Public Health Survey Ethical Approval Application Form
Applicant Information
Name
Email
Position/Role
Institution
Project Information
Project Title
Project Summary
Rationale and Objectives
Methodology
Brief Description of Methods
Target Population
Intended Sample Size
Ethical Considerations
Recruitment Procedures
Informed Consent Process
Potential Risks to Participants
How will confidentiality/anonymity be ensured?
Data Management
Type of Data to be Collected
Data Storage & Retention Procedures
Additional Information
Have any other ethical approvals been obtained or applied for?
Funding Source (if any)
Additional Comments