We invite you to take part in a screener for this research study because you contacted the laboratory research team with interest in the study. We will first need to determine if you are eligible to participate in the study by completing this screener.

    This research study will be explained to you

    Whether or not you take part in this research study is up to you

    You can choose not to take part in this research study

    You can agree to take part in this research study and later change your mind

    Your decision will not be held against you

    You can ask all the questions you want before you decide

The screener will help research staff ensure that you are eligible to complete the study procedures.

      If you have questions, concerns, or complaints, or think the pre-screener has hurt you, talk to the research            team by contacting:

      Dr. Meagan Brem, Office: (540) 231-5701, E-mail: mbrem@vt.edu

      This research has been reviewed and approved by the Virginia Tech Institutional Review Board (IRB). You may        communicate with them at 540-231-3732 or irb@vt.edu if:

      ●   You have questions about your rights as a research subject

      ●   Your questions, concerns, or complaints are not being answered by the research team

      ●   You cannot reach the research team

      ●   You want to talk to someone besides the research team to provide feedback about this research

      We plan to include about 100 people in the research study. We expect to screen approximately 400 

      individuals for eligibility.

                    You will be asked a series of questions through this survey. Your name and contact information will 

                    not be linked to your responses in any way. All data from this survey will be handled by trained 

                    research assistants. You have the option of reading this information first and opting to complete the 

                    screener later.

       · The entire screener could take between 2 and 5 minutes. You will not be paid to participate in this brief   

         screener. If you are eligible to participate in the study, you can earn up to $337.00. The study will last 

         approximately 30 days.

       · You will be asked to answer questions regarding your romantic relationship, alcohol use, and technology               access. Some of the questions are sensitive in nature (e.g., questions about your relationship that may be 

       · You may choose to discontinue the screener at any time.

       · If it is determined that you are eligible, we will ask you to provide your name, phone number, and email 

         address in a separate survey (to keep your contact information separate from your answers to the screener)           so that we can contact you to schedule your in-person laboratory session. This contact information will be             stored in a password-protected excel file within the research laboratory. Only authorized research staff     

         have access to this password-protected computer, and the laboratory room is locked. Your information will 

       · If you are ineligible to participate in the study, we will not inform you of the reason why to protect the 

         integrity of the screening procedures.

       You can discontinue this screener at any time, for any reason, and it will not be held against you.

       · Risks to those who complete the screener are minimal. You will be asked about your alcohol use and     

         romantic relationship history. Some people may feel uncomfortable providing personal and sensitive 

         information. We have taken steps to increase your confidentiality. If you feel distressed by any of the 

         screener questions, you may discontinue participation at any time without penalty.

       · Dr. Meagan Brem and her trained research staff will have access to the information you provide. Information          may also be shared with those who make sure the study is done correctly (Virginia Tech Institutional Review          Board). The responses you provide as part of this screener will be stored on password-protected computers          inside a locked laboratory room. Again, your name and contact information will not be linked to your        

        responses. If you are eligible for the study, your name, phone number, and email address will be stored 

        electronically on a password-protected excel file on a password- and firewall-protected computer in a 

        locked laboratory room.

      · Personal identifying information used to contact you and schedule your study session will be deleted from            electronic records upon your completion of the study if you are eligible. Despite all of our efforts to protect            your privacy, confidentiality breaches may still occur.

      We will make every effort to limit the use and disclosure of your personal information, including research      

      study records, only to people who have a need to review this information. We cannot promise complete 

      confidentiality. Organizations that may inspect and copy your information include the IRB, Human Research 

      Protection Program, and other authorized representatives of Virginia Tech.

      Only the principal investigator and authorized research staff will have access to screener data and your 

      contact information (if you are deemed eligible to participate and choose to provide your contact 

      information). Your contact information will be deleted from research records once (1) you attend the on-site 

      session or (2) you inform the research team that you are not interested in participating in the study.   

      If identifiers are removed from your private information or samples that are collected during this screen, that        information or those samples could be used for future research studies or distributed to another investigator        for future research studies without your additional informed consent.

      If technology issues arise (e.g., internet issues), please email vtalcoholstudy@gmail.com or call our 

      laboratory at 540-231-7339.