Consent is hereby given to participate in the study titled: Mindfulness 2015.

PURPOSE: In this research, we are constructing a new scale that captures individual differences on mindfulness.

DESCRIPTION OF STUDY: You will be asked to fill out three questionnaires, followed by questions on demographic and other information. The tasks will take about 10minutes to finish.

BENEFITS: Participants are not expected to directly benefit from your participation. However, it is hoped that this study will contribute to our understanding of mindfulness as a psychological trait.

RISKS: No foreseeable risks, beyond those present in routine daily life, are anticipated in this study.

CONFIDENTIALITY: Data you provided will not be associated with your private information and the data will be kept in the researcher’s locked office.

PARTICIPANT ASSURANCE: Whereas no assurance can be made concerning results that may be obtained (since results from investigational studies cannot be predicted) the researcher will take every precaution consistent with the best scientific practice. Participation in this project is completely voluntary, and participants may withdraw from this study at any time.

Questions concerning the research should be directed to Kenji Noguchi at (228) 214-3284 or at kenji.noguchi@usm.edu.

This project and this consent form have been reviewed by the Institutional Review Board, which ensures that research projects involving human subjects follow federal regulations. Any questions or concerns about rights as a research participant should be directed to the Chair of the Institutional Review Board, The University of Southern Mississippi, 118 College Drive #5147, Hattiesburg, MS 39406-0001, (601) 266-6820.