Record Personal Identifier Here: Research Study :

Record Personal Identifier here:Research Study: Insert your title hereThank you very much for participating in the above study. Please detach and retain this part for your records. You may want to note your Personal Identifierfor future reference.The aims of this study are to: [outline the details of your project] Your data are held securely and anonymously. If you wish to withdraw from the study, contact me with your personal identification code (see above) and your data will be removed from all files. You may withdraw from the study at any time but after insert suitable date [e.g. date of final collection of data], the data you provided may still be used in collated form in the data analysis reported in the research findings but this will not be identifiable to you as an individual. If you are a student, colleague, patient or in any other way have a dependent relationship with the researcher and you wish to withdraw from this study, you can be assured that that this will not adversely affect the relationship in anyway. Please note: if you have a concern about any aspect of your