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    Consent Form Final

    Uploaded by

    Sesona Madasi
    This consent form describes a research study that asks first year students at the University of Cape Town to complete an 11 question survey about their experiences and opinions regarding bullying. Participation is voluntary and responses will be kept confidential. The survey will ask about different types of bullying experienced before and during university, how frequently bullying occurred, its severity, and how the participant reacted. There are no risks to participating other than some personal questions, and students can stop the survey at any time. Choosing not to participate will not affect the student's relationship with UCT.

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    Consent Form Final

    Uploaded by

    Sesona Madasi
    108 views3 pages
    This consent form describes a research study that asks first year students at the University of Cape Town to complete an 11 question survey about their experiences and opinions regarding bullying. Participation is voluntary and responses will be kept confidential. The survey will ask about different types of bullying experienced before and during university, how frequently bullying occurred, its severity, and how the participant reacted. There are no risks to participating other than some personal questions, and students can stop the survey at any time. Choosing not to participate will not affect the student's relationship with UCT.

    Original Title

    Consent Form Final (1)

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    This consent form describes a research study that asks first year students at the University of Cape Town to complete an 11 question survey about their experiences and opinions regarding bullying. Participation is voluntary and responses will be kept confidential. The survey will ask about different types of bullying experienced before and during university, how frequently bullying occurred, its severity, and how the participant reacted. There are no risks to participating other than some personal questions, and students can stop the survey at any time. Choosing not to participate will not affect the student's relationship with UCT.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    108 views3 pages

    Consent Form Final

    Uploaded by

    Sesona Madasi
    This consent form describes a research study that asks first year students at the University of Cape Town to complete an 11 question survey about their experiences and opinions regarding bullying. Participation is voluntary and responses will be kept confidential. The survey will ask about different types of bullying experienced before and during university, how frequently bullying occurred, its severity, and how the participant reacted. There are no risks to participating other than some personal questions, and students can stop the survey at any time. Choosing not to participate will not affect the student's relationship with UCT.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    Consent form to participate in a research study:

    The opinions and experiences of First Year Students with Bullying

    Dear Student
    You are invited to participate in a research study involving the opinions and
    experiences of students with regard to bullying as part of the Quantitative literacy
    MAM1016S course.
    The following question sheets consist of 11 questions. The survey should only take
    about 5 minutes to complete. In order to participate, you must be a student at the
    University of Cape Town for atleast a semester or longer.

    Study Procedure
    If you agree to participate in this study you will be asked to fill out a brief
    questionnaire supplied by the researcher. The questions will include your opinion of
    the different types of bullying; cyber, emotional, verbal and physical as well as your
    experiences of them before attending and during University and your way of dealing
    with them.

    Possible risks and benefits


    There are no risks involved in this study except that some of the questions may be
    personal. We will keep your answers strictly confidential and your general
    information will not be linked to your answers during data collection. You may
    decide to stop filling out this questionnaire at any point are not obliged to answer
    any questions that you may find too personal.

    Alternatives
    You may choose not to participate without it having any effect on your relationship
    with UCT.
    Participation in this study is entirely voluntary

    I have read the above consent form and understand what is required of me. I hereby
    give my voluntary consent to participate in this study.

    Name:

    Date:

    Signature:
    Age
    o
    o
    o
    o
    o
    o
    o
    o
    o
    o
    o
    o

    18
    19
    20
    22
    21
    22
    23
    24
    25
    26
    27
    28 or older

    Race
    o
    o
    o
    o

    African
    Coloured
    Indian
    White
    Gender

    o
    o

    Male
    Female

    o
    o

    Do you stay in res?


    Yes
    No

    o
    o

    Did you experience bullying before University?


    Yes
    No

    o
    o
    o
    o

    What kind of bullying: cyber, emotional, verbal, physical?


    Cyber
    Emotional
    Verbal
    Physical

    Have you experienced bullying while you have been at UCT?


    o
    o

    Yes
    No
    What kind of bullying have you experienced?

    o
    o
    o
    o

    Cyber
    Emotional
    Verbal
    Physical
    How frequent is the bullying

    o
    o
    o
    o
    o

    1 time
    1-3 times
    4-7 times
    7-10 times
    More than 10 times
    Severity of bullying:

    o
    o
    o
    o
    o
    o
    o

    Not severe
    Severe
    Extremely severe
    How did you react to the bullying?
    Ignore
    Respond verbally
    Reacted physically
    Other

    Do you think bullying is a frequent occurrence at UCT?.


    o Yes
    o No
    Have you witnessed somebody else being bullied at UCT?, if so what type of
    bullying.
    How do you react if you see somebody being bullied? Do you have any suggestions
    as to how to prevent bullying at UCT?

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