Informed Consent Form

Informed Consent

I, the undersigned, agree to participate in the {Study} study from {date} to {date} with {Research Company}. I have been properly briefed on the purpose of the study, its procedures and structure, its possible risks and discomforts, and its possible benefits to either me or society. I have had all of my questions answered. I understand that I may withdraw or decline to participate at any time without any punishment, consequence, or loss of benefits. I understand I will be paid {amount} for my time regardless of potential withdrawal. I hereby agree to have my participation in the Study recorded and published under the stipulation of confidentiality and anonymity.

My participation in this study is completely voluntary, and I understand that I will receive a copy of this consent form.

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Signature & date

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Witness, signature & date

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