The Asthma and Allergy Foundation of America (AAFA) and its Kids with Food Allergies (KFA) division are collaborating on this survey with researchers from Texas Children's Hospital.

Electronic Informed Consent
The following are a series of questions about your thoughts regarding a decision aid regarding different forms of epinephrine, to help a patient at risk for anaphylaxis or parent of a child with a risk for anaphylaxis better understand the similarities and differences between these therapies.  
This survey is open to people who are at risk of anaphylaxis, or caregivers of children at risk for anaphylaxis. If you join the study, you will be asked to take a survey about therapy for anaphylaxis. The purpose of this study is to learn more about a tool that will help families decide about anaphylaxis treatment choices, to assist the investigators determine how well parents understand the tool and how helpful it is for the decision-making process.  You will be asked to read the tool and then answer some short survey questions about this tool.
Possible discomforts or risks include inconvenience of having to take a survey that may not interest you. There may be risks the researchers have not thought of.  This study is not designed to benefit you directly.  Every effort will be made to protect your privacy and confidentiality by not collecting anything that may directly identify the individual who is taking this survey or their family, and by keeping all data collected on an encrypted server.  This research project is being sponsored by the Asthma and Allergy Foundation of America, a non-profit advocacy group for persons with allergies and asthma.
You have a choice about being in this study. Participation in this study is completely voluntary.  You do not have to be in this study if you do not want to be. The data we collect will be used for this study but may also be important for future research. Your data may be used for future research or distributed to other researchers for future study without additional consent if information that identifies you is removed from the data. We intend to publish the results in the medical literature. You may have questions about your rights as someone in this study.
This survey is being conducted by Dr Anagnostou. If you have questions, you can email Dr. Anagnostou at Aikaterini.Anagnostou@bcm.edu
I hereby consent to participate in this study titled “Determining the Acceptability of a Decision-Aid for Anaphylaxis Treatment”. I have read and understand the purpose of the study. I understand that information obtained in this survey will potentially contribute to a future publication in the medical literature. The study authors will keep any data collected under electronic encryption and password protection. The authors are not collecting any information that can be used to identify any individual participant.
Do you agree to participate in this survey?