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Ipsos - Health Advertising Research - Focus Groups Consent Form

Project Name: 25-045789-12 DHSC Healthy Choices Quiz Research

Location: Online via MS Teams

Dates: Monday 27th April to Tuesday 5th May 2026

If you have any questions, please contact Tanisha Colegate ([email protected])

This form asks if you are happy to take part in the research. Please read this form and the information sheet that comes with it carefully.

If you are happy with what it tells you about taking part in the research, please complete the form and return it to the recruitment agency.

Please write your initials by each statement in the box to the right to show that you agree.

I understand that I do not have to take part. I can withdraw from the study at any time, and I do not have to provide a reason. I understand that I am under no obligation to participate in this conversation or share my experiences. I can end my participation in the focus group at any time or return after a break without consequences.

I agree that an Ipsos researcher can:

Have a discussion with me on the Microsoft Teams platform

Audio record the session for note-taking purposes

Use Large Language Models (Artificial Intelligence) within a secure Ipsos dedicated environment to produce transcripts (text versions of the audio recordings of the discussion)

I have received a copy of the project privacy notice and I understand that data concerning me will be stored and accessed in accordance with current laws, such as the UK General Data Protection Regulations (UK GDPR).

I understand the things I say will not be linked to any information that can identify me (such as my name or contact information), following the rules of the 2018 UK General Data Protection Regulation (UK GDPR). The exceptions are if I discuss:

Undisclosed illegal acts (offences that no one else knows about);

Behaviour that is harmful to myself or someone else.

I understand that Ipsos will write a report summarising the research findings, including from the discussion with me. Findings will be reported in aggregate (with everyone’s answers considered together) but the report may include quotations from my discussion(s) which have been anonymised.

I agree to treat all information related to this research as confidential and will not disclose any information to any third party or use the information for my own purposes. (If this agreement is broken, the client and this sponsoring facility reserve the right to explore any legal means of redress within their rights).

Please note once you have submitted the form it will get sent straight to us, no need to email it in!

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April 8, 2026 3:52 pm BST

Ipsos - Health Advertising Research - Focus Groups Consent Form Uploaded by Holly Ackland-George - [email protected] IP 80.193.44.236

April 8, 2026 4:01 pm BST

Take Part in Research - [email protected] added by Amy Bickers - [email protected] as a CC'd Recipient Ip: 80.5.227.124

April 9, 2026 2:08 pm BST

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April 13, 2026 12:14 pm BST

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April 13, 2026 12:14 pm BST

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April 22, 2026 10:53 am BST

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April 22, 2026 10:53 am BST

Take Part in Research - [email protected] added by Amy Bickers - [email protected] as a CC'd Recipient Ip: 80.193.44.236