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CARIOLOGY TEACHING AT SOUTH AFRICAN DENTAL SCHOOLS
1.
I confirm that I have read and understood the information sheet explaining the above research project and I have had the opportunity to ask questions about the project.
Yes
No
2.
I understand that my participation is voluntary and that I am free to withdraw at any time without giving any reason and without there being any negative consequences. In addition,should I wish to withdraw, I may contact the lead researcher at any time to do so.
Yes
No
3.
I understand my responses and personal data will be kept strictly confidential.
Yes
No
4.
I give permission for members of the research team to have access to my responses without revealing any part of my identity.
Yes
No
5.
I understand that my name will not be linked with the research materials, and that I will not be identified or identifiable in the reports or publications that result from the research.
Yes
No
6.
I hereby agree that my anonymized responses collected through the questionnaire can be used for this research.
Yes
No
7.
I agree for the anonymized data collected to be used in future research.
Yes
No
*
8.
In terms of the requirements of the Protection of Personal Information Act (Act 4 of 2013),
personal information will be collected and processed:
(Required.)
I hereby give consent for my personal information to be collected, stored, processed and shared
as described in the information sheet.
I do not give consent for my personal information to be collected, stored, processed and shared
as described in the information sheet.
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