Participant Agreement Form TEMPLATE - Focus Groups

Participant Agreement Form – Focus Groups

Full title of project:

Name, position and contact details of researcher:

Name, position and contact details of supervisor (if the researcher is a student):

Please tick the appropriate boxes Yes No Taking Part: I have read and understood the Project Participant Information Sheet [insert version/ref]. ☐ ☐ I confirm that I have had the opportunity to ask questions. ☐ ☐ I understand that my participation is voluntary. ☐ ☐ I understand that I am free to withdraw up to the point where the data are processed and become ☐ ☐ anonymous, so my identity cannot be determined (or some other project specific wording - amend as appropriate). Should I not wish to answer any particular question(s), I am free to decline. ☐ ☐ I understand that the focus group will be digitally recorded (audio) and then transcribed. ☐ ☐ I agree to be featured in any film taken during the project. ☐ ☐ I agree to take part in the project. ☐ ☐ Use of the information I provide for this project only: I understand my personal details such as name, phone number and address will not be revealed to ☐ ☐ people outside this project. I understand that my words may be quoted in publications, reports, web pages and other research ☐ ☐ outputs. Please choose one of the following two options: I would like my real name used in the above. ☐ I would not like my real name to be used in the above. ☐ Use of the information I provide beyond this project: I understand that the anonymised transcript of the focus group will be deposited in BU’s Online ☐ ☐ Research Data Repository1 . I understand that the anonymised information given in this interview may be used by the research ☐ ☐ team to support other research projects in the future, including future publications, reports or presentations

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Name of Participant Date Signature

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Name of Researcher Date Signature

This form should be signed and dated by all parties after the participant receives a copy of the participant information sheet and any other written information provided to the participants. A copy of the signed and dated participant agreement form should be kept with the project’s main documents which must be kept in a secure location.

1 Other Archives can be listed (if applicable). More detail can be provided here so that decisions can be made separately about audio, video and transcripts