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● Your decision to participate in the study will not affect your work, as the results will not
be sent to your management.

YOUR RIGHTS:

● Your participation in the study is voluntary.
● You have the right to refuse to participate in the study at any time.
● The results of this study will be used purely for research purposes.
● It is possible to publish the results in scientific or analytical journals (it is necessary to
indicate where the results will be potentially presented (for example, conferences, reports).

CONFIDENTIALITY:

● Confidentiality of personal data is guaranteed.
● The results of the study may be published, but the information that indicates your identity
will not be disclosed in the publications.

CONTACTS:

If you have any questions, please contact .......... (indicate full name, position, contact
phone number and email address).

If you are not satisfied with how this study was conducted, please contact the Research
Committee (indicate Institute / NSPP) by phone ... (indicate number).

Sign the form below if you agree to participate in this study:

● I carefully read the information provided in this form;
● I received information on the goals and research methods;
● I understand that the interview will be recorded on a voice recorder for transcription /
research purposes;
● I understand that all confidential information can only be used by the researcher and will
not be disclosed to third parties;
● I understand that I can refuse to participate in the study at any time, without indicating a
reason;
● With full awareness of what is happening, I agree to agree to participate in this study.

Signature: _________________________ Date: ____________________

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