Appendix B. Youth Assent

Appendix B: Youth Assent

OMB Control No: 0970-0531

Expiration Date: 07/31/2022

You are invited to be part of a group of KnowledgePanel® Members in a study being conducted by the Administration for Children and Families (ACF), U.S. Department of Health and Human Services.  The survey will be on a variety of topics related to relationships, communication, sexual health education and programming, and sexual behaviors. The survey will take about 25 minutes to complete. The Youth Survey of Relationships, Education, and Behaviors will be quite similar to the kinds of surveys you may have already been involved in as a KnowledgePanel Member.

The potential risk to respondents from completing the survey is minimal. Some questions are of a sensitive nature. However, you have the right to skip any questions you don't want to answer. There are no additional benefits from completing the survey.

In the Youth Survey of Relationships, Education, and Behaviors, participation is completely voluntary. You may withdraw your consent or discontinue participation at any time without penalty. As always, your identity will be unknown in all data resulting from the study. The researchers will not have access to any of your identifying information (such as your name). All of the conditions and terms described in the "Ipsos’s Privacy & Terms of Use Policy" document are in effect for this study. If you have questions about your rights as a participant in this study or are dissatisfied at any time with any aspect of the Youth Survey of Relationships, Education, and Behaviors, you may contact Ipsos at (800) 782-6899.

If you [qualify and] complete this survey, your parent will receive [10,000] bonus points ([$10] cash-equivalent) on your behalf. If you agree to participate in the survey, please click the NEXT button below, and the survey will follow. 

[NEXT]

(THIS IS A BUTTON THAT TAKES RESPONDENT TO SURVEY)