Ravalier PhD Theis.pdf - Anglia Ruskin Research Online

The research is being led by:
Appendix 9: Interview Consent Form
Managing workplace stress: a participatory approach.
Dr Andrew McVicar, Faculty of Health & Social Care, Anglia Ruskin University. Tel 01245 493131 ext. 4137,
email Andy.Mcvicar@anglia.ac.uk , and
Dr Carol Munn-Giddings, Faculty of Health & Social Care, Anglia Ruskin University. Tel 01245 493131 ext.
4100, email Carol.Munn-giddings@anglia.ac.uk .
Lead contact within [name of PAO] is with [name of person], Executive Director, Tel 01206 282901, email
[removed for anonymity]
Please initial box
1. I confirm that I have read and understand the information sheet
for the above study and have had the opportunity to ask questions.
2. I understand that my participation is voluntary and that I am free to withdraw at any time, without giving
any reason
3. I have been informed that the confidentiality of the information I provide will be safeguarded
4. I agree to take part in the above study.
Data Protection: I agree to the University 1 processing personal data which I have supplied. I agree to the processing of such
data for any purposes connected with the Research Project as outlined to me
________________________ ________________ ____________________
Name of Participant Date Signature
_________________________ ________________ ____________________
Name of Person taking consent Date Signature
(if different from researcher)
_________________________ ________________ ____________________
Researcher Date Signature
Name of witness (print)……………………………..Signed………………..….Date………………
YOU WILL BE GIVEN A COPY OF THIS FORM TO KEEP
If you wish to withdraw from the research, please complete this slip and return it to Dr Andrew McVicar at the
address above.
Managing workplace stress: an appreciative approach.
I WISH TO WITHDRAW FROM THIS STUDY
Signed……………………………………
Date……………………………..
Please print name: ………………………………………..
Group:…………………………………………………………………………..
1