аЯрЁБс>ўџ 46ўџџџ3џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅС` јПюbjbjЫsЫs 4ЉЉю џџџџџџЄ2222222Fn n n n ‚ Fˆ(Ђ И И И И “““      $Аh˜-2z““zz-22И И лBъъъz2И 2И ъzъъ(K22ƒИ – mnё’ЂШn .sу$X0ˆ{АО"АƒА2ƒ`“hћJъE<љ“““--р “““ˆzzzzFFFФ dFFF FFF222222џџџџ  Agreement to Participate in Research Responsible Investigators: __Dr. Phyllis M. Connolly & Mark Crider, MS, RN_____ Title of Protocol: _Complementary Alternative Care for _Persons with Schizophrenia Living in the Community 1. You have been asked to participate in a research study investigating the relationship between chiropractic care and quality of life 2. You will be asked to fill out several surveys about your Quality of Life and pain. You will also be assessed for your risk of cardiometabolic illnesses. 3. By participating in this project you may increase your physical functioning and a healthy life style. This may be beneficial to improving the quality of your life. 4. There are no some risks associated with the chiropractic care and you will complete an additional consent form. 5. Although the results of this study may be published, no information that could identify you will be included. 6. There is no compensation for this study 7. Questions about this research may be addressed to Dr. Phyllis Connolly, Graduate Coordinator of the School of Nursing (408) 924-3144, email  HYPERLINK "mailto:connollydr@son.sjsu.edu" connollydr@son.sjsu.edu. Complaints and questions about subjects' rights, or research-related injury may be presented to Dr. Pamela Stacks, Associate Vice President, Graduate Studies and Research, at (408) 924-2480. 8. No service of any kind, to which you are otherwise entitled, will be lost or jeopardized if you choose to “not participate” in the study. 9. Your consent is being given voluntarily. You may refuse to participate in the entire study or in any part of the study. If you decide to participate in the study, you are free to withdraw at any time without any negative effect on your relations with San Jose State University or with any other participating institutions or agencies. 10. At the time that you sign this consent form, you will receive a copy of it for your records, signed and dated by the investigator. The signature of a subject on this document indicates agreement to participate in the study. The signature of a researcher on this document indicates agreement to include the above named subject in the research and attestation that the subject has been fully informed of his or her rights. ___________________________________ _______________ Signature Date ___________________________________ _______________ Investigator’s Signature Date %&'(@ACErw‹ŒЏАЪЫух- E k Ž – œ  Љ  В Г Д З ( ) * - . œ  Z [ ‡ ˆ ‰ іющютюкютгтютгтгЬХЬтНЕтгтгтгтгтЎтЎтЎЄЎтютšтггjh~AЊh8Ujh~AЊh8Uh~AЊh=ё56h~AЊh 4й56 h~AЊh 4йh~AЊh86h~AЊh=ё6 h~AЊhЧ}ў h~AЊhЂL h~AЊh8h~AЊhRH™5 h~AЊh=ё hoiO5h~AЊh=ё5h~AЊh=ё5>*0'(xфхl m Г Д * + ž Ÿ Ъ Ы c d ё ђ DEЬЭіющщщщщщщщщщфщщщщщщщщщщщщщgd 4йgd=ё$a$gd=ё Цp€gd=ёюў‰   Ё Ѓ Ў М Р я     Э№юѕъумумумвмумЪмh~AЊh=ё5h~AЊh=ё56 h~AЊh=ё h~AЊh8jh~AЊh8Uh~AЊh80J>*Э*+№ёђ)rstЋэюїђїђђђђђђђђђgd=ё & Fgd=ё 21h:pФeчАа/ Ар=!А"А # $ %ААаАа аћDаЩъyљКЮŒ‚ЊKЉ connollydr@son.sjsu.eduрЩъyљКЮŒ‚ЊKЉ Vmailto:connollydr@son.sjsu.eduyXє;HЏ,‚]Ф…'cЅЋ†œL@ёџL =ёNormal1$5$7$8$9DH$_HmH sH tH DA@ђџЁD Default Paragraph FontRiѓџГR  Table Normalі4ж l4жaі (kєџС(No List6U@Ђё6 =ё Hyperlink >*B*phџH™H Фeч Balloon TextCJOJQJ^JaJю џџџџ'(xфхlm  ГД*+žŸЪЫcdёђDEЬЭ*+№ёђ) r s t Ћ э № ˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜ 0€€˜0€€˜ 0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€'(xlm  Д*+žŸЪЫcdёђDEЬЭ*+№ёђ) r s t Ћ э № ˜@0€€Hš@0€€€˜@0€€€š@0€€€š@0€€€˜@0€€€˜@0€€€˜@0€€€š@0€€€š@0€€€š@0€€€˜@0€€€˜@0€€€˜@0€€€˜@0€€€š@0€€€˜@0€€€š@0€€€š@0€€€š@0€€€š@0€€€š@0€€€š@0€€€š@ 0€€€š@0€€€š@ 0€€€š@0€€€š@0€€€š@0€€€š@0€€€š@0€€€š@0€€€š@0€€€š@0€€€š@0€€€‰ ю Эю ю Zˆ ю Xџ„№8№@ёџџџ€€€ї№’№№0№( № №№B №S №ПЫџ ?№џџƒЦђ\Z„Цђœ[…Цђe†Цђмd‡ЦђœeˆЦђ\d‰Цђf22<№№љџ№ 8CCјў  № 9*€urn:schemas-microsoft-com:office:smarttags€place€=*€urn:schemas-microsoft-com:office:smarttags €PlaceName€=*€urn:schemas-microsoft-com:office:smarttags €PlaceType€ а<гю§№ (Нв№ 33(ђэ № № ўџџџ0рSџ*ўџџџ@гџџџџGг Г@ OJQJo(Ÿ№џџџџхi' ЂLcH)8Н=8oiOFWeКjšKwRH™IpЅ~AЊI?б 4йФeч=ёїЧ}ў'Д*№ џ@€Єжгю P@џџUnknownџџџџџџџџџџџџG‡z €џTimes New Roman5€Symbol3& ‡z €џArial5& ‡za€џTahoma;€Wingdings"qŒ№аhФЦФЦЅ1С{s{s$№ 9Д‚4щ щ  2ƒQ№HX)№џ?фџџџџџџџџџџџџџџџџџџџџџ=ё2џџ$Agreement to Participate in ResearchJerPhyllis Connolly ўџр…ŸђљOhЋ‘+'Гй0Ќ˜ амшє 0< \ h t €Œ”œЄф(Agreement to Participate in ResearchJer Normal.dotPhyllis Connolly2Microsoft Office Word@@цЙ6iPШ@Лц’ЂШ@Лц’ЂШ{sўџеЭеœ.“—+,љЎDеЭеœ.“—+,љЎP  hp|„Œ” œЄЌД М эф щ Ј %Agreement to Participate in Research TitleР 8@ _PID_HLINKSфAx{mailto:connollydr@son.sjsu.eduь ўџџџўџџџ !"ўџџџ$%&'()*ўџџџ,-./012ўџџџ§џџџ5ўџџџўџџџўџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџRoot Entryџџџџџџџџ РFЗpё’ЂШ7€Data џџџџџџџџџџџџ1TableџџџџРWordDocumentџџџџ4SummaryInformation(џџџџџџџџџџџџ#DocumentSummaryInformation8џџџџџџџџ+CompObjџџџџџџџџџџџџqџџџџџџџџџџџџўџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџўџ џџџџ РFMicrosoft Office Word Document MSWordDocWord.Document.8є9Вq