What You Need to Know to Participate
This document provides information to help you decide whether to join this research study. It is important you understand the responsibilities, risks and benefits of participating.
INFORMED CONSENT DOCUMENT AGREEMENT TO BE IN A RESEARCH STUDY
| Challenge/Study Title | Fitness Routine & Electrolyte Recovery Impact Study |
|---|---|
| Challenge Coach (The Person in Charge of This Research Study) | Efforia Advanced Author |
| Sponsor | This study is made possible by your payment to join. |
| Challenge Cost | $25 |
| Included Products & Services | Electrolyte Recovery | Berry, Withings Sleep Mat |
| Outcome Measures | General Anxiety Disorder (GAD-7), Hamilton Anxiety Rating Scale (HAM-A) Survey |
| Contact | help@efforia.com |
The Purpose of This Study
The purpose of this study is to understand the impact of different fitness routines and the role of electrolyte recovery in enhancing performance and overall well-being. We aim to identify any potential links between these factors and their impact on anxiety levels. Through this study, we hope to provide valuable insights that can guide future fitness and wellness strategies.Your Responsibilities as a Participant
This study is best suited for individuals who are eager to explore the effects of varied fitness routines and electrolyte recovery on their own bodies and minds. Participants will be required to follow the assigned fitness routine, consume the provided electrolyte recovery products, and complete regular surveys on their anxiety levels. It's a commitment, but one we believe could be a game-changer for your health and wellness journey!Your Rights as a Participant
Remember, your participation is totally up to you. You can choose to drop out at any time, no hard feelings. However, please note that we won't be able to refund your participation fee. It's the fuel that keeps this research train running and ensures a great experience for all participants.How to Leave the Study
Ready to call it a day? No problem - just head to your Profile page, click “Your Challenges” and click “leave.” Please note, the fee you paid to join is non-refundable. This supports the integrity of the study for all other participants.Risks and Benefits
The possible risks of participation include the general risks associated with physical exercise and the potential discomfort of answering personal questions about your mental health. On the flip side, you'll gain valuable insights about your wellness and potentially see improvements in your fitness and anxiety levels. If anything seems off or you have any questions, don't hesitate to consult a healthcare professional or life coach. If you ever feel suicidal, dial 988 to reach the National Suicide Prevention Hotline. Always remember, this study does not provide a medical diagnosis or cure, and your insurance might not cover research-related injuries. Be sure to check with them for more info.What to do if you have an adverse event or medical emergency
If you experience any medical emergencies, seek immediate care from a local healthcare provider. Once you're safe and cared for, drop us a line at help@efforia.com to let us know what happened.Data Protections
We treat your data like gold - it's precious and needs to be kept safe. We'll be collecting data on your fitness routine, electrolyte recovery product usage, and anxiety levels. This data will only be accessed by those you've given the thumbs up to. Your data helps us personalize your experience, send you reminders, and report on study outcomes. All data is stored securely. But remember, this is a community study - we encourage you to share your experiences and results with the Efforia community and beyond. You can update your communication preferences at any time. Check out the Efforia Terms & Conditions and Privacy Policy for the full scoop.If you have questions
Got questions? Join the conversation in our community or shoot us an email at help@efforia.com. We're here to help!California Experiential Research Subject’s Bill of Rights
As a participant in California, you have the right to be informed about the study, its potential risks and benefits, your privacy rights, and any costs associated with participation. You also have the right to withdraw at any time without penalty.HIPAA Waiver
By participating in this study, you agree to waive certain privacy protections provided by the Health Insurance Portability and Accountability Act (HIPAA). This allows us to collect and use your health information for research purposes. Your identifiable information will be kept confidential and secure.- Authorization and Consent for Diagnostic Testing
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I voluntarily consent and authorize CWI Physician Partners P.C., a California professional corporation; CWI Physician Partners P.C., a Hawaii professional corporation; CWI Physician Partners P.C., a Georgia professional corporation; CWI Physician Partners P.C., a Kansas professional corporation; CWI Physician Partners P.C., an Oregon professional corporation; CWI Physician Partners P.C., a Nevada professional corporation, CWI Physician Partners P.C., a Rhode Island professional corporation; CWI Physician Partners P.C., an Oklahoma professional corporation, as applicable ("CWI") to review the collection, testing, and analysis for the purposes of a diagnostic screening test. I understand that there are risks and benefits associated with undergoing a diagnostic screening testing and there may be a potential for false positive or false negative test results. I assume complete and full responsibility to take appropriate action with regards to my test results. Should I have questions or concerns regarding my results, or a worsening of my condition, I shall promptly seek advice and treatment from an appropriate medical provider. I further acknowledge the following:
- I am the individual who will provide the sample for the Test(s) that I am requesting or I am the parent or legal guardian of a minor who is providing the sample for testing.
- I am at least eighteen (18) years of age or I am the parent or legal guardian of a minor who is providing the sample for testing.
- I have read and understand the information provided about the Test(s) that I have been provided on the website where I requested the Test.
- The information I have provided in connection with my request to CWI is correct to the best of my knowledge. I will not hold CWI or its employees or agents responsible for any errors or omissions that I may have made in providing such information.
- My health information and results may be shared with CWI employees and agents for the purpose of ordering, processing, and reporting my results.
- Medical Services provided by CWI are purely for diagnostic assistance purposes and do not create a physician-patient relationship, and do not constitute medical care or diagnosis or treatment of any condition, disease, or illness.
- I authorize CWI to contact me via text message to communicate with me regarding my test.
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Patient Rights and Privacy Practices
- Notice of Privacy Practices and Patient Rights: CWI Notice of Privacy Practices describes how it may use and disclose your protected health information for other purposes that are permitted or required by law. To review a copy of CWI Notice of Privacy Practices, go to http://www.CynergyWellness.com.
- Disclosure to Government Authorities: I acknowledge and agree that my test results and associated information may be disclosed to appropriate county, state, federal, or other governmental and regulatory entities as may be permitted by law.
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Release
- To the fullest extent permitted by law, I hereby release, discharge and hold harmless, CWI, including, without limitation, any its respective officers, directors, employees, representatives and agents from any and all claims, liability, and damages, of whatever kind or nature, arising out of or in connection with any act or omission relating to my diagnostic test or the disclosure of my test results.
- By selecting the ACKNOWLEDGEMENT during the registration process for diagnostic testing, I acknowledge and agree that I have read, understand, and agreed to the statements contained within this form. I have read the contents of this form in its entirety and voluntarily consent to proceed with these procedures.