Agression

Aggression Between Men and Women Consent Form

PRINCIPLE INVESTIGATOR: Florette Cohen, Ph.D, Psychology Department, CSI
Phone: 917-684-2967 e-mail:Florette.Cohen@csi.cuny.edu
Date/Revision: 03/14/12 Application No:

PURPOSE OF THE STUDY: This study will explore aggression differences between men and women and who has higher levels ofaggression.

PROCEDURES: We are asking you to complete a brief questionnaire. On the questionnaire there are questions about how aggressive you get about certain situations. The surverywill take about 5 minutes. Participants have to be at least 18 years of age.

POSSIBLE RISKS/DISCOMFORTS: We do not intend any discomfort for this study will be totally anonymous. Ifyou experience any discomfort during this study please feel free to contact Dr. Florette Cohen at 718-982-4178. If you are going through any abuse of aggression you may contact the CSICounseling Center at 718-982-2391.

BENEFITS: You would be helping researchers have a better understanding of aggression between men and women and who is more aggressive. If youstruggle with any kind of aggression help will also be provided once we are notified.

QUESTIONS: If you have questions about this study, please contact Maryan Nasr or my FacultyAdvisor, Dr. Florette Cohen

PRIVACY INFORMATION: All data will be kept under lock and key at the IRB Office at the College of Staten Island, 2800 Victory Blvd. 6S-137, Staten Island,NY 10314 Phone 718-982-3867.


WHAT YOUR SIGNATURE MEANS: Your signature below means that you understand the information given to you about the study and you agree to helpfacilitate the study.

Signature: ________________________________ Date: _______________________________

E-mail Address: ________________________________________________________________