Hello and Welcome to this research survey,
The following brief demographic form and questionnaire
is designed to explore your perceptions of your ability to counsel children ages 5-12. After
completing the questionnaire, a debriefing form will be delivered that gives more information on the
intent and purpose of the research. Before you decide whether to accept this invitation to take part in
the study, please ask any questions that might come to mind now. Later, if you have questions,
suggestions, concerns, or complaints about the study, you can contact the investigator, Alex Barton
at ahbarton@memphis.edu or his advisor Dr. Steve Zanskas at szanskas@memphis.edu. If you
have any questions about your rights as a volunteer in this research, the IRB Administrator for the
Institutional Review Board for the Protection of Human Subjects can be contacted via email at
irb@memphis.edu or by phone at 901-678- 2705. You may download a copy of this consent form to
keep for your records.
By pressing the button below, I acknowledge that I have read the above informed consent and that I
agree to participate in the study.
Thank you for your participation.