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[eenb 2]

Duquesne University IRB

Protocol #2014-04-26

Approved: 5-14-2014

Amendment Approved: 10-29-2014

Expiration Date: 5-13-2015

DUQUESNE UNIVERSITY

600 FORBES AVENUE ¨ PITTSBURGH, PA 15282

An Examination of Factors that Contribute to Binge Eating Among Bariatric Candidates and Patients.

VOLUNTEERS WANTED FOR A RESEARCH STUDY

You are being invited to participate in research that seeks to examine factors that contribute to binge eating for individuals who are candidates for or have had bariatric surgery. Participants will complete a self-report questionnaire taking approximately 15-20 minutes. The information will be kept confidential. Participants will have a chance to win a $250.00 VISA Gift Card. The researcher is a doctoral candidate in Duquesne University’s Counselor Education and Supervision (ExCES) program.

Your participation requires the following criteria:

1) Must be at least 18 years of age.

2) Must have had bariatric surgery or be a candidate for bariatric surgery

If you would like to complete the survey on-line, please visit:

https://www.surveymonkey.com/s/bariatricwls

If you are interested in participating in this study or would like more information, please contact:

Erin E. Neuman at

412- 853-3833 or email at:

neumane@duq.edu

All communication is confidential.

[Nurse04 7]

Nevermind

Edited November 1, 2014 by Nurse04

[eenb 2]

Thank you to those who have participated thus far! Just a friendly reminder to complete the entire survey or the data cannot be used. If you cannot complete the survey at its entirety in one sitting, leave the link open so it can be completed later. Thanks do much for your time and contribution to future bariatric patients!