Informed Consent Form Template for Clinical Studies 2022

INFORMED CONSENT FORM FOR RESEARCH STUDIES
Title of Research Project: QUALITATIVE RESEARCH ASSIGNMENT FOR THE
ONLINE MODULE LPSY 311: SOCIAL PSYCHOLOGY.
Please
initial box
1. I confirm that I have read and have understood the information sheet for the above study. I have
had the opportunity to consider the information, ask questions and have had these answered
satisfactorily.
2. I understand that my participation is voluntary and that I am free to withdraw at any time without
giving any reason, without my rights being affected.
3. I understand that I can at any time ask for access to the information I provide. I can also ask for my
data to be withdrawn up to the point of analysis.
4. I understand that I will not be identified or identifiable in any report subsequently produced by the
student researcher
5. I accept that taking part in an study intervention is voluntary and confirm that any risks associated
with this have been explained to me.
6. I agree to having the interview digitally audio recorded
7. I agree to take part in the above study.
Participant Name Date Signature
Student Researcher Date Signature
The contact details of the faculty leader are: Dr. Francine Watkins, PGT Lead Public Health
& Director of MPH Programmes and Faculty Academic Lead for Online Programmes:
[e-mail]
Version 1.0 1 copy for participant; 1 copy for researcher
16/04/13