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I, ………………………………………………………………………………(insert name)

 

have read or had read to me the information sheet about the research project ………………………………………………………………………………………………………… (give title).

 

I understand the information given to me and any questions I have asked have been answered to my satisfaction.

I understand that the confidentiality of the information I provide will be safeguarded subject to any legal requirements.

I voluntarily and freely agree to take part in the group discussion and understand that I may withdraw at any time, and that any information provided by me will then be destroyed.

I agree that feedback provided by me may be included in research reports and published on the condition that I will not be able to be identified.

I agree to respect the privacy of other group members by not discussing issues shared in the group outside of the group.

 

 

Signature …………………………………………………

Date ………………

 

Thank you!

Please give this form to your SFLEX project worker.