Applied Research Study: The Impact of Affirmations

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Name *

Email Address *

Age of child participant: *

Do you have more than one child that you would like to participate in the study? *

Yes

If you answered "yes" to the previous question, please provide the child/children's age (s)

Yes, please contact me when the study begins. I understand that the study questionnaires will be submitted online. I understand that I will be asked to electronically sign a consent form. I understand that I am not obligated to participate and can change my mind at any time. I understand that I will be able to review the research if I wish. I understand that there will be no personal benefits to me from participating in this research. *

Yes, I understand.

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