Undergraduate Student Survey

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Student Investigator: Aaron Taniguchi
Address: 2043 College Way, Forest Grove, OR 97113
Phone: 808-284-0764
Email: tani7514@pacificu.edu

Faculty Advisor: Katie Faulk, PhD
Address: 2043 College Way, Forest Grove, OR 97113
Phone: 503-352-1445
Email: katiefaulk@pacificu.edu

We invite you to participate in a study examining the potential relationship between academic motivation and burnout in college students. You have been selected for this study because you are at least 18 years of age and currently enrolled as an undergraduate student at Pacific University.

Investigational Procedures
If you choose to participate in this study, you will indicate your willingness by clicking below on the link to the online survey. The survey that you will complete will take approximately 10 minutes of your time and contains the following questions on the following topics: demographics, academic motivation, and burnout.

Risks and Benefits
This investigational procedure does not pose any more risk than you experience in normal daily living. If you participate in this study, you may experience the satisfaction that comes with research and discovery. We appreciate your assistance in our research effort and hope you will find the experience rewarding. We do not promise, however, that you will receive any of these benefits.

Privacy of Records
Your data record is totally anonymous. All the information you provide will be used responsibly and will be protected against release to unauthorized persons. Members of the investigation team listed on this form will likely view your data record. By clicking on the survey link below and by submitting a completed survey, you are giving permission to use your data record in this study. The results of this study will be presented at Pacific University's Senior Projects Day and may be published in professional literature, but no presentation or publication will contain information that will identify you.

You will receive no payment or compensation of any kind for participating in this study.

Your decision whether or not to participate in this study is voluntary and will not affect your standing at Pacific University. Even if you decide to participate now, you may stop at any time and close your browser. You are making a decision whether or not you will participate in this study. If you click on the link below and submit a completed survey, you are indicating your agreement to participate based on reading and understanding this form. If you have any questions, please contact an investigator identified at the top of this form prior to completing the survey. The researchers will be happy to answer any questions you may have at any time during the course of the study. If you are not satisfied with the answers you receive, please call Pacific University's Institutional Review Board at (503) 471-8871 to discuss your questions or concerns further. All concerns and questions will be kept in confidence.

If you do not wish to participate in this study, please close your browser.  If you do wish to participate, please print a copy of this page for your records and click "Next" below.

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