Longitudinal Study Interview Consent Form

Study Title:

Principal Investigator(s):

Institution / Organization:

Introduction

Purpose of the Study

Procedure

Duration of Participation

Confidentiality

Risks and Benefits

Voluntary Participation

Contact Information

Consent Statement

I have read and understood the information provided above. I understand that my participation in this study is voluntary and that I may withdraw at any time without penalty.

• I agree to participate in the interview as part of this longitudinal study.
• I understand that my responses will be kept confidential.