Awareness of PFAS in the Environment

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Dear Participant,

You are being asked to take part in a study entitled “Revolutionizing Water Purification: An Innovative Filtration-based Approach for the Effective Elimination of Per- and Polyfluoroalkyl Substances (PFAS)”.

The purpose of the study is to learn what the general public knows and believes about a group of substances called ‘PFAS’(poly- and per-fluorinated alkyl substances) and how they affect humans and the environment. PFAS, also known as forever chemicals, are a type of industrial chemical that can be harmful and last a long time in the environment. We wish to understand what the public already knows about PFAS, where it comes from, and the potential health problems it has been linked to. This will help us to communicate our findings in a way that is accessible and useful to people who are not experts in science.

In order to take part in this study, please first read the plain language statement link found here, and complete the anonymous online consent for found below.

For any questions pertaining to this study, please contact Dr Ruairi Brannigan, School of Chemical Sciences, Dublin City University, Dublin 9. Email: ruairi.brannigan@dcu.ie

I've read the plain language statement (or had it read to me) and am happy to participate in this study. *

Yes

Before completion of the questionnaire please confirm the following (by checking the boxes) *

I am 18+

I understand the information provided

I have read and understand confirmations relating to any other relevant information as indicated in the plain language statement

I have had an opportunity to ask questions and discuss this study (if any)

I have received satisfactory answers to all my questions (if any)

I understand the information provided in relation to data protection

I understand I may withdraw from the research study at any point

I have read and understand the arrangements to be made to protect confidentiality of data, including that confidentiality of information is provided subject to legal limitations

I consent to participation in this study

Required

Additional information

Privacy Notice
No personal information will be asked for as part of the study. All the information that is gathered as part of this study will be treated as highly confidential and no names will be collected or used in any form in the published research. All the research data gathered will be locked securely in an office at DCU at all times and only the PI and PolyFASt research team will have access to this information. All information will be kept entirely confidential and all raw data collected will be destroyed at the conclusion of the study (1st December 2023)

Voluntary
Please be advised that participation in the research study is completely voluntary and any participant may withdraw from the study at any point

If participants have concerns about this study and wish to contact an independent person, please contact: The Secretary, Dublin City University Research Ethics Committee, c/o Research and Innovation Support, Dublin City University, Dublin 9. Tel 01-7008000, email: rec@dcu.ie

If participants have concerns any of the information pertaining to PFAS, their potential harms and/or PFAS exposure mitigation strategies, please follow the links below:

Clear form

Never submit passwords through Google Forms.

This form was created inside of Dublin City University.

Does this form look suspicious? Report

Forms