Important Information

INFORMED CONSENT DOCUMENT AGREEMENT TO BE IN A RESEARCH STUDY

Hey there, super participant! We’re inviting you to join a research study on Efforia. The subject? Task Expiration Test Challenge — Update! This is not a drill. Use the information provided here to decide whether this study is a good fit for you. If you have any lingering questions, don’t proceed until you’re fully satisfied. Your understanding and comfortability is key!

The Purpose of This Study

We aim to investigate the impact of task expiration on performance, motivation, and stress levels. Your participation will help us understand the relationship between these variables, ultimately improving our platform and user experience. In a nutshell, we want to make Efforia better for you and others like you.

Your Responsibilities as a Participant

Super participants for this study should be active Efforia members, willing to engage and complete tasks before their expiry. You’ll need to track your performance, stress levels, and motivation throughout the challenge. Remember, your honesty and consistency are key to this research’s success. So, gear up and get set!

Your Rights as a Participant

Your participation in this study is completely voluntary. You can choose to drop out at any time, although we will miss you! Regrettably, refunds are not available as your entry fee contributes to maintaining the quality and integrity of this study.

How to Leave the Study

Planning to leave? Simply go to your Profile page, click on “Your Challenges” and then “leave”. Just remember, your join fee isn’t refundable. We use your payment to keep the study experience top-notch for other participants.

Risks and Benefits

As with all studies, there are risks and benefits. Participating might bring up some uncomfortable feelings as you answer challenging questions. Always consult with a doctor, life coach, or appropriate expert if you have concerns. If you ever feel suicidal, immediately dial 988 to reach the National Suicide Prevention Hotline. Make sure to review all the information here and consult with a medical professional if unsure. Some insurance plans may not cover research-related injuries, so it’s good to check with your insurer. Remember, this study does not provide a medical diagnosis or cure, and there’s a possibility that you might not benefit from this study aside from gaining assessments and test results.

What to do if you have an adverse event or medical emergency

If you have a medical emergency, seek immediate local medical care. Do not attempt to contact Efforia, the community, or study sponsors until after you’ve sought care. Once you’re safe, report any adverse events to help@efforia.com.

Data Protections

We value your privacy. We’ll collect data related to the study, but only those you’ve approved will have access to it. We’ll use your data to send reminders via e-mail, SMS, and push notifications, create personalized reports, and share overall findings. All data is stored on secure servers. As this is a community study, we encourage sharing your experiences and outcomes with others in the study and the wider world using Efforia’s features. To further secure your data, adjust your communication preferences to your comfort level. Remember to review the Efforia Terms & Conditions and Privacy Policy.

If you have questions

Got questions? Engage with the community! If you prefer a more private communication, please contact help@efforia.com. We’re here to help!

California Experiential Research Subject’s Bill of Rights

As a resident of California participating in this study, you have rights under the California Experiential Research Subject’s Bill of Rights. These rights include, but are not limited to, the right to be informed of the nature and purpose of the experiment, to be given an explanation of the procedures to be followed in the study, to be given a description of any discomforts and risks reasonably to be expected, and to be given an explanation of any benefits reasonably to be expected.

HIPAA Waiver

By participating in this study, you will not waive any of your legal rights. However, you will authorize the use and disclosure of your health information for research purposes. Your health information may be used or disclosed in accordance with the privacy rules of the Health Insurance Portability and Accountability Act (HIPAA).

1. Authorization and Consent for Diagnostic Testing

1. 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:
   1. 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.
   2. 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.
   3. 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.
   4. 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.
   5. My health information and results may be shared with CWI employees and agents for the purpose of ordering, processing, and reporting my results.
   6. 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.
   7. I authorize CWI to contact me via text message to communicate with me regarding my test.

1. Patient Rights and Privacy Practices
   1. 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.
   2. 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.

1. Release
   1. 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.
   2. 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.