Questionnaire, Part 4
| Consent to Research Project | ||
| Have you read the information sheet? | Yes | No |
| Have you had the opportunity to ask questions and discuss this study? | ||
| Have you received enough information about the study? | ||
| Do you agree to take part in the study? | ||
| Signature................................................................. | ||
| Name in block letters..................................................... | ||
| Specialty................................................................. | ||
| Date...................................................................... | ||