Informed Consent
Project Title: Determining the Global Distribution of Physical/Social Distancing Mindsets
Researcher(s): Dr. Nick Bellissimo, Dr. Howard Moskowitz, Dr. Gillie Gabay
Research Ethics Board (REB) approval number: 2020-149

If you have any questions about this research, you may contact Nick Bellissimo at You have been asked to be a part of the research described below.

Summary of the study: The purpose of this study is to determine the mindsets of individuals regarding physical/social distancing during COVID-19. We hope to receive surveys from at least 10,000 respondents. In this survey, you will be asked 10 survey questions. After completion of this study, you will be provided with your physical/social distancing mindset. All measurements are for research purposes only, i.e. they are not diagnostic. There is no physical, psychological or social risk to you when participating in this study. Participation is voluntary. You may choose to stop participating at any time. Please read the material below if you are interested in participating in this study.

What to expect: By participating in this study you will fill out a survey that will take approximately 1 minute to complete. You will be asked to provide your email, year of birth, postal code, gender, ethnicity, and survey responses.

What will happen to the information collected in this study: The information collected will be kept confidential. All records, including demographic data will be stored in a secure location. If you choose to stop participating in this study, your data will be destroyed. Your email will be used to follow up with you for participation in future studies, provide your survey results, and enter you into a draw to win an iPad. Your postal code will be used to identify your geographical location for the purposes of data analysis. You can withdraw at any time if you feel uncomfortable, do not want to provide information, or do not want to answer survey questions by exiting the internet browser.

The benefits to you if you take part in this study: There is no direct benefit to you for completing this study, however, your participation will help us provide valuable information to stakeholders and policy makers regarding physical/social distancing messaging that may improve compliance during COVID-19 and future outbreaks. All measurements are for research purposes only, i.e. they are not diagnostic.

What will you receive for taking part in this study: After completion of the study, your email will be entered into a draw to win an Apple Air iPad.

Risks: There is a known risk for the release of personal information during online study administration. All of the information collected during this study will be kept strictly confidential and used for research purposes only. Data will be secured on a password protected server and only the researchers will have access. Your personal information will not be recorded or used in the reporting of information in publications or conference presentations.

Conflict of Interest: The researchers have no conflicts of interest in performing this study.

Informed Consent: Please acknowledge reading this consent form and agreeing to the information provided.

By choosing to click on the link below, you will consent to the information provided above, participating in the study and are confirming that you are above the age of 18.