Dear Student,

is going to be part of a research study associated with the Challenge Success project in the School of Education at Stanford University. You are invited to participate in this study. The researchers are interested in learning about students' social, emotional, and physical well-being, their educational goals and their views on the academic climate and expectations at their school and at home. We are also studying how student leaders may participate in enacting change related to academic stress in their school.

Here is what you are being asked to participate in:

(1) 1 possible survey this year.

(2) A survey in future years if the school continues participation in the research project.

The survey will be conducted at your school. The survey will take approximately 30 to 45 minutes to complete.

There are no risks to your involvement in the study, and the benefits may be that results from the study will provide insight into decreasing academic stress and fostering greater student voice in school. We cannot and do not guarantee or promise that you will receive any benefits from this study. There will be no payment for participation in this study.

If you have read this form and have decided to participate in this project, please understand your participation is voluntary and you have the right to withdraw your consent or discontinue participation at any time without penalty. You have the right to refuse to answer particular questions. Your individual privacy will be maintained in all published and written data resulting from the study. However, if you share information on the survey that makes us think there is a risk to your safety or someone else's safety, we will pass that information on to the school administration.


If you are willing to participate, please sign this consent form and return it your school. If you have any questions, concerns or complaints about this research study, its procedures, risks and benefits, you should ask the Protocol Director, Denise Pope at (650) 736-1779. If during or after the survey, you have any psychological discomfort or if you would like to speak with someone about the issues the survey addresses, your school counselor or psychologist is available for counseling and support. If you are not satisfied with how this study is being conducted, or if you have any concerns, complaints, or general questions about the research or your rights as a participant, please contact the Stanford Institutional Review Board (IRB) to speak to someone independent of the research team at (650)-723-2480 or toll free at 1-866-680-2906. You can also write to the Stanford IRB, Stanford University, Stanford, CA 94305-5401.

  • Typing in your name and date constitutes your electronic signature.

Protocol Approval Date: 24-Feb-2015