Consent

Form

East Surrey College

Gatton Point
London Road
Redhill
Surrey
RH1 2JX
Tel: 01737 772611

Research Project
A Question of Quality: What impact do Advance Nurse Practitioners have in Health
Care in the UK?
Name of Researcher: Monique Mavronicolas
Please initial box
Course: Access to Nursing

1.

I confirm that I understand the purpose of the study. Through explanation,

I have had the opportunity to consider the information, ask questions and
have had these answered satisfactorily.

2.

I understand that my participation is voluntary and that I am free to

withdraw at any time without giving any reason, up to the point when the
data is analysed.

3.

I understand that data collected during the study, may be looked at by

individuals from the East Surrey College as well as study participants.
I give permission for these individuals to have access to my anonymous data.

4.

I agree to being quoted verbatim.

5.

I agree to take part in the above study.

Name of Participant:

Ethics Documentation February 2015

Date:

Signature:

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