Participant Consent Form

To continue onto the survey, you need to provide your consent to participate.

* I agree to take part in the above named project being co-ordinated by the Telethon Kids Institute and the WA Health Translation Network Consumer and Community Health Research Network

I am aware of the purposes of this project and have read the Participant Information Form provided and any questions I have asked have been answered to my satisfaction. I understand that I may withdraw at any time without reason and without prejudice.

I understand that all identifiable (attributable) information that I provide is treated as strictly confidential and will not be released by the project team in any form that may identify me. The only exception to this principle of confidentiality is if documents are required by law to be released.

I understand that the survey is anonymous and only project team members will have access to the survey responses. The responses will be used to develop themes for the Ranking Survey and consensus workshop.  I am aware that at no time will any ‘stories’ included in the survey responses be reported with the results of the project.

I am aware of what information will be collected, its purpose, and what will be done with the information upon completion of the survey.

8% of survey complete.