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Vulnerability and involvement in drug use and ... - Sex Work Europe

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Appendix C Consent form<br />

The Centre for Research on Drugs <strong>and</strong> Health Behaviour<br />

Imperial College School of Medic<strong>in</strong>e<br />

St Dunstan’s Road<br />

London<br />

W6 8RQ<br />

RESEARCH CONSENT FORM (2nd draft)<br />

<strong>Vulnerability</strong> <strong>and</strong> <strong><strong>in</strong>volvement</strong> <strong>in</strong> <strong>drug</strong> <strong>use</strong> <strong>and</strong> sex work<br />

(The respondent should complete the whole of this sheet him/herself)<br />

Interview number<br />

Have you read the Information Sheet? Yes No<br />

Have you had the opportunity to ask questions <strong>and</strong> discuss the study? Yes No<br />

Have you received satisfactory answers to all of your questions? Yes No<br />

Have you received enough <strong>in</strong>formation about the study? Yes No<br />

Who have you spoken to? (write name)<br />

Do you underst<strong>and</strong> that you are free to withdraw from the study,<br />

at any time, without hav<strong>in</strong>g to give a reason, <strong>and</strong> without affect<strong>in</strong>g<br />

the quality of your present or future care? Yes No<br />

Do you agree to take part <strong>in</strong> this study? Yes No<br />

I underst<strong>and</strong> that the Local Ethics Committee may review this form as part of a monitor<strong>in</strong>g<br />

process.<br />

67

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