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 | Ashwagandha Supplementation for Stress and Anxiety |
| 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 | Chill Ahwagandha Gummies, Oura Ring |
| Outcome Measures | Stress and Anxiety Levels, Sleep Quality, and Overall Wellbeing |
| Contact | help@efforia.com |
Ready to Make a Change? Join the Study!
Hey there! We're inviting you to join an exciting research study here at Efforia on the effects of Ashwagandha supplementation on stress and anxiety. This is your chance to contribute to science while potentially improving your own wellbeing! But hold up! Don't proceed just yet if you still have questions or concerns. Reach out to us at help@efforia.com and we'll be happy to assist.The Purpose of This Study
This research aims to understand the impact of Ashwagandha supplementation on stress and anxiety levels. We're keen to explore how this traditional herb can impact modern lifestyles. We'll also be looking at sleep quality and overall wellbeing during the study. Through your participation, you'll help us gain valuable insights into this natural approach to stress management.Your Responsibilities as a Participant
This study is ideal for individuals experiencing moderate stress and anxiety. As a participant, you'll be required to take the provided Ashwagandha supplements regularly, wear the Oura Ring to monitor your sleep, and report your stress and anxiety levels. It's crucial that you adhere to these guidelines to ensure the accuracy of our study.Your Rights as a Participant
Remember, your participation is entirely voluntary. You're free to drop out at any point. However, please note that refunds are not available as your join fee contributes to the overall quality of the study.How to Leave the Study
If you wish to leave, navigate to your Profile page, click “Your Challenges” and select “leave.” Bear in mind that your joining fee is non-refundable. This ensures a quality experience for other participants.Risks and Benefits
Participating in this study carries some risks, including potential side effects from the Ashwagandha supplements, and possible discomfort from answering personal questions. However, the benefits may include reduced stress and anxiety, improved sleep, and contributing to valuable research. If you're uncertain, consult with a doctor or life coach. If you feel suicidal, contact the National Suicide Prevention Hotline by dialing 988. Please remember, this study does not provide a medical diagnosis or cure, and it's possible you may not experience any benefits apart from the assessments and test results.What to do if you have an adverse event or medical emergency
If you experience a medical emergency or adverse event, seek medical attention immediately. Once you've sought care, report any adverse events to us at help@efforia.com.Data Protections
We'll collect data on your stress and anxiety levels, sleep quality, and overall wellbeing. Your data will be accessed only by those you've approved and will be used to provide reminders, personalized outcome reports, and overall findings. All data is secure but remember, this is a community study, so we encourage you to share your experiences. Review our Terms & Conditions and Privacy Policy for more info.If you have questions
Got questions? Engage with our community, they're here to help. If you prefer a more private discussion, get in touch at help@efforia.com.California Experiential Research Subject’s Bill of Rights
As a participant in this study, you have rights. These include the right to withdraw at any time, the right to confidentiality, the right to be informed of the study's purpose, procedures, and potential risks and benefits, and the right to have your questions answered.HIPAA Waiver
This study involves a waiver of your rights under the Health Insurance Portability and Accountability Act (HIPAA). By participating, you consent to the use and disclosure of your protected health information for research purposes. ```- 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.