Dear Participant,

This is a survey conducted by Hamad Bin Khalifa University and the Abdullah Bin Hamad Al-Attiyah International Foundation for Energy and Sustainable Development. The survey will examine the “public perception towards the re-use of industrial wastewater and bio-solids generated from the oil and gas industries”.
 
Oil and gas industries generate by-product water (wastewater) and bio-solids in their production processes. The wastewater is purified to the highest level using the best available technology in what is defined as Treated Industrial Water. The bio-solids remaining from the wastewater treatment process are treated and can be used to improve the condition of soils.

Question Title

* 1. Please indicate if you agree to the consent below:

Consent

Purpose
      
The purpose of this survey is to investigate the public attitude in the State of Qatar towards utilizing treated wastewater and by-products from oil and gas industries' treatment process for everyday uses.  

Additional information
It is important that you read and understand the points below:
 - Taking part in the study is entirely voluntary;
 - You may or may not benefit from taking part in the study, but knowledge may be gained from your participation that may help others; and
 -  You may stop your participation in the study at any time.

Person in charge of the study
The investigator is Fatima-Zahra Lahlou This survey is part of her research as a Master student in the program of Sustainable Energy in the Hamad Bin Khalifa University. The research is being sponsored by Abdullah Bin Hamad Al-Attiyah International Foundation for Energy and Sustainable Development.

Who cannot participate in this study
You cannot participate this study if you are less than 18 years old.

Risks
There is no risk associated with your participation in this study.

Benefits
This study is not designed to provide direct benefits to any participants.

Confidentiality
Your personal information will be kept private. You will not be identified by name in any publications and reports resulting from this study. 

Payment and cost
You will not be paid for being in this study, but if you agree to participate in the long version of the survey you will enter into a raffle and have the opportunity to win a two night stay at the Sheraton Grand Doha Resort & Convention Hotel.

Participant’s rights
·       You have the right to be told about the nature and purpose of the study;
·       You have the right to ask any questions you may have about the study;
·       You have the right to decide whether or not to be in the study; 
·       You have the right to receive a copy of this consent form.

For questions about the study, contact Fatima-Zahra Lahlou, flahlou@mail.hbku.edu.qa.

T