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Scuba Divers

Hello and thank you for choosing to take this survey.This is a survey for certified SCUBA divers, at any level of certification. This study is aimed for the benefit of the diving community, and we greatly appreciate your participation.

INFORMATION SHEET

Assessing the prevalence of dental symptoms in SCUBA divers

Principal Investigator: Dr. Hans Malmstrom
This form describes a research study that is being conducted by Dr. Hans Malmstrom from the University of Rochester, Eastman Institute of Oral Health.

The purpose of this study is to learn more about SCUBA diving related teeth problems divers may experience.

You must be at least 18 years of age and be a certified SCUBA diver to participate in the study.

If you decide to take part in this study, you will be asked to complete one survey that will take about 15 minutes. The surveys will ask questions about your SCUBA diving habits and teeth care habits. We estimate that approximately 3000 subjects will take part in this study.

Some of the survey questions may make you feel uncomfortable. You can skip any of the questions you do not want to answer. This study involves minimal risk as we are not collecting identifiable information about you - making the survey anonymous. All of the information we collect will be stored in a secure manner and only study team members will have access to it. There are no other expected risks. There are also no expected benefits.

You will not be paid for participating in this study. There will be no cost to you to participate in this study.

The University of Rochester makes every effort to keep the information collected from you private. Sometimes, researchers need to share information with people that work for the University or regulators. If this does happen we will take precautions to protect the information you have provided.

Your participation in this study is completely voluntary. You are free not to participate or to withdraw at any time, for whatever reason. No matter what decision you make, there will be no penalty or loss of benefits to which you are otherwise entitled.

For more information or questions about this research you may call Dr. Hans Malmstrom at 585-275-5087.

Please contact the University of Rochester Research Subjects Review Board at 265 Crittenden Blvd., CU 420315, Rochester, NY 14642, Telephone (001) (585) 276-0005 or (877) 449-4441 for the following reasons:
• You wish to talk to someone other than the research staff about your rights as a research subject;
• To voice concerns about the research;
• To provide input concerning the research process;
• In the event the study staff could not be reached.

I acknowledge that I have read and understood all the information contained in the information sheet and choose to proceed to take the survey.

* must provide value

Yes

Scuba Divers

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