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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.

Thank you for registering, you will shortly receive an email with further instructions and your unique Study ID