Qualitative Research Debriefing Form

Study Information

Title of Study Researcher(s) Date

Debriefing Statement

Please provide a summary of the research purpose and what was being studied: Describe how the participant’s contributions will be used in the study: Is there any information that was withheld or deceived? If yes, explain and clarify to participant:

Participant Wellbeing

Did the interview or research contain any sensitive or distressing content? Offer resources or support if applicable:

Further Information

Contact details for questions or withdrawal of data: Additional Comments:

Researcher Signature

Name Date