Adolescent Mental Health Survey
Consent Form

Introduction

You are being invited to take part in a survey about adolescent mental health. Please read the following information carefully before giving your consent.

Purpose of the Survey

Procedures

Risks and Benefits

Confidentiality

Voluntary Participation

Participation is entirely voluntary. You may refuse to participate or withdraw at any time without penalty.

Contact Information

Consent

By signing below, you confirm that you have read and understood the information above and agree to participate in the survey.

Name of Participant:

Signature of Participant:

Date:

I am the parent or guardian and give permission for participation (for those under 18 years old)

Name of Parent/Guardian:

Signature of Parent/Guardian:

Adolescent Mental Health SurveyConsent Form