Depending on your research goal, you may need to consider a number of information sheets as follows: participant information sheet for adults; information sheet for parents/guardians (if involving children/young people) information sheet(s) for children/young people; consultee information sheet (for consultees of adults lacking capacity to consent) It essentially tries to outline how satisfied people are and what must be done to negate the shortcomings, if any. Note that it is provided here in a traditional text format, but another format may be better suited for your particular research. If you’re collecting data via a questionnaire, see “Participant Information Sheets for an online survey/questionnaire - for use by ALL“. How to use the Participant Sheet Information (PI Sheet) Template for ANONYMOUS questionnaires/online survey. Contact details can be found at the end of this document. Plus, by looking through an example of a survey, you’ll get a sense for the question types you can use, how you can order the questions, and the ways you can apply survey logic . Sample Participant Information Sheet (PIS) and the Informed Consent Form (ICF) Notes to Applicants: 1. Of. Tel: (011) 717 4500 Fax: (011) 717 4559 . These sets of outlined information is for the purpose of letting the participant have a complete understanding of the whole gathering procedure. Participants who were involved in steps six to eight read the Participant Information Statement and provided consent electronically. UoL Schwartz Rounds Evaluation Participant information sheet for survey v1 2.11.2017 Participant Information Sheet for Survey Title of Study: Evaluating Schwartz Centre Rounds with pre-qualification professional healthcare students You are being invited to participate in survey as part of the above research study. }�U>�;X���������~��o�^?�&W8lݵC)̋-S:Jy�S~9��Y��}���� ?��-� &ʠ�)���+P �+ �wo����-�q ��ґ- �2� ���%F"��K��&�d�f��ڦ*�01��)ܒs. �M�M��� EXAMPLE PARTICIPANT INFORMATION SHEET. Guidance on Completing a Participant Information Sheet Central to human subject research is the informed consent process. Private Bag 3, WITS, 2050 . Don’t use technical jargon. Participant Information Sheet (PIS) Template This is not offered as a rigid template, but rather a flexible framework. Questionnaire Examples in PDF; What Is a Questionnaire? You can always rephrase the heading/question as appropriate. The Participant Information Sheet (PIS) should be a clear and simple document, on headed paper with the University Crest (or equivalent for other institutions), that would be easily understood by those to whom it is aimed; for example, it should be age-appropriate. Searching for a user experience survey sample could be a pain so here's a website user experience survey that you can use as a starting point. 4 0 obj %PDF-1.5 Please indicate how participant’s consent will be collected and provide instruction on how to retain or print a copy of the information statement. Make sure what you say under each heading/question relates clearly to your heading/question. The Participant Information Sheet (PIS) provides participants with sufficient information about the research study to allow them to make an appropriate (fully informed) decision about taking part. Participants should be clearly informed of their rights and any risks associated with participation. @��Ad�D3���>4����iK��GnM���:r�daA��(���2���9�zV���no�HX�թ�� B� Q ��Vk$C�ӐTq�%C��m8�%m�%ɺ������$�~����ш>����1Z�z�"[�j{d�rl�c����l6�@��. 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We have suggested sub-headings which you may decide are appropriate to use or not, depending on the type of study you are planning and what is involved. You may prepare your own PIS and ICF using this as a template. Participant information sheet v2, 13-09-2013 Those who meet the following criteria will, unfortunately, be deemed unable to participate: Positive result from the urine sample pregnancy test Currently breast feeding Currently participating in another clinical trial deemed to potentially interfere with this study Make sure that this time the data that you have gathered can be sorted and be laid out in an easy and comprehensible manner. 3. <>>> stream Researchers should consider what will happen with participants data should they only partially complete the survey and fail to complete the final 'submit' phase that indicates consent. A satisfaction survey is done usually to measure the satisfaction level of a set of customers. Dear Student . For further information, please see the Human Participation - Informing Participants section. Make sure what you say under each heading/question relates clearly to your heading/question. This sequence of questions is screening questions, warm-up questions, transition questions, skip questions, challenging questions, and classification questions. Participant Information Sheet 1. 