Informed Consent Form

RESEARCH PARTICIPANTS STATEMENT

I, ___________________________________, have read and understood the information
letter on the study, The Lived Experience of Caregivers of Older Adults with
Stroke. I understand that my participation in this study is voluntary and that I may
withdraw from the study at any time, without explanation and penalty.
I:

have read and understood the information provided in the information letter;
have been given the opportunity to ask questions, and these have been
answered to my satisfaction;
am aware that if I have any additional questions I can contact the researcher
and her adviser;
understand that I will be participating in an in-depth interview that will inquire
about my experience;
understand that the interview will be audiotaped, will last for approximately
30 minutes to 1 hour and will be held at my convenient time;
understand that during the interview, I may decline to answer some
questions, request that the tape recorder be turned off;
understand that my participation is completely voluntary and that the
researchers is the only person who knows my identity;
understand that the information obtained will only be used for the purpose of
this research and how the information is to be used.

Signed
Date

: ____________________________
(Participant)
: ____________________________