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Quantified Self: An Exploratory Study of Individual Differences

Informed Consent Form

You are being asked to participate in a research project conducted by Jeff Fajans, a graduate student in the School of Behavioral and Organizational Sciences, Claremont Graduate University (CGU). You are being asked because you are a United States citizen over the age of 18.


PURPOSE:     I am conducting research on individual differences and well-being.


PARTICIPATION:     You will be asked to complete a survey.  We expect your participation to take about 8-15 minutes of your time. 


RISKS & BENEFITSThere are no potential risks associated with this study other than the opportunity cost of time spent completing the survey.  We expect this research to benefit positive psychology and science in general by advancing knowledge.



VOLUNTARY PARTICIPATIONPlease understand that participation is completely voluntary.  Your decision whether or not to participate will in no way affect your current or future relationship with CGU or its faculty, students, or staff.  You have the right to withdraw from the research at any time without penalty.  You also have the right to refuse to answer any question(s) for any reason, without penalty.


CONFIDENTIALITY:   Your individual privacy will be maintained in all publications or presentations resulting from this study. In order to preserve the confidentiality and anonymity of your responses, we will not be using your name, but rather will be assigning a unique participant identification number to your responses.  All data will be stored in a safe location on a locked computer with access granted only to the primary investigator.


PROCEDURE:   If you choose to participate in this survey, indicate your willingness by clicking on the ‘I agree’ button at the end of this web page. If you agree to participate in this survey, you will be asked to answer questions about your demographics as well as different measures of individual differences. Upon successful completion of the survey, you can enter your email address if you wish to receive a report of the analyzed results once completed.

CONTACT & QUESTIONS:  If you have any questions or would like additional information about this research, please contact me or my faculty advisor, Jeanne Nakamura at:


Jeff Fajans


387 E. Kingsley Ave.

Pomona, CA 91767


Dr. Jeanne Nakamura


1227 N. Dartmouth Ave.

Claremont, CA 91711


The CGU Institutional Review Board, which is administered through the Office of Research and Sponsored Programs (ORSP), has reviewed this project.  You may also contact ORSP at (909) 607-9406 with any questions.


I understand the above information and have had all of my questions about participation on this research project answered.  I voluntarily consent to participate in this research.  If you do not wish to participate in this study, please close your browser.

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