We are starting a new study that will compare one of our UAS surveys, a memory game, that you fill out on the web with a similar survey taken over the telephone.

• Being in this research is entirely voluntary. It is up to you whether to participate.
• Please take as much time as you need to read about the study and understand it. If you have any questions, please contact the UAS helpdesk to get them answered.
• You are being invited to take part in this study because you have participated in the UAS previously and you are age 50 or older.
• You are eligible if you are able to take the survey in English and have not been diagnosed by a physician with a progressive cognitive impairment that would interfere with your ability to consent to this study.
• About 900 other members of the UAS will take part in the study.
• This research is being funded by the National Institute on Aging.

If you decide to do this study, you will do the same survey twice. Once online, and once over the telephone.

The survey consists of a short memory game and questions about your mood that you may have seen before on previous UAS surveys. Each survey will last about 15 minutes. We think you will enjoy completing it.

Participants in this project either fill out the survey in the UAS first, and then will take a telephone survey about a month later, or they will do the telephone survey first and the UAS web survey later.

The purpose of the study is to learn about differences between how people respond to memory games when they are done over the phone or on the web. This will help researchers learn how to distinguish between people with memory difficulties and those without difficulties.

For the telephone survey part of this study, we have contracted with a company called Davis Research. If you agree to participate we will give them only your phone number, and first name, with no other identifying information. They will use your phone number only to contact you to do the survey, and for no other purpose. They will not share your information or use it in any other way.

If you agree to participate, we will randomly assign you to either doing the web survey first or the telephone survey first. If you do the web survey first, Davis Research will call you to do the telephone survey, and you will be able to schedule a day and time if you prefer.

If you do the telephone survey first, then in about a month, you will be sent an email inviting you to do the web survey. You will earn $20 for doing both surveys. Each one takes about 15 minutes to complete.

Here is a summary of facts about the Telephone / Online Survey Project:

Question: What is this study about and what will I be asked to do?
Answer: The study will compare very similar surveys when the survey is done on the web or when the survey is done by telephone. If you decide to participate, we will assign you to take a survey online first, or by telephone first. About one month later, we will contact you to do the other type of survey.

Question: How long will each survey take, and how much will I earn?
Answer: Each survey takes about 15 minutes. You will earn $10 for each survey.

Question: If I agree to participate, what happens next?
Answer: If you are picked to do the survey online first, we will send you an email invitation to do the survey, as we usually do. If you are picked to do the telephone survey first, we will email you a reminder to watch for a call from Davis Research. Davis Research is company we trust to make the telephone calls and do the telephone interviews. Davis will use your email or telephone number only to contact you and for no other purpose. An interviewer will read the questions over the telephone and you will give your answers.

Question: Can I schedule a time for the telephone call?
Answer: Yes! You will have the opportunity to schedule the telephone survey at a time of your convenience.

Question: What are the risks and benefits of participating in this survey?
Answer: Similar to taking any other UAS survey, there are no anticipated risks. Some people may feel uneasy when asked about their memory, thinking, or mood. As with all UAS surveys, you can choose to skip questions, or stop answering the survey at any time.

Question: Are my answers private?
Answer: As with all UAS surveys, we protect your privacy by keeping your survey responses confidential. There is a small risk that people not connected with the study will learn your identity or personal information, but we will protect your data just as we protect all UAS data. As described to you when you joined the UAS, we have obtained a Certificate of Confidentiality from the National Institutes of Health that allows us to legally refuse to identify you unless you say it is ok. Like all UAS data, your answers will be available to researchers who are approved to use the UAS; however, your answers are not connected to any information that would identify who you are.

Question: Are there any benefits involved?
Answer: There are no direct benefits to survey participants, but the research and results being studied will help us to learn more about how well web-based questions about memory actually work. Although we ask about your memory, we are not performing any sort of diagnosis. However, if you do have concerns about your memory, we would encourage you to talk to your physician and, if you are interested, we will provide you with resources so that you could learn more about memory and aging,

Question: What happens if I decide not to participate?
Answer: If you decide NOT to participate in this project, we won’t contact you further about this project, and nothing will change.

• Your decision is completely voluntary.
• Even if you say yes now, you can change your mind and stop doing the surveys at any time.
• Whether or not you participate in this project, we appreciate your continuing to complete our regular surveys. If you choose the alternative not to participate now, it does not affect your ability to participate in future UAS surveys.

Question: What if I have more questions before I decide?
Answer: If you have any questions, call the UAS helpdesk at (855) 872-8673 or send us an email at uashelp@usc.edu.

Would you like to participate in this project, which includes doing the same survey by telephone and online?

Do you have any other comments on the interview? Please type these in the box below.(If you have no comments, please click next to complete this survey.)