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
| Protocol/Study Title | Repeating Tasks (Override and Not Override) |
|---|---|
| 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 | $0 |
| Included Products & Services | |
| Outcome Measures | |
| Contact | help@efforia.com |
The Purpose of This Study
This study is all about understanding how people manage repeating tasks, both when they're overridden and when they're not. By participating, you'll help us better understand how people organize their lives and respond to recurring tasks. Your insights could lead to improvements in task management tools and strategies, helping others to be more productive and efficient. Now, doesn't that sound like a quest worth embarking on?Your Responsibilities as a Participant
We're looking for participants who are curious, committed, and ready to share their experiences. You'll be asked to engage with various tasks, record your experiences, and provide feedback. Your unique insights and contributions are what make this study possible. Remember, this adventure is a team effort!Your Rights as a Participant
Participation is totally voluntary. You can choose to leave the study at any time if you decide it's not for you. However, please note that refunds are not available once you've joined the study.How to Leave the Study
Want to leave the study? No problem! Just go to your Profile page, click “Your Challenges” and click “leave.” Remember, your join fee is not refundable. This payment helps keep the study experience quality for other participants.Risks and Benefits
There may be some risks in participating in this study, such as feeling stressed or overwhelmed by the tasks. Some questions might make you uncomfortable. If you ever feel unsure or need advice, don't hesitate to reach out to a professional, like a doctor or life coach. If you ever feel suicidal, dial the National Suicide Prevention Hotline at 988. It's important to remember that this study doesn't provide a medical diagnosis or cure, and it's possible you might not get any benefit from participating other than assessments and test results.What to do if you have an adverse event or medical emergency
If you have a medical emergency, seek local personal medical care immediately. Don't try to contact Efforia or the study sponsors until after you've gotten help. Once you've sought care, report any adverse events to help@efforia.com.Data Protections
We'll be collecting data during this study, but don't worry - your data is safe with us. Only those you've given approval to will have access to your data. We'll use your data to send reminders, personalized outcome reports, and overall findings. All data is stored securely, but remember, this is a community study. We encourage you to share your experiences with others in the study and the wider world using Efforia's features. Make sure to adjust your communication preferences to what you're comfortable with, and review Efforia's Terms & Conditions and Privacy Policy.If you have questions
Got questions? The community is here to help! But if you'd rather not share your questions with everyone, you can always reach out to help@efforia.com.California Experiential Research Subject’s Bill of Rights
As a participant in this study, you have rights! The California Experiential Research Subject’s Bill of Rights ensures your right to be informed about the study, to refuse to participate or to withdraw at any time, to receive treatment if injured, and to privacy and dignity.HIPAA Waiver
By participating in this study, you're waiving certain protections under the Health Insurance Portability and Accountability Act (HIPAA). This waiver lets us collect and use your health information for this research study. Don't worry, we'll still keep your information secure and confidential.- Authorization and Consent for Diagnostic Testing
- 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.
- 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.
- 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.