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Fears and phobias

 You are volunteering to take part in a study that researches the origin of phobias you’ll be required to take part within two surveys one of which confirms if you are an eligible candidate and the other which identifies your individual phobia the reason I’m doing this of the test whether your phobia is condition or attained through previous experiences. I will ask questions like whether your parents have had the same phobia as you to help determine whether this is conditioned to you I will also ask about your personal experiences with that phobia and what age this fear became evident to you.

Feel free to ask any questions 

If you would like to proceed in this study complete the consent form below

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Fears and phobias

CONSENT FORM

 The aim of my study is to observe whether phobias are obtained from classical conditioning or past experiences you will be expected to participate in two surveys one in which you were already completing and the other will ask a series of questions to help figure out your phobia this will take around 10 minutes 

1

I consent to keep my identity anonymous but allow my gender and ethical background to remain public.

Select one answer
2

I consent I have had over 6 hours sleep before taking part in the study.

Select one answer
3

I am willing to talk about my phobia & share information necessary to help shape the results.

Select one answer
4

I understand I have the right to withdraw from the study anytime I see fit.

Select one answer
5

I consent I am 16 years of age or older.

OR have parental consent to partake in the study.

You will be expected to be interviewed about your phobia & past experiences affecting this, this will take around 15 minutes. 

I assure you will be protected form psychological harm by avoiding sensitive topics and if they are reinstate your right to withdraw from the study.

If you have any enquiries email gracmidd@stwilfrids.com for further details.

6

DATE CONSENT FORM COMPLETED

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Fears and phobias

I will now ask a series of questions to broaden my understanding on your fears and phobias.

7

What is your name ?

8

How do you identify ?

Enter your gender below
9

What is your ethical background ?

10

What is your age ?

11

Do you have any fears ?

Select one or more answers
12

Do you fear any of the following.

Select one or more answers
13

Do you think your fears are mostly rational or irrational ?

Select one answer
14

Do any of the fears you selected interfere with your daily life ?

Select one answer
15

Have you ever discussed your fears with a partner, friend or family member ?

Select one answer
16

Have you ever discussed your fears with a therapist or other mental health professional ?

Select one answer
17

Do you have a phobia ?

if so click other and write it in.
18

What symptoms do you experience when you encounter your phobia ?

Select one or more answers

END OF QUESTIONNARE

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Fears and phobias

DEBRIEF FORM

The aims of the study with the test of phobias by conditioned or from past experiences a measure of the differences and similarities in men and women.

I decided to create an unbiased result and ensure that demand characteristics didn’t affect my results.

Within my study I want to see if conditioning is more common in men or women and if there was a correlation between the genders.

You still have a right to withdraw if you feel uncomfortable for your results to be assessed contact me on this email address if you wish to do so. gracmidd@stwilfrids.com

All your data is confidential and not shared with anyone.

If you have any concerns with the study or any questions or wish to write a formal complaint please do so by contacting h.lay@stwilfrids.com

For enquiries or further questions contact me on the email provided.

Thank you for participating in my study

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