Exploring Iron Deficiency in Pernicious Anaemia
INFORMED CONSENT FORM
Thank you for considering taking part in this research.
Please complete this form after you have read the Information Sheet and/or listened to an explanation about the research.
Title of Study: Exploring Iron Deficiency in Pernicious Anaemia: A Survey of Diagnosis, Treatment and Management Practices
University of Surrey Ref: 0499
The person asking for your consent must explain the project to you before you agree to take part. If you have any questions about the Information Sheet or their explanation, please ask the researcher before you make your decision. You will be given a copy of this Consent Form and the Information Sheet to keep and refer to at any time.
By initialling each box, you are consenting to this part of the study. Any un-initialled boxes will mean that you DO NOT agree to that part of the study and this may mean you are ineligible for the study.
Please fill out your name and email address. This email address will be used to send you your personal ID number and a link to the online survey.