INFORMED CONSENT DOCUMENT AGREEMENT TO BE IN A RESEARCH STUDY

Challenge/Study Title	Beetroot Juice Impact on Erection Quality
Challenge Coach (The Person in Charge of This Research Study)	Efforia Advanced Author
Sponsor	This study is made possible by your payment to join.
Challenge Cost	$0
Included Products & Services	Adam Sensor – Nocturnal Erection Tracker
Outcome Measures	Adam Sensor: Nocturnal Penile Tumescence, International Index of Erectile Function Survey
Contact	help@efforia.com

Hello! You're being invited to participate in a research study conducted by Efforia on the effects of beetroot juice on erection quality. Please review this document thoroughly to decide if participating is right for you. If you have any uncertainties or questions, it's important not to proceed until you've had them addressed.

The Purpose of This Study

This study aims to investigate whether drinking beetroot juice can improve erection quality among men. By using scientific methods and the Adam Sensor, we'll measure changes in nocturnal penile tumescence. Your participation will contribute valuable data to this field, potentially leading to innovative health recommendations. Ultimately, we hope to better understand the role of natural supplements in sexual health.

Your Responsibilities as a Participant

As a participant in this study, you should be in good general health and interested in the study's topic. You'll need to drink beetroot juice as directed and use the Adam Sensor to track nocturnal erections. Participation involves completing regular surveys about your experiences and any changes you notice. It's important to engage consistently and honestly throughout the study.

Your Rights as a Participant

Participation in this study is completely voluntary, and you may choose to withdraw at any time. Please note, however, that the fee you paid to join the study is not refundable. This non-refundability helps maintain the integrity and resources of the study, supporting the experience for all participants.

How to Leave the Study

To withdraw from the study, please navigate to your Profile page, select “Your Challenges” and then click “leave.” Remember, your join fee is non-refundable. This policy ensures the continuity and quality of the study for other participants.

Risks and Benefits

The primary benefits of participating in this study include tracking your erection quality and potentially improving your sexual health. However, there are risks, such as discomfort from answering personal questions or unexpected reactions to beetroot juice. If you experience any distress or adverse effects, consult a medical professional or life coach immediately. In the event of severe distress, including suicidal thoughts, please contact the National Suicide Prevention Hotline at 988. Remember, this study is not intended as a substitute for professional medical advice or treatment, and some insurance policies may not cover research-related injuries.

What to do if you have an adverse event or medical emergency

If you experience any adverse event or medical emergency, please seek immediate medical attention from local healthcare providers. After receiving care, report the incident to us at help@efforia.com so we can take appropriate measures and improve participant safety.

Data Protections

In this study, we will collect data related to your health and activity through devices and surveys. This data will be used to send you personalized reminders and reports and to contribute to our overall study findings. All personal data is stored on secure servers. By participating, you are encouraged to share your experiences to benefit the community, but you can adjust your communication preferences in your profile settings. Please review Efforia’s Terms & Conditions and Privacy Policy for more details.

If you have questions

If you have any questions or concerns, feel free to engage with our community for support, or for more private inquiries, contact help@efforia.com directly.

California Experiential Research Subject’s Bill of Rights

As a participant in California, you are entitled to the Experiential Research Subject’s Bill of Rights, which ensures your rights to privacy, informed consent, and safety in research studies are protected. This includes the right to receive clear information about the study, its potential risks and benefits, and to withdraw from the study at any time without penalty.

HIPAA Waiver

By agreeing to participate in this study, you are also agreeing to a HIPAA waiver that allows the collection and use of your health information for research purposes. This information will be handled with the utmost care and confidentiality, adhering to all legal standards for privacy and security.

Thank you for considering participation in this study. Your involvement is crucial to advancing our understanding of natural supplements and sexual health. We hope this experience will be both informative and beneficial for you!

1. Authorization and Consent for Diagnostic Testing

1. I voluntarily consent and authorize CWI Physician Partners P.C., a California professional corporation; CWI Physician Partners P.C., a Hawaii professional corporation; CWI Physician Partners P.C., a Georgia professional corporation; CWI Physician Partners P.C., a Kansas professional corporation; CWI Physician Partners P.C., an Oregon professional corporation; CWI Physician Partners P.C., a Nevada professional corporation, CWI Physician Partners P.C., a Rhode Island professional corporation; CWI Physician Partners P.C., an Oklahoma professional corporation, as applicable ("CWI") to review the collection, testing, and analysis for the purposes of a diagnostic screening test. I understand that there are risks and benefits associated with undergoing a diagnostic screening testing and there may be a potential for false positive or false negative test results. I assume complete and full responsibility to take appropriate action with regards to my test results. Should I have questions or concerns regarding my results, or a worsening of my condition, I shall promptly seek advice and treatment from an appropriate medical provider. I further acknowledge the following:
   1. I am the individual who will provide the sample for the Test(s) that I am requesting or I am the parent or legal guardian of a minor who is providing the sample for testing.
   2. I am at least eighteen (18) years of age or I am the parent or legal guardian of a minor who is providing the sample for testing.
   3. I have read and understand the information provided about the Test(s) that I have been provided on the website where I requested the Test.
   4. The information I have provided in connection with my request to CWI is correct to the best of my knowledge. I will not hold CWI or its employees or agents responsible for any errors or omissions that I may have made in providing such information.
   5. My health information and results may be shared with CWI employees and agents for the purpose of ordering, processing, and reporting my results.
   6. Medical Services provided by CWI are purely for diagnostic assistance purposes and do not create a physician-patient relationship, and do not constitute medical care or diagnosis or treatment of any condition, disease, or illness.
   7. I authorize CWI to contact me via text message to communicate with me regarding my test.

1. Patient Rights and Privacy Practices
   1. Notice of Privacy Practices and Patient Rights: CWI Notice of Privacy Practices describes how it may use and disclose your protected health information for other purposes that are permitted or required by law. To review a copy of CWI Notice of Privacy Practices, go to http://www.CynergyWellness.com.
   2. Disclosure to Government Authorities: I acknowledge and agree that my test results and associated information may be disclosed to appropriate county, state, federal, or other governmental and regulatory entities as may be permitted by law.

1. Release
   1. To the fullest extent permitted by law, I hereby release, discharge and hold harmless, CWI, including, without limitation, any its respective officers, directors, employees, representatives and agents from any and all claims, liability, and damages, of whatever kind or nature, arising out of or in connection with any act or omission relating to my diagnostic test or the disclosure of my test results.
   2. By selecting the ACKNOWLEDGEMENT during the registration process for diagnostic testing, I acknowledge and agree that I have read, understand, and agreed to the statements contained within this form. I have read the contents of this form in its entirety and voluntarily consent to proceed with these procedures.