Participant Consent Form - Norstat


Participant Consent Form for DATA COLLECTION and PROTECTION

The purpose of this document is to provide you with information regarding the confidentiality of data, video or photo content produced and your right to withdraw from this study at any time.

This form will also confirm that you wish to participate in this study and that you have a full understanding of what is involved.

Confidentiality

Any information, photographs or videos you provide that can be traced back to you will remain strictly confidential and will be disclosed only with your prior consent as detailed within this Participant Consent Form or as required by law.

In order to verify your participation it will be necessary to securely pass on email address to the end client, a leisure and travel company. This will solely be for the purpose of participation in this project, and you will not be contacted for any sales or marketing purposes.

If data collected in this study is used in a Client Report and/or for future research, participants will be referred to by an anonymous code only. The terms of The Data Protection Act 2018 will be adhered to, and information will be securely stored. Data will be stored for 6 months following completion of the project and will be deleted after this time.

Right to Withdraw

You are free to withdraw from the study at any point, without consequences. If you have any concerns whatsoever, please feel free to pause any activity and discuss these with Norstat representative, a member of the client services team or the Norstat Data Protection team.

You may stop participation during the discussion group at any time, or contact the Norstat Data

Protection team or a member of the Research team to request that your data be deleted at a later date. Contact details for our Data Protection team (who will assist you with any queries regarding your personal data) are provided within the Privacy Notice published on the Norstat website at - https://norstat.co/

Interviews and Calls

Your sessions may be video and audio recorded as part of research undertaken by Norstat. Transcripts are then produced from the video and/or audio recordings. Only employees or approved contractors of Norstat (including affiliated companies) may view this content.

Footage will only be viewed for research purposes in accordance with the aims of the study.

Understanding and Consent

Please read this form carefully. If you have any further questions, do ask – we are here to help you. You have the right to change your mind at any time, including after you have signed this form.

Data Controller Details

Norstat - “Data Controller” in respect of your personal information.

Participation NDA Participant Consent Form: Record of Consent

On behalf of myself, I hereby consent to our involvement with interview(s) conducted

by Norstat. 

  • I agree to participate in the above study, as described on the information sheet.
     
  • I agree I will not provide any data (including personal data) belonging to a third party or child.
     
  • I agree to my email address being securely shared with the end-client for the purpose of verification of participation in the project.
     
  • I have had the opportunity to ask questions and had them answered to my satisfaction.
     
  • I understand I have the right to withdraw at any time.
     
  • I understand that all information gathered will be kept confidential.
     
  • I grant permission for any data produced by this study to be used in future research reports.
     

 Name:

Date:

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Document name: Participant Consent Form - Norstat
lock iconUnique Document ID: 150745c4e27e8bf3792aba2fdee6abb34bd5a9d5
Timestamp Audit
January 14, 2025 12:07 pm GMTParticipant Consent Form - Norstat Uploaded by Valeria Ordaz - [email protected] IP 82.148.32.25
January 14, 2025 12:14 pm GMTVal Ordaz - [email protected] added by Valeria Ordaz - [email protected] as a CC'd Recipient Ip: 82.148.32.25
January 17, 2025 12:14 pm GMTVal Ordaz - [email protected] added by Valeria Ordaz - [email protected] as a CC'd Recipient Ip: 82.148.32.25
January 17, 2025 12:14 pm GMTVal Ordaz - [email protected] added by Valeria Ordaz - [email protected] as a CC'd Recipient Ip: 82.148.32.25