• Informed Consent Form

    Informed Consent Form

  • A Research Project on How Sleeping with Constant White Noise Impacts Daily Cognitive Abilities

     

  • Dear Candidate:

    Thank you for taking the time in discussing with you about my research. I would like to invite you to participate in this project on understanding the Correlation between sleeping with white noise and cognitive abilities. I wish for you to please carefully read this research informed consent form and sign at the bottom of the form should you wish to take part in this study.

    I am available should you have questions. I recommend as well that you ask your family and friends before you take part in this clinical study, especially if you are under 18 years of age. 

  • Purpose

  • The aim of this research is to understand if sleeping noise has lasting intellectual impacts on people in the form of any cognitive processes such as memory, attentiveness and creativity.

  • Requirements

  • Before a participant can take part in this program, he or she must:

    1. Be between the ages of 16-30
    2. Be living in New York City
    3. Have signed this Informed Consent Form

  • The Process

  • The study will take about a week to complete and is entirely voluntary. This research intends to mainly collect data on participants’ sleep statistics through journals they log or through counters on their phones, watches, etc., both before the study, and during the study. There will also be online tests that participants will need to complete both before and after the study.

  • Cost

  • Participating in this research shall not incur any additional cost to the patient. Everything can be done online through apps, free of charge. 

  • Confidentiality Agreement

  • The information gathered through this research shall never be sold, shared, or disclosed to anyone without the consent of the participant. Participants' emails will not be collected, and all data will remain confidential, to ensure everyone remains anonymous. The participant has the right to their information including the right to share his or her information in journals. I may share the information as to our findings based on the participant's information but without disclosing the personal information of the said participant. Responses will only be used to analyze how sleeping with constant sleeping noise impacts cognitive abilities among young adults in NYC.

  • Rights of Participant

  • I respect the rights and privacy of the participant. Given this research is voluntary, the participant may withdraw from the research at any time.

  • Questions

  • If you have questions relating to this program you may contact me:

    Name: Sumaiya R. 
    Email: sumaiyapr2025@gmail.com

  • CONSENT

  • I have read the information above and I have been oriented by the researcher with the research related to this consent. I was given the opportunity and have asked the relevant questions to this research and the questions were answered accordingly and to my satisfaction by the researcher.  As a participant, I fully understand that this consent is voluntary, and I am aware that in any case, I feel inconvenient to continue with my participation in this research, I may withdraw from my participation at any time.

  •  - -
  • Should be Empty: