Informed Consent & Participation in
Breakthrough Blueprint Research Surveys
Thank you for taking the time to participate in real research. By completing two short
surveys before you begin the Breakthrough Blueprint course, two a few months after,
and two 6 months from now, youare actively helping me better understand how this
work impacts focus, stress, andachievementover time. They take only a few minutes
each. Your willingness to take part is genuinely appreciated, and your participation
helps ensure this program continues to improve in meaningful, evidence-based ways.
As stated above, there are two psychological surveys along with a brief demographical
questionnaire. The other surveys will be sent as follow up.Any information you
provide will be kept safe and anonymous.Continue reading for more information
about participating in these surveys.
Why Accuracy Matters
These surveys are designed to measure self-discipline, stress regulation, and goal
achievement. Honest responses, both before and after the course, are essential for
understanding what’s truly effective. There are no “right” or “wrong” answers. The
value of this data comes from accuracy, nottest score perfection.
Why Follow-Through Is Important
Completing the follow-up survey is just as important as the initial one. Long-term data
allows us to understand change (or lack of change) over time. Even if your experience
changes, plateaus, or feels different than expected, your follow-up responses are
valuable.
Anonymity & Con$dentiality
Your responses will be keptstrictly anonymous. Your personal information is solely
for sending you the next round of surveys, and keeping the data organized but will
never be shared.
 Surveys are not linked to your name, identity, nor personal information
 Individual results will never be shared, published, or identifiable
 Data will only be viewed in aggregate (group-level trends)
Your participation is voluntary, and you may choose to stop at any time.
By participating, you’re helping advance ethical, evidence-informed mental
performance training, while protecting your privacy and autonomy.
Printed Name: ________________________________________
Signature: _____________________________________ Date: _____________