Professional Studies

Advanced Psychological Assessment

Informed Consent

My name is Ronald C. Tres Reyes and I am a Master of Science in Psychology

student at the University of Mindanao, in the Professional Studies. I am requesting your

participation in a psychological assessment that I am conducting.

This psychological assessment will measures your thinking styles and

personality types using Dr. Anthony F. Gregorc Thinking Styles Test and Myers-Briggs

Type Indicator. This will help you learn about your own thinking styles and personality

type more effectively. It will also support you to understand about a range of thinking

styles characteristics and personality types and how this may influence your

interpersonal relationships in your new job. Furthermore, you will also gain insights into

how aspects of your mind styles and personality influence your effectiveness as a new

entrant in a job.

The assessment will require you to grant me access on your Mind Style Test and

Myers-Briggs Type Indicator result that will solely use for academic purpose as a main

requirement for my advanced psychological assessment class. Additionally, you will be

asked to complete a personal information survey form. Participation is completely

voluntary and you have the right to refuse to answer any item or to withdraw from the

activity at any time. These options can be exercised at any time without having to give

prior notice and without penalty. If you choose to participate, your identity and all

information obtained will be kept confidential and this information will be stored in a

secured location (a locked office and file cabinet) and destroyed at the end of the

project.
 If you agree to participate in this valuation, please sign and date this form.

Thank you,

Ronald C. Tres Reyes, MS Psychology Student

I ___________________________ have read the information provided and

agree to be a participant in this study. Additionally, I am consenting to have my

personal data, Mind Style Test and Myers-Briggs Type Indicator result released to

Ronald C. Tres Reyes, the evaluator in this study, with the understanding that this

information will be kept confidential. I also grant permission for this evaluator to contact

me for follow-up.

Name (please print): _______________________

Signature: ____________________

Date: _______________________