ࡱ> ;=:U bjbjnn >*aa: jrr8:D~"!!!!!!!$#&!!4!$$$R!$!$$:, 6F k!!0"R4'|B4' 4' T$!!f"4'rB : Assent Script for Children 91Porn Hi. My name is [researchers name]. Im a [teacher at a college/student at a college]. Right now, Im trying to learn about [insert topic of study in simple language]. I would like to ask you to help me by being in a study, but before I do, I want to explain what will happen if you decide to help me. I will ask you to [describe what will take place using appropriate language from the childs point of view, including the time involved. If the study involves specific questions and if appropriate, indicate that there are no right or wrong answers. Note if you will be audio or video taping the child. If the study involves risks, explain them in child-friendly language. By being in the study, you will help me understand [the research question]. If there are direct benefits to the child, briefly explain them. Your [parents, teacher, classmates] will not know what you have [said/written/draw/chose/other activity the child is being asked to do]. When I tell other people about my study, I will not use your name, and no one will be able to tell who Im talking about. Your [mom/dad] says its okay for you to be in my study. But if you dont want to be in the study, you dont have to be. What you decide wont make any difference [with your grades/about how people think about you/other appropriate statement for the age group and nature of the activity]. I wont be upset, and no one else will be upset, if you dont want to be in the study. If you want to be in the study now but change your mind later, thats okay. You can stop at any time. If there is anything you don't understand you should tell me so I can explain it to you You can ask me questions about the study. If you have a question later that you dont think of now, you can call me or ask [your parents/teacher] to call me or send me an email. Do you have any questions for me now? Would you like to be in my study and [talk to me/answer some questions/draw some pictures/play a game/begin whatever activity is planned]? NOTES TO RESEARCHER: The child should answer Yes or No. Only a definite Yes may be taken as assent to participate. Name of Child: _____________________________ Parental Permission on File: ( Yes ( No (If No, do not proceed with assent or research procedures.) 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