ࡱ> :<9Y bjbj 4ii<<8 ';;;;;***DFFFFFF$m#\j*****j;;*F;;D*D;0,6ppF00dd*******jj****************<Y :  ASSENT FORM FOR HUMAN PARTICIPANTS IN RESEARCH UNIVERSITY OF NORTHERN COLORADO Hi! My name is _________ and Im a teacher at the University of Northern . I do research on health and eating. That means I study the way people eat to try to learn how to make people healthier. I would like to ask a lot of fifth graders about their eating. If you want, you can be one of the kids I talk with. If you want to talk with me, Ill ask you about the foods you like and dont like. I will also ask you which foods you think are the best for you and which you think are the worst for you. For each question I will want you to explain your answer. But this isnt a test or anything like that. There are no right or wrong answers and there wont be any score or grade for your answers. I will write down what you say, but I wont even write down your name. It will take about 10 minutes for you to answer my questions about health and eating. Ill ask your teacher for the best time to talk with you so that you dont miss anything too important. Talking with me probably wont help you or hurt you. Your parents have said its okay for you to talk with me, but you dont have to. Its up to you. Also, if you say yes but then change your mind, you can stop any time you want to. Do you have any questions for me about my research? If you want to be in my research and talk with me about health and eating, sign your name below and write todays date next to it. Thanks! 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