Consent Form

Aloha Participant,

You are receiving this message because you have signed up to participate in the web-based instructional module, Warm-Up for Cardiovascular Exercise: Decrease Risk of Injury and Improve Performance. I would like to ask if you would be willing to participate in an online pre-module demographic survey and a post-module attitudinal questionnaire. I am interested in evaluating demographic and assessment data, which will be collected through the ANONYMOUS online survey and questionnaire. You should be able to complete each one in about 5 to 10 minutes.

For further clarification, I am interested in evaluating the assessment method as well as getting suggestions for how I might improve the overall learning experience of the web-based instructional module. Your participation is completely voluntary and you may withdraw at any point. Remember, your responses on the survey are ANONYMOUS and I will not be able to tell who answered the questions.

Research data is confidential to the extent allowed by law.  Agencies with research oversight, such as the UH Committee on Human Studies, have the authority to review research data. By consenting to participate, you do not give up any personal legal rights you may have as a participant in this study.

If you have any questions regarding this research project, please contact me via e-mail at:

If you have any questions regarding your rights as a research participant, please contact the UH Committee on Human Studies at (808) 956-5007. Thank you very much for your cooperation.


Chaz Luke
Educational Technology, Master’s Student
University of Hawaii at Manoa

File Size: 55 kb
File Type: pdf
Download File

If you agree to these terms and conditions, please continue on to the demographic survey  and select 'Yes' for the agreement question.

Next: Demographic Survey