Case Study Debriefing Form (Patterned after the University of

Virginia’s Debriefing Form for Research)

Study Title: ________________________________________________

Thank you for agreeing to participate in this study! The general purpose
of this research was to create a case study focusing on the uniqueness of the
individual, their experience, and the development of the integrated human facets,
highlighting human strength.

We, the researchers, have invited people who possess remarkable character, virtue,
and strengths.

The researchers have ensured that no personal details have been released to the public.
In this particular study, you were asked to answer questions that were relevant to its
nature and purpose. The questions were in a semi-structured interview designed to
explore the least sensitive information to the most sensitive information, depending
also on the willingness of the participants to answer such questions. Moreover, there
will be some tests that will be administered as part of the important observations for
the study. The researchers aim to obtain results from this study that could contribute
to the knowledge of individual differences and human development.

Should you have concerns about the effects of the case study on your psychological
well-being, if you have anxiety regarding the information you have shared, if you
need to clarify specific information, or if you have questions, please feel free to
contact the Department of Psychology of Xavier University about options for
counseling. If you want to talk about things, you may do the same. The Department’s
phone number is (088) 858-3116 local 3012. If you wish to drop by and set an
appointment personally, you may visit the Psychology Department located on the 3rd
Floor of the Social Science Building of Xavier University, Corrales Avenue, Cagayan
de Oro City. Please look for the instructors whose names appear below so that they
may initially talk to you and set an appointment for you either with them or with
another counselor.

Again, thank you for your participation in this study. If you have further questions,
please do not hesitate to contact the research representative Princess Leah N. Pintac
at 09484850352.

____________________________ ____________________________________
Name and Signature of Participant Name and Signature of Representative

(Sgd.) Karen Grace A. Lacerna (Sgd.)Jason O. Manaois, Ph.D., RPM

Psyc 5 Instructor Chairperson

Date Signed: _______________