RESEARCH PARTICIPANTS CONSENT FORM

Dear participants,

I am M.SC Nursing student at OWAISI college of Nursing, Hyderabad. As a part

of the curriculum requirement, I have selected the following title for my research
study.

“A STUDY TO ASSESS THE EFFECTIVENESS OF SOYA MILK IN

REDUCING MENOPAUSAL SYMTOMS AMONG MENOPAUSAL
WOMEN AT SELECTED RURAL AREAS, HYDERABAD, T.S.”

The finding of the study will be helpful in improving health status of menopausal
women.

I hereby seek your consent and co-operation to participate in the study. The
information collected during the course of research study will be kept confidential
and used only for the study purpose. If you are willing to participate in this study,
kindly sign in the form given below.

Signature of the researcher

I ------------------------ hereby consent to participate in the research study.

Date : Signature of the participant