2 0 obj All participants should be given a copy of the participant information sheet, even if they are completing an online questionnaire. If more than one Participant Information Sheet/Consent Form is required for your research project, please label the different forms clearly for the different participant groups. Questionnaire Participant Information Sheet Who can take part? You should adjust and populate the template to suit your project and intended audience. Partial completion. %PDF-1.3 A novel eight-step validation method for the development of a nutrition knowledge questionnaire was designed based on an extensive review of the literature and used to validate this questionnaire . It can also be used to measure satisfaction levels according to other parameters also, for example satisfaction levels of a doctor, nurse, teacher, as a citizen of a country and many others. Researchers using the database would only see the number and would not be able to identify the participant. Hi! Tip-sheet / Sample Participant Information Sheet and Consent Form . Details about what to include are below. where data is collected through audio or video recordings) it is normally most appropriate to obtain consent through provision of a participant information sheet (PIS) and consent form in either written or electronic form. Appendix A: Sample Questionnaire Psychology Participant Information Sheet (Quantitative phase) School of Human & Community Development . When a participant’s sample and their genetic and medical information go into the Genomic Medicine Program [INSERT LINK TO IMAGE] database, his or her name would be removed and replaced with a number. C. RISKS [If there are risks you must state what they are. The covering letter, however, should include information similar to that in a Participant Information Sheet. While it is sometimes possible to obtain oral consent for research (e.g. An example participant information sheet for use in pragmatic trials is provided below. It also describes the different types of questionnaires and the question types that are used in these questionnaires. Use clear, simple English at all times and avoid abbreviations and acronyms. Why take part? Standard Participant Information Sheet/Consent Template ... Where the research does not involve face-to-face contact with participants, for example an on-line survey, the above section will need to be varied. Participant Information Sheet [Title of Project] Please take some time to read this information . Test the survey-system format with a small set of testers from the target audience, again collecting comments on each page. ����W��Lkg/=�D)$�����$ 5�yO\�׊.��e��t-�p��D&ȗ�I���E�]��(�;�G\��#�+��z��dY��fŧBb=b��3j�'��I�C~w������S�qL��A�ț��Ġ�(ڊ�i/!~���f�r���Fŗr���˴��M����I�l�|ty���p�Wdq9�U�N�Q���';�;Ӷ]�ꤻ�c#���U��8$�%�&�e;9��N��5�ab^�����خ�&��E΅�)��jz}�+�E$��~�ڰ���O�R����rQ��ڢ�*d9=����{�iӗ�J�h�L�/���1��;X��? This should be outlined at the top of the information sheet, perhaps suggesting how long it may take. <>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 595.32 841.92] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> You can always rephrase the heading/question as appropriate. Participant Information Sheet Template – general use Participant Information Sheet Template – Parents/Guardian (required if recruiting children as research participants) It is preferable that Information Sheets are no longer than two (2) pages. Please note that if there is a sub-study, a separate form is required. For example, will participants be identified by study Sample wording has been provided where appropriate. No two aspects of a participant information sheet are similar to each other in terms of the functions provided by them. This completes Part 1. Before you decide to do so, it is important you understand why the research is being done and what it … 1 0 obj Participant Information sheet template The following is a suggested template for participant information sheets. Use clear, simple English at all times and avoid abbreviations and acronyms. If you are a female stoma bag wearer, and you are 18 years of age or over, then you can complete this questionnaire. The second document contains text that was used to gather informed consent in a survey. x�\Io����W��fh�r� @�Kl��9>h4�H�Ҟn�'�� ����*�X��I.����z���-��?�?�� �0u>�M1����]����S�ߜ�R��nв,��|WUW��u�����g7����hS�m��o�n�m���s��~_e^��������W����ϓ�|���|�p�5���x�����*�ӣni�������i��?�����gJ�9��P�86����]M �3����-��/?�8����V�^��}�?��;�������3�A��R�MH���!yo�An�[��vК�V�s.m۶Eշ�\ڈm��;�� �9m����l��\�������9O�9�fO�}~���i�)�������?�Z��2ahiMG�l ag�ƀ� �3�B�4 PIS for evaluation: Pre-post questionnaire & focus group/ Interview about experience Participant Information Sheet Please read or listen to someone read the information provided here to decide if you are happy to be involved. You may also check out lifestyle questionnaire examples & samples. Participant information sheet for the survey - The work, workforce, technology and organisational implications of the ‘111’ single point of access telephone number for urgent (non-emergency) care: a mixed-methods case study How to use the Participant Sheet Information (PI Sheet) Template for questionnaires/online survey. Information Sheet School of GeoSciences - Ethics Committee- 2013 1 Here is an outline of the information you should consider including on an ‘Information Sheet’. Consent Form 0117. PARTICIPANT INFORMATION SHEET School of Human & Community Development University of the Witwatersrand Private Bag 3, WITS, 2050 Tel: (011) 717 4500 Fax: (011) 717 4559 Dear Sir / Madam My name is Cara-Lisa Sham and I am presently completing my Masters degree in Industrial Psychology within the School of Human and Community Development at the University of the Witwatersrand. PROJECT TITLE. Participant Information Sheet Templates for use by staff and PGR students. 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