WP E-Signature by Approve Me - Sign Documents Using WordPress -

Agreement to participate in a Verian research project

Project number: C121007313

Research date: March April and May 2026

Research subject: Work and Health

Verian is inviting you to participate in this online or face to face interview lasting one hour and forty-five minutes which will be held either in London / Cardiff / or remotely on the Zoom application. Interview aim to understand the links between working hours and health in Europe in the context of a research agenda conducted by the French Institute of Demographic Studies (INED).

Any information you provide during this focus group will remain confidential and will be used by Verian and INED solely for the purposes of this study; it will never be linked to your first and last name. Neither Verian nor INED will ever use your contact information for commercial purposes. It will be retained for a maximum of six months after the study concludes.

You have the right to access, correct, delete, and restrict the processing of your personal data, as well as the right to withdraw your consent and object to the processing of your data. You may exercise these rights by contacting Ms. Vialle, who is in charge of the study for Verian ([email protected]). Please be advised that the processing of your data in connection with this interview will be conducted in a manner that protects your privacy and identity.

To enable you to take part in this research, please confirm that you understand and agree to the following:

You are participating in research on the subject as described above;

The research will involve asking you questions, specifically on your habits regarding work and health

In order to guarantee the quality and confidentiality of the research, the participant:

states that prior to this interview he / she has not participated in any interview/ focus group/blog for Verian in the last 12 months.

certifies that he/she does not work in the advertising, marketing or market research fields.

understands that all documents and information provided in the context of this interview are strictly confidential and may not be disclosed or made public in any way. The participant thus expressly undertakes not to disclose these documents or information or to share their content with anyone, and not to utilise them for his or her own benefit or for the benefit of any third party.

We draw your attention to the fact that, to better understand people’s thoughts and feelings, the discussion which you will attend will be audio/video recorded. The recordings will be handed over to the research team from INED as well as third parties working on this research, for the sole purpose of in-depth research analysis and for internal communication and training.

We therefore invite you to participate in this research provided that you agree to these terms, and specifically to being recorded. If you have any doubts or questions on any matter, you may ask the person in charge of the research for details.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

March 27, 2026 5:03 pm BST

Agreement to participate in a Verian research project Uploaded by Frances Thomas-Gregory - [email protected] IP 212.42.190.49

March 27, 2026 5:07 pm BST

Frances Thomas-Gregory - [email protected] added by Frances Thomas-Gregory - [email protected] as a CC'd Recipient Ip: 212.42.190.49