All eligible participants randomized to traditional consent agreed to participate in the genomic study and by default to public release. Most participants (84.9%) randomized to binary consent chose public data release, while the remaining individuals (15.1%) opted out of data sharing (no release). The majority of participants (66.4%) randomized to tiered consent agreed to public data release, less than a fifth (19.5%) chose restricted release, and the remainder (14.1%) chose no release.