Professional Documents
Culture Documents
Information and Consent
Information and Consent
We are a team of 3 psychology students, Eylül Ece Ceylan, Esoa Lele, and Umut Adak, from the
University of Warsaw and we would like to invite you to take part in our research study
measuring the relationship between having breakfast and test performance.
Please take your time to read this information carefully. Please do not hesitate to ask if anything
needs to be clarified or if you need more information before you make up your mind.
Please note that you will be asked to eat dinner at midnight (12 am) at the latest before the day of
taking the test. Since the experiment will last for two days, by agreeing to take part in this study,
you will be agreeing to this condition. Together with this, when you are in the breakfast group,
you will be asked to have breakfast at 11am at the latest. The test will be sent to your email
address one or one and a half hours after you confirm to us via email or message that you had
breakfast.
Inclusion criteria: willingness, being a student, being able to eat dinner at midnight (12
am) and breakfast at 11 am at the latest.
Exclusion criteria: being diagnosed with any type of eating disorder, having a history of
chronic illness such as diabetes or cardiovascular disease, and taking medication that may affect
cognitive performance.
If you would like to raise a concern or make a complaint, you can contact our supervisor Wouter
de Raad at wderaad@psych.uw.edu.pl
Please ask any questions that will help you decide whether or not to participate. You can also
contact us at any time about any aspect of the research.
Thank you for considering our project!
● I understand I am free to participate in this study or not; I understand that I can withdraw
at any point without any consequences, simply by informing the researchers; and I
understand that if I withdraw from the project, any information I have supplied will be
destroyed.
● I understand who will have access to the information I provide, how it will be stored
during the project, and what will happen to it at the end of the project.
● I understand how to raise a concern or make a complaint.
● I agree to participate in this study.
If you agree with all of the statements above, please sign here:
__________________________________