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PRIVACY OF MY INFORMATION:
 To protect the privacy of your information, we will:
  • Use a study ID number:  Your identifying information (e.g., name, address) will be separated from your answers after download.  Your answers will be linked only to a study ID number. 
  • Use secure log-in IDs and passwords.  You will chose your own user name and password when you start the program. 
  • Security of electronic data.  Data collected as part of this study will be stored on secure servers at Qualtrics.com, Kineo US (our website company in Chicago, IL), or Mathematica (a company that works with the sponsor).
Staff at the following companies may be able to see your information:
  • The University of Miami
  • Administration of Children and Families (ACF)
  • Companies working with ACF  

COSTS:                                                                                                                                 
There are no costs for you to do this study.

PAYMENT:  
You and your partner will each be paid separately.  The values below are just what you will earn. 


If you start the program right away, you will earn up to $165.  You will get:

  • $15 for completing online activities and coach calls on time
  • $100 for finishing four online surveys ($25 each).
  • $50 for referring one or more eligible couples to the study
If you start in the wait-list group, you will earn up to $250. You will get:
  • $200 for finishing four online surveys ($50 each).
  • $50 for referring one or more eligible couples to the study
For all payments, we will email you gift codes from national vendors such as Amazon.com and Walmart.  You will be able to choose your payment from one of these vendors. 

RIGHT TO DECLINE OR WITHDRAW:
Your participation in this study is voluntary.  You do not have to start the study.  You can also stop the study at any time during the study.  The investigator can remove you without your consent if he feels it is in your best interest. 

DISCLOSURE INFORMATION: 
Dr. Brian Doss is a co-inventor of the intellectual property used in this study and an equity owner in OurRelationship LCC.
 
CONTACT INFORMATION:                                                                                           
Dr. Doss is available to answer any questions you may have about this study.  You can email him at bdoss@miami.edu or call him at (305) 284-1101. If you have questions about your rights as a research subject you may also contact the Human Subjects Research Office at the University of Miami.  You can email them at eprost@med.miami.edu or call them at 305-243-3195.

PARTICIPANT AGREEMENT:
I have read the information in this consent form and agree to be in this study.  If I would like a copy of this form, I may print it now.

Check the following box to indicate your agreement with the above statement.