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Evaluating the suitability of the content of the Feeling Better pain programme for children with Autism.
Researcher: Rachel Fitzpatrick
Supervisors: Dr. Helena Lydon & Professor. Brian McGuire
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Name (parent/guardian)
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Your answer
Consent
By ticking each consent box you are indicating that
1. I confirm that I have received a copy of the Information Sheet for the above study. I have read it and understand it. I have received an explanation of the nature and purpose and what my involvement will be.
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Yes
No
2. I have had time to consider whether to take part in this study and I have had the opportunity to ask questions.
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Yes
No
3. I (parent/guardian) are over the age of 18 years of age
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Yes
No
4. I am a parent/guardian of a child with a diagnosis of Autism.
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Yes
No
5. My child is aged between 5-18 years of age
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Yes
No
6. I (parent/guardian) have a good level of English comprehension.
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Yes
No
7. I am aware that my participation is voluntary, and I can withdraw at any time, including after the information has been collected without giving any reason.
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Yes
No
8. I understand that the information will be stored, on a confidential basis, on a computer and will be used for research purposes only.
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Yes
No
9. I agree that the researcher can use anonymized information in published research.
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Yes
No
10. I understand that Interview I have with the researcher at the end of this study will be recorded and the recording will be strictly confidential and used for research purposes only.
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Yes
No
11. I agree to take part in this study
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Yes
No
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