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Debriefing Statement Sample

Protocol Number:

Principal Investigator:

  • Name
  • Iona College
  • Department
  • Email
  • Phone

Study Supervisor:

  • Faculty supervisor
  • Iona College
  • Department
  • Email
  • Phone

Thank you for your participation in this study.

The purpose of this study is to [describe the study, the expected findings, and the value/goals of the study].

People won’t be able to act naturally if they come into the study knowing what it is about, so we have a favor to ask of you. Please don’t discuss the purpose or procedure of the research with your classmates or those in other sections of this course for the next month.

If you begin to feel distressed or upset following today’s session, please contact the Faculty Supervisor (listed above) or call the Iona College Counseling Center at (914) 633-2038. If it is after hours, please contact LifeNet, a toll-free crisis line at 800-543-3638 or at their web site Crisis Text Line.

If you have questions about the study, please contact the Principle Investigator listed above. If you are interested in this study and would like more information about it, we will be happy to provide you with additional information.

If you have concerns about your treatment as a participant, please contact:

Dr. Michael Jordan
Office of the Provost
Telephone: (914) 633-2206

Thank you again for participating.