Sample Letter Of Introduction And Informed Consent Form printable pdf download

Letter of Introduction and Informed Consent Form

Study Title:

Researchers:

Before agreeing to participate in this research, we strongly encourage you to read the following explanation of

this study. This statement describes the purpose and procedures of the study. Also described is your right to

withdraw from the study at any time. This study has been approved by the Research Ethics Board of Concordia

University College of Alberta

Explanation of Procedures

This study is designed to examine the ways in which _________________________________. We are

conducting this study to learn more about this question since it has not been studied much in the past.

Participation in the study involves completion of a survey that asks you basic questions about yourselves and the

specific timing and procedures you may have undergone as you _________________________, and a face-to-

face interview, which will last for approximately one to two hours. The interviews will be conducted by one of

the researchers, audio-taped and later transcribed for the purpose of data analysis. We will interview you and

your spouse separately, in the counseling/interview room on the campus at Concordia University College of

Alberta.

Risks and Discomforts

There are no risks or discomforts that are anticipated from your participation in the study. Potential risks or

discomforts include possible emotional feelings of sadness when asked questions during the interview.

Benefits

The anticipated benefit of participation is the opportunity to discuss feelings, perceptions, and concerns related

to the experience of ________________, and to contribute to understanding of decision-making during

__________________.

Confidentiality

The information gathered during this study will remain confidential in secure premises during this project. Only

the researchers will have access to the study data and information. There will not be any identifying names on

the surveys or interview transcripts; they will be coded and the key to the code will be kept locked away. Your

names and any other identifying details will never be revealed in any publication of the results of this study. The

tapes will be destroyed at the completion of the study. The results of the research will be published in the form of

a research paper and may be published in a professional journal or presented at professional meetings. It may

also be published in book form. The knowledge obtained from this study will be of great value in guiding

professionals to be more effective in ___________________________________________________.

Withdrawal without Prejudice

Participation in this study is voluntary; refusal to participate will involve no penalty. You are free to withdraw

consent and discontinue participation in this project at any time without prejudice or penalty. You are also free

to refuse to answer any question we might ask you.

Sample Letter Of Introduction And Informed Consent Form