Consent Form

14% of survey complete.

Researchers: Fern Ashby and Dr Melanie Knieps from the University of Leicester, School of Psychology.
Purpose of data collection: Undergraduate student research

Details of Participation: In this study you will read one scenario regarding a breakup. Following on from this, you will be asked to complete two different questionnaires, each containing 12 to 15 questions. In one questionnaire you will be asked to give us your opinion about various behaviours. The second questionnaire will ask you to rate how much you agree or disagree with various statements.  After this you will be given a debriefing. Your participation will take approximately 10 minutes.

1. I understand that my participation is voluntary and that I may withdraw from the research at any time during participation and up until three weeks after taking part, without giving any reason. To withdraw your participation, simply email the researcher with your request.
2. I am aware of what my participation will involve.
3. My data are to be held confidentially and only Dr Melanie Knieps and other competent researchers will have access to them for research purposes only.
4. My data will be kept on a personal memory stick for a period of at least five years after the appearance of any associated publications. Any aggregate data (e.g. spreadsheets) will be kept in electronic form for up to one year, after which time they will be deleted.
5. In accordance with the requirements of some scientific journals and organisations, my coded data may be shared with other competent researchers. My coded data may also be used in other related studies. My name and other identifying details will not be shared with anyone.
6. The overall findings may be submitted for publication in a scientific journal, or presented at scientific conferences.
7. This study will take approximately 4 months to complete.
8. I will be able to obtain general information about the results of this research by emailing the researcher and requesting any additional information.

If you have further questions about this study, you may contact Dr Melanie Knieps at This study was reviewed by the University of Leicester Psychology Research Ethics Committee (PREC). You may contact the Chair of PREC Professor Mark Lansdale at if you have any questions or concerns regarding the ethics of this project.

I am giving my consent for data to be used for the outlined purposes of the present study.
All questions that I have about the research have been satisfactorily answered.

Question Title

1. Do you agree to participate?