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Research Participant Consent Survey
Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.
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1
Do you confirm that you have read and understood the information provided about the research project?
Yes, I have read and understood the information.
No, I have not read or understood the information.
2
Do you understand the purpose of this research project?
Yes, I understand the purpose.
No, I do not understand the purpose.
3
Have you had the opportunity to ask questions about the research project?
Yes, I have had the opportunity.
No, I have not had the opportunity.
4
Do you understand how your data will be collected, used, and stored during the research?
Yes, I understand.
No, I do not understand.
5
Are you aware of your right to withdraw from the research at any time without giving a reason?
Yes, I am aware.
No, I am not aware.
6
Do you understand the potential risks and benefits of participating in this research?
Yes, I understand.
No, I do not understand.
7
Do you give your voluntary consent to participate in this research project?
Yes, I give my consent.
No, I do not give my consent.
8
Is parental or guardian consent required for your participation?
Yes, parental/guardian consent is required.
No, I am of legal age and do not require parental/guardian consent.
9
(If applicable) Has your parent or guardian provided consent for you to participate?
Yes, consent has been provided.
No, consent has not been provided.
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