Participant Consent Form Template

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[Title of project]

Consent to take part in research

I……………………………………… voluntarily agree to participate in this research study.

I understand that even if I agree to participate now, I can withdraw at any time or refuse to answer
any question without any consequences of any kind.

I understand that I can withdraw permission to use data from my interview within two weeks after
the interview, in which case the material will be deleted.

I have had the purpose and nature of the study explained to me in writing and I have had the
opportunity to ask questions about the study.

I understand that participation involves…[outline briefly in simple terms what participation in


your research will involve].

I understand that I will not benefit directly from participating in this research.

I agree to my interview being audio-recorded.

I understand that all information I provide for this study will be treated confidentially.

I understand that in any report on the results of this research my identity will remain anonymous.
This will be done by changing my name and disguising any details of my interview which may
reveal my identity or the identity of people I speak about.

I understand that disguised extracts from my interview may be quoted in…[list all forum in which
you plan to use the data from the interview: dissertation, conference presentation, published
papers etc.].

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