Sample Letter Of Introduction And Informed Consent Form (Page 2 of 2) in pdf

Sample Letter Of Introduction And Informed Consent Form Page 2

Further Questions and Follow-Up

You are welcome to ask the researchers any questions that occur to you during the survey or interview. If you

have further questions once the interview is completed, you are encouraged to contact the researchers using the

contact information given below. If, as a result of participating in this study you feel the need for further, longer-

term support, you are welcome to contact _____________________ at jdoe.concordia.ab.ca.

If you have other questions or concerns about the study please contact the chair of the Research Ethics Board at

_____________________

Concordia University College of Alberta at 780-__________ or via e-mail at

I, _______________________________________ (name; please print clearly), have read the above information.

I freely agree to participate in this study. I understand that I am free to refuse to answer any question and to

withdraw from the study at any time. I understand that my responses will be kept anonymous.

__________________________________________

_____________________

Participant Signature

Date

If:

(a) you would like a copy of your interview transcript once it is available

(b) you are interested in information about the study results as a whole

and/or

please provide contact information below:

Check those that apply:

____

I would like a copy of my interview transcript

____

I would like information about the study results

____

I would be willing to be contacted in the future for a possible follow-up interview

Write your address clearly below. Please also provide an email address if you have one.

Mailing address:

Email address:

Researcher contact information:

Sample Letter Of Introduction And Informed Consent Form Page 2