Consent Form

Consent Form for Interview Participants for the Lived Experience mapping of the system that produces mental wellbeing in Aotearoa New Zealand research.

Please read the consent form below carefully before signing.

A copy of the participant information sheet can be found here. This is available in easy-read translation as well.

If you have any questions, you can email our Engagement and Insights Manager Megan directly at megan@changingminds.org.nz

Question Title

1. I confirm that (Required.)

I have read and understood the Participant Information Sheet

I have had the opportunity to ask questions and these have been answered.

I understand that taking part is voluntary and I can withdraw up to 6 weeks after the interview

I agree to the interview being audio-recorded.

I understand my data will be anonymized unless I have specifically requested that identifying information be included.

I understand that my data will be stored securely by Changing Minds.

I consent to take part in this research.

By typing my name below, I understand that I am signing this consent form to participate in the Lived Experience Mapping of the wellbeing system research.

Consent Form

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1. I confirm that (Required.)

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2. Name (Required.)

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3. Date (Required.)

Consent Form

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* 1. I confirm that (Required.)

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* 2. Name (Required.)

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* 3. Date (Required.)

1. I confirm that (Required.)

2. Name (Required.)

3. Date (Required.)