Mental Health and Flying Survey

Mayo Clinic: Office for Human Research Protection Email Consent Script
Protocol Title: Airline transport pilots and mental health: A Comparison of the medical certification process between the U.S. and various European countries.
IRB #: 15-008911

Principal Investigator: Lawrence Steinkraus, MD
Survey: Mental Health and Flying Survey
Survey consent

You are being asked to participate in a research study about pilots and their mental health. The purpose of this research is to study how mental health medical certification is processed for pilots in their respective country. You are being invited to participate because you are involved in some aspect of their aeromedical-mental health certification.

If you agree to participate you will be asked to complete an online anonymous survey questionnaire. This will take no more than 10-15 minutes of your time. No information will be recorded about you other than your country of origin. Confidentiality will be maintained by NOT being able to trace back your responses to you. In other words, your survey response will be assigned a random number for tracking/statistical purposes but cannot be traced back to you. You will receive no payment for your participation.

There are no known risks to you from taking part in this research study. You may refuse to answer any question(s) that you do not wish to answer.

The benefits which may reasonably be expected to result from this research study are to improve the process for mental health medical certification of pilots in your country.

Please understand your participation is voluntary and you have the right to withdraw your consent or discontinue participation at any time without penalty. Your submission of the survey questionnaire signifies your consent to participate. Moreover, your current or future medical care at the Mayo Clinic will not be jeopardized if you choose not to participate. If you have any questions about this research study you can contact my co-investigator, Dr. Daniel Danczyk, at This email address is being protected from spambots. You need JavaScript enabled to view it..

If you have any concerns, complaints, or general questions about research or your rights as a participant, please contact the Mayo Institutional Review Board (IRB) to speak to someone independent of the research team at 507-266-4000 or toll free at 866-273-4681.