SAMPLE-INTERVIEW-CONSENT-AND-PARTICIPANT-VERIFICATION-FORM
SAMPLE-INTERVIEW-CONSENT-AND-PARTICIPANT-VERIFICATION-FORM
Thank you for reading the information sheet about the interview. If you are happy to
participate then please complete and sign the form below. Please initial the boxes below
I confirm that I have read and understood the information sheet dated April
withdraw at any time without giving any reason and without there being any
understand that my name will not be linked with the research materials,
and will not be identified or identifiable in the report or reports that result
recording, and documents are made of this interview will be used only for
analysis and that extracts from the interview, from which I would not be
and that no one outside the research team will be allowed access to the
original recording
I agree that my anonymised data will be kept for future research purposes
such as publications related to this study after the completion of the study.
To be counter-signed and dated electronically for video call interviews or in the presence of the
Copies: Once this has been signed by all parties the participant should receive a copy of the
signed and dated participant consent form, and the information sheet. A copy of the signed and
dated consent form should be placed in the main project file which must be kept in a secure
location.
PARTICIPANT’S VERIFICATION FORM
After carefully reading and checking the individual transcription of the key
informant interview held last April 22, 20212, regarding the description of the Lived
researcher herself, Mecca Marie B. Nomer, I hereby attest the truthfulness and accuracy
of the data. I therefore categorically declare it as the same information that I have provided
during the video-recorded/video call interview, and that those words were the same words
I have likewise checked the translation that the investigator has kindly provided
investigator has also correctly described the circumstances surrounding the said
interview, namely the time and place of the Key Informant interview and has kept her
word that she will provide me the opportunity to verify the information I have given.