You are invited to participate in a research study of (include project title and state what is being studied.) The purpose of this study is to (state what the study is designed to discover or establish.) You were selected as a possible participant in this study because (state why and how the subject was selected.)
If you decide to participate, please complete the following survey. Your completion of this survey indicates your consent to participate in this research study. The survey is designed to (explain purpose of survey.) It will take about (length of time expected to complete survey.) You will be asked to answer questions about (include information about specific question topics). No benefits accrue to you for answering the survey, but your responses will be used to (explain research benefit). Any discomfort or inconvenience to you are (state any risks), but they are not expected to be any greater that anything you encounter in everyday life. Data will be collected using the Internet; no guarantees can be made regarding the interception of data sent via the Internet by any third party. Confidentiality will be maintained to the degree permitted by the technology used.
[OPTIONAL STATEMENT if you are gathering sensitive personal data, you may want to include.] We strongly advise that you do not use an employer issued device (laptop, smartphone etc.) to respond to this survey.
Your decision whether or not to participate will not affect your future relationships with the name of Institution or agency or teacher. If you decide to participate, you are free to stop at any time; you may also skip questions if you don’t want to answer