INFORMED CONSENT FORM – FAMILY - Armed Services Trauma Rehabilitation Outcome Study

Name *

First

Last

Email *

Please click each statement to indicate you agree with the statement: 01 *

I confirm that I understand that by initialling each box I am consenting to this element of the study. I understand that it will be assumed that un-initialled boxes mean that I DO NOT consent to that part of the study. I understand that by not giving consent for any one element I may be deemed ineligible for the study.

02 *

I confirm that I have read and understood the Participant Information Sheet version v5 dated 24/08/2022 for the above study. I have had the opportunity to consider the information and asked questions which have been answered to my satisfaction.

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03 *

I consent voluntarily to be a participant in this study and understand that I can refuse to answer questions and I can withdraw from the study at any time, without having to give a reason, up until data analysis begins (three months after the interview was conducted).

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04 *

I consent to the processing of my personal information for the purposes explained to me in the Information Sheet. I understand that such information will be handled in accordance with the terms of the General Data Protection Regulation.

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05 *

I understand that the data I share in this interview will be linked to the data that my veteran family member has already shared as part of the ADVANCE and ADVANCE-INVEST studies.

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06 *

I understand that the information I share as a participant in this study may be published anonymously as a part of report/research article. I understand that confidentiality and anonymity will be maintained and it will not be possible to identify me in any research outputs.

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07 *

I consent to my interview being audio recorded and transcribed by a trusted third party.

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08 *

I understand that my contact details and my audio interview file will be securely destroyed at the end of the study.

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09 *

I consent to the anonymous reproduction of any diagrammatic drawings (e.g., timeline maps) that are used/produced in support of my interview.

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10 *

I consent for pseudonymised data from my interview to be held securely for up to 20 years to permit future research.

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11

(Optional) I would like to receive a copy of the final report arising from this study when it is published.

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Agreement *

I agree that the research project named above has been explained to me to my satisfaction and I agree to take part in the Study. I have read both the notes written above and the Participant Information Sheet about the project and understand what the research study involves.

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