What You Need to Know to Participate
This document provides information to help you decide whether to join this research study. It is important you understand the responsibilities, risks and benefits of participating.
INFORMED CONSENT DOCUMENT AGREEMENT TO BE IN A RESEARCH STUDY
| Challenge/Study Title | This Protocol is Simply Testing Noonbrew Orders |
|---|---|
| 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 | 30 Servings MoonBoost, MoonBrew – 30 Servings, NoonBrew – 30 Servings |
| Outcome Measures | [Data on personal and community-wide health improvements] |
| Contact | help@efforia.com |
You are being invited to participate in a research study sponsored by Efforia. This study will assess the impact of our Noonbrew products on your daily wellness. Please read this document thoroughly to understand your role and the nature of the research; do not continue if you have unanswered questions or concerns.
The Purpose of This Study
The purpose of this study is to evaluate the efficacy of Noonbrew products in enhancing daily wellness. We aim to gather data on how regular consumption may impact energy levels, mental clarity, and overall health. Your feedback will contribute to improving product formulations and user experience. This study also seeks to foster a community of wellness enthusiasts who can share their journeys and insights.
Your Responsibilities as a Participant
As a participant, you are expected to consume Noonbrew products as directed and provide feedback through surveys and health metrics. You should be willing to document your experience honestly and consistently. Ideal participants are those who can commit to the complete duration of the study and are interested in personal health and wellness. Participation requires no prior experience with Noonbrew products.
Your Rights as a Participant
Participation in this study is completely voluntary, and you can choose to withdraw at any time without any penalty. However, please note that the challenge fee is non-refordable. Your decision to participate or not will not affect your current or future relations with Efforia.
How to Leave the Study
To leave the study, go to your Profile page, click "Your Challenges" and click "leave." Please remember your join fee is not refundable. This payment is important to keep the study experience sound for other participants.
Risks and Benefits
Participating in this study may offer personal insights into your health and wellness habits, and potentially improve your overall wellness. However, some risks may include discomfort from new dietary changes or mental strain from self-monitoring. If you experience any adverse effects or mental health challenges, seek immediate advice from a health professional. In cases of severe distress, the National Suicide Prevention Hotline is available by dialing 988. Remember, this study does not replace professional medical advice or treatment.
What to do if you have an adverse event or medical emergency
If you experience any medical emergencies or adverse events during the study, please seek immediate medical attention. After receiving appropriate medical care, report the incident to us at help@efforia.com for record and follow-up.
Data Protections
Your personal data collected during this study will be used to track progress and communicate with you through emails, SMS, and push notifications. All collected data is stored on secured servers and accessed only by authorized personnel. You can manage your communication preferences in your profile settings to ensure comfort with how you receive updates. Please review the Efforia Terms & Conditions and Privacy Policy for more detailed information on data handling.
If you have questions
If you have any questions about the study, feel free to engage with our community or for more private inquiries, contact help@efforia.com. Our team is here to assist you and ensure a positive study experience.
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 are upheld throughout the research process.
HIPAA Waiver
By agreeing to participate in this study, you acknowledge that the health information collected may be used for research purposes and that certain protections under HIPAA may not apply. However, all efforts to maintain your privacy and data security will be upheld according to Efforia's stringent privacy policies.
```- Authorization and Consent for Diagnostic Testing
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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:
- 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.
- 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.
- 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.
- 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.
- My health information and results may be shared with CWI employees and agents for the purpose of ordering, processing, and reporting my results.
- 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.
- I authorize CWI to contact me via text message to communicate with me regarding my test.
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Patient Rights and Privacy Practices
- 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.
- 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.
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Release
- 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.
- 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.