De-identified data may be made
publicly available through secured scientific online data repositories.
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By participating, I agree to follow the instructions and provide honest answers. If I do not wish to
participate, or don't have the time, I can simply close my browser.
For further information about this research, or if you have any concerns, please contact Dr Dominique Makowski
(D.Makowski@sussex.ac.uk)
and/or Asel Tohlukov (at775@sussex.ac.uk). This research has been approved
(XX/XXXX/XX) by the Sciences & Technology Cross-Schools Research Ethics Committee (C-REC)
(crecscitec@sussex.ac.uk). The University of Sussex has insurance in place to cover its legal liabilities
in respect of this study.
Scroll to the end of the form to continue.