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* 1. What is the name of your research project/study?

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* 2. What is the chief investigator's name?

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* 3. What is the chief investigator's position/appointment?

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* 4. What is the chief investigator's institutional affiliation?

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* 5. What is the name of the contact person for the study/project?

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* 6. What is the phone number for the contact person?

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* 7. What is the email address for the contact person?

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* 8. Please provide a URL for a web page where prospective participants can find necessary information.

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* 9. Do you have approval from a Human Research Ethics Committee for your study?

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* 10. Please provide information about your project/study to inform prospective participants about the background and aims, and what is involved for participants.

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* 11. what is the start date for the study?

Date

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* 12. what is the end date for the study?

Date

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* 13. Please confirm your agreement to this statement. 

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