Page 1: Participant Information Sheet

Study Title: Examining the relationship between social rejection and insomnia


1. Information about the project/Purpose of the project

Studies have demonstrated that social rejection (feeling ignored and excluded) is associated with psychological distress.  However, there is limited research into one area of distress, that of sleep quality and insomnia.  The purpose of this project is to closely examine the relationship between social rejection and sleep quality/ insomnia.

2. Why have I been chosen?

Anyone is eligible to take part in this study as long as they are aged 18 or above.  You do not necessarily need to be experiencing or have experienced social rejection to take part in this survey,

3. Do I have to take part?

No, participation is entirely voluntary and you may withdraw at any time. I will withdraw any data that you may have contributed to the study if you notify me (i.e., the principal investigator) up to two weeks before the study completes. The study will be completed by 30th June 2018.

4. What do I have to do?

You will be asked to sign a consent form, and fill in a small questionnaire with your basic demographic information (e.g., age, gender, nationality etc).  You will then be presented with a series of 8 questionnaires to complete.  Once you have completed the survey you will be offered the opportunity to enter your email address if you would like to be included in the prize raffle draw (explained below).  The survey should take approximately 25-30 minutes to complete.

5. What are the risks associated with this project?

There are no anticipated risks associated with this project. However, if you feel uncomfortable at any time throughout the process of completing the survey you can end the session. If you choose, you may withdraw at any time from the study and your data will be destroyed.

6. What are the benefits of taking part?

By sharing your experiences this may be somewhat cathartic.  Your participation may also contribute to results which could inform potential interventions for those who suffer with sleep problems relating to experiences of rejection.

7. Withdrawal options

You may withdraw from the study at any time and up to two-weeks before study completion by emailing me (Dr Daniel Waldeck, University of Coventry,

8. Data protection & confidentiality

Any electronic data will be stored on a password protected PC.  At no stage will you be identified within the data by name as you will be assigned an anonymity code.  You will be asked to provide an email address should you wish to take part in the prize draw.  The email address you provide will be deleted from the database by 1st October 2018 after the prize winner has been emailed.  All other data will be non-identifiable to you and retained for a period of 5 years prior to disposal.

9. What if things go wrong? Who to complain to

If you have any complaints about your experience during the course of the research, please contact the University Applied Research Committee Chair, Prof Olivier Sparagano, Associate Pro-Vice Chancellor,

10. What will happen with the results of the study?

The results of the study may be used to form the basis of an academic conference paper or submitted as an article to a peer-reviewed empirical journal.

11. Who has reviewed this study?

The CU Ethics Department have granted ethical approval for this study (Reference Number: P69205)

12. Further information/Key contact details

Principle Investigator: Dr Daniel Waldeck, Department of Psychology, University of Coventry


Thank you for considering to take part in this study.



Please note that this Survey is approved for online recruitment of participants by Coventry University Ethics (HLS).