Optional statements are highlighted turquoise delete entire table row if not applicable to your study and – re-number remaining rows (then delete this advisory text) PARTICIPANT CONSENT FORM CUREC Approval Reference: [Study Title] Purpose of Study: [Insert] Please initial each box 1 I confirm that I have read and understand the information version _______ dated ________________ for the above study. I have had the opportunity to consider the information carefully, ask questions and have had these questions answered satisfactorily. 2 I understand that my participation is voluntary and that I am free to withdraw at any time, without giving any reason, and without any adverse consequences or academic penalty. 3 I have been advised the potential risks associated with taking part in this research and have taken these into consideration before consenting to participate. 4 I have been advised as to what I need to do for this research (especially with regard to drug/supplement intake) and I agree to follow the instructions given to me. 5 To the best of my knowledge, I do not meet any of the exclusion criteria outlined in the information sheet for this research. If this changes at a later date during study participation, I agree to notify the researchers immediately. 6 I understand that data collected during the study may be looked at by designated individuals from the University of Oxford. I give permission for these individuals to access my data. 8 I understand who will have access to personal data provided, how the data will be stored and what will happen to the data at the end of the project. 9 I agree for data collected in this study to be shared with other researchers, including those working outside of the EU, to be used in other research studies. I understand that any data shared will be fully anonymised so that I cannot be identified. 10 I understand how this research will be written up and published.
Optional statements are highlighted turquoise – delete entire table row if not applicable to your study and re-number remaining rows (then delete this advisory text) PARTICIPANT CONSENT FORM CUREC Approval Reference: [Study Title] Purpose of Study: [Insert] Please initial each box 1 I confirm that I have read and understand the information version _______ dated ________________ for the above study. I have had the opportunity to consider the information carefully, ask questions and have had these questions answered satisfactorily. 2 I understand that my participation is voluntary and that I am free to withdraw at any time, without giving any reason, and without any adverse consequences or academic penalty. 3 I have been advised the potential risks associated with taking part in this research and have taken these into consideration before consenting to participate. 4 I have been advised as to what I need to do for this research (especially with regard to drug/supplement intake) and I agree to follow the instructions given to me. 5 To the best of my knowledge, I do not meet any of the exclusion criteria outlined in the information sheet for this research. If this changes at a later date during study participation, I agree to notify the researchers immediately. 6 I understand that data collected during the study may be looked at by designated individuals from the University of Oxford. I give permission for these individuals to access my data. 8 I understand who will have access to personal data provided, how the data will be stored and what will happen to the data at the end of the project. 9 I agree for data collected in this study to be shared with other researchers, including those working outside of the EU, to be used in other research studies. I understand that any data shared will be fully anonymised so that I cannot be identified. 10 I understand how this research will be written up and published.
curec_3_consent_form_template.docx