Case Study Interview Consent Form

Project Title

Investigator/Interviewer

Participant Information

Full Name Contact Information

Introduction

You are invited to participate in a case study interview for research purposes. Participation is voluntary and you may withdraw at any time.

Purpose of the Study

Procedures

Confidentiality

Risks & Benefits

Consent

I have read and understood the information above and agree to participate in this interview.

Participant Signature Date

Interviewer Signature Date