This research is being conducted by researchers from the Center for the Study of Health and Risk Behaviors at the University of Washington. This study has been approved by the University of Washington Human Subjects Division Institutional Review Board. If you would like to ask any questions about this information or about our confidential study, please call Dr. Anna Jaffe, the Principal Investigator, at 206 221-0355 or email us at react-study@uw.edu.
Please read the following information statement.
We would like to invite you to participate in a confidential research study about young adults’ health behaviors and experiences, including alcohol use, attention, and perception.
Please fill out this short survey that asks demographic questions (e.g., age, gender, race/ethnicity), health behavior questions, and contact information to see if our study is right for you.
If eligible based on today’s brief survey, you may be invited to participate in a research study in which you could earn up to $385 and be entered for a chance to win an additional $200 gift card. Details about the study are described below.
If eligible for the study and willing to participate, you would:
We have a Certificate of Confidentiality from the U.S. federal National Institutes of Health (NIH) which allows us to keep your identifiable research information confidential from legal proceedings or in response to a legal request unless you give us permission to release it. You or a member of your family can share information about your part in this research if you wish.
There are some limits to this protection, including reporting things like child or elder abuse, monitoring by the agencies conducting the research, and others as listed elsewhere in this consent form.
The Certificate expires when the NIH funding for this study ends. Currently this is 08/31/2025. Any data collected after expiration is not protected as described above. Data collected prior to expiration will continue to be protected.
*If you are not eligible for this study, the answers to the next few questions will be saved for study purposes.
Please respond below and click NEXT (regardless of your answer).
You may save and/or print a copy of the informational statement above for your personal records. To save and/or print, please click here [v1.2]. If you don’t save and/or print it now, but decide later that you would like a copy of this information statement, you can contact the study team at 206-750-3150 or react-study@uw.edu to obtain a copy.
If you have questions later about the research or if you feel you have been harmed by the study, you can contact the study at 206-750-3150 or react-study@uw.edu. If you have questions about your rights as a research subject, you can contact the University of Washington Human Subjects Division at (206) 543-0098 or hsdinfo@uw.edu.
Thank you for considering the REACT Study.
You indicated you did NOT want to participate in this questionnaire.
Click Submit to confirm your response.
The following questions will ask for your name and contact information. We ask for this information so we can contact you regarding your eligibility to participate in the study. Your contact information will be immediately separated from your survey responses to protect your confidentiality.
As a reminder, your participation is voluntary, and you are able to skip any questions you do not wish to answer. Please note, if we do not have any contact information, we will not be able to follow-up with you about your eligibility.
What first name would you like us to use when contacting you?
What is your last name?
What type of cell phone do you have?
What type of phone do you have?
What is your phone number? (include area code)
Do we have your permission to leave a voice message at the phone number you provided?
What is your email?
Enter your email again to confirm.
What would be the best way to contact you?
So we can follow-up with you about your eligibility, please list several days and times that would be best for you to receive a phone call:
What is your local address?
Street:
City:
State:
Zip code:
Where did you hear about the study? (Limit three answers)
Please specify:
Why do you want to get involved with REACT?
Would you like to be contacted about other research opportunities that may arise in the future?
Next, we’ll be asking about your background.
What sex were you assigned at birth?
What is your current gender identity?
Please specify your current gender identity:
Do you identify as transgender?
What is your current sexual identity?
Please specify your current sexual identity:
Which of the following best describes you? (Check all that apply)
Please specify:
What is your best estimate of your total household income from all sources, before taxes, in the last year? If you depend on your parents or share finances with a partner(s), consider their income along with yours.
What is the highest level of education you have COMPLETED?
Are you currently a student?
What is your age?
Do you have a photo ID displaying your date of birth that you can show to the study team?
Would you be willing to come to the University of Washington Seattle campus for in-person sessions?
Approximately how long would it take you to travel to the University of Washington Seattle campus?
Do you have significant visual impairment (e.g., blindness) that is not correctable with glasses or contacts?
Have you ever been diagnosed with color blindness (i.e., color vision deficiency)?
On average, how often did you drink alcohol during the PAST MONTH?
How many days in the PAST MONTH have you drank 4 or more drinks?
How many days in the PAST MONTH have you drank 5 or more drinks?
Below is a list of things that sometimes happen to people either during, or after they have been drinking alcohol. Please indicate whether that item describes something that has happened to you in the PAST MONTH.
In the past month...
Yes
No
I have driven a car when I knew I had too much to drink to drive safely.
I have taken foolish risks when I have been drinking.
I have gotten into physical fights because of drinking.
I have damaged property or done something disruptive like setting off a fire alarm, or other things like that after I had been drinking.
Below is a list of things that sometimes happen to people either during, or after they have been drinking alcohol. Please indicate whether that item describes something that has happened to you in the PAST MONTH.
In the past month...
Yes
No
As a result of drinking, I neglected to protect myself or partner from an STD or unwanted pregnancy.
When drinking, I have done impulsive things that I regretted later.
My drinking has gotten me into sexual situations I later regretted.
I have injured someone else while drinking or intoxicated.