Consent Form Faculty by 1UyoiN55

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									            LIVERPOOL JOHN MOORES UNIVERSITY

                                   CONSENT FORM
                                                                                        `

Title of Research:

Researcher’s Name:                                      (Faculty of Health and Applied Social Science)


1. I confirm that I have read and understand the information provided 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 a reason and that this will not affect
   my legal rights

3. I understand that the interview will be audio-recorded and direct quotes
   used, however, these will be anonymous

4. I understand that any personal information collected during the study will
   be anonymised and remain confidential

5. I agree to take part in the above study


All information collected about you during the course of the research will be kept strictly confidential.
Any information about you will not be disclosed to anyone. It is expected that the results of this study
will be published in the scientific press and to inform health policy, but no reference will be made to
those individuals who took part. However, should you suggest, imply or state that you are
involved in specific serious criminal activities (i.e. acts of terrorism, offences against children)
then the researcher will inform the necessary authorities.



Name of Participant                                                     Date        Signature


Name of Researcher                                                      Date        Signature


Name of Person taking consent                                           Date        Signature
(if different from researcher)



Note: When completed 1 copy for participant and 1 copy for researcher

								
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