Genetic Testing Information Survey Consent Form
Introduction
Purpose of the Survey
What Participation Involves
Confidentiality
Voluntary Participation
Contact Information
Participant Information
Full Name
Email Address
Date of Birth
Survey Questions
Have you previously undergone any genetic testing?
Yes
No
What concerns, if any, do you have about genetic testing?
Where did you get your information about genetic testing?
Consent
I have read and understood the information provided above. I voluntarily agree to participate in this survey.
Signature
Date