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THANK YOU FOR CONFIRMING YOUR INTEREST TO PARTICIPATE IN THE HARLOW INNOVATION PARK ACTIVE COMMUNITY STUDY!

To confirm your registration, please review and complete the below consent form:

If you have any questions arising from the Participant Information Sheet or explanation already given to you, please contact Dr Brendon Stubbs at brendon@lifeproven.co.uk before you decide whether to participate. The Ethics Approval Registration number for the study is 20/21-22817.

  1. I confirm that I have read and understood the information sheet for the above study. I have had the opportunity to consider the information and asked questions which have been answered to my satisfaction.
     

  2. I consent voluntarily to be a participant in this study and understand that I can refuse to answer questions and I can withdraw from the study at any time, without having to give a reason.
     

  3. I consent to being contacted for a follow up qualitative interview about my experiences of the study.
     

  4. I consent to the processing of my personal information for the purposes explained to me in the Information Sheet.  I understand that such information will be handled in accordance with the terms of the General Data Protection Regulation.
     

  5. I understand that confidentiality and anonymity will be maintained and it will not be possible to identify me in any research or other outputs.
     

  6. I understand that the information I have submitted will be published as a report (but no identifiable information will be published) and I wish to receive a copy of it.
     

  7. I consent to provide my name, email address and postal address to post your accelerometer to. You will receive a study ID Number that only you and the research team will have access to and will be password protected in line with General Data Protection Regulations. 

**Your address is required only to post your wrist worn accelerometer (Smarter FitBit) to upon registration confirmation.

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