Focus Group Discussion In-Depth Interview Focus Group Consent Form

Merdeka Center for Opinion Research

2nd Floor, Wisma IEM,
No.21 Jalan Selangor,
46000 Petaling Jaya,
Selangor.MERDEKA STRATEGIC DEVELOPMENT CENTRE SDN BHD
910A-910B Kompleks Diamond,

RESEARCH PROJECT TITLE: CHINA PERCEPTIONS WINTER 2022 PUBLIC OPINION ON SMOKE FREE SOCIETYSELANGOR
YOUTH

Purpose
You have been invited to participate in a an focus group discussion in-depth interview focus group sponsored organized
byby Merdeka Center [KRA Group] under the direction of [Merdeka Strategic Development Centre, an independent
public opinion research company. Sdn Bhd]. The purpose of this focus group discussion in-depth interview focus group
is to better understand perceptions on life China wellbeing particularly Xinjiang among Malaysians in relation to human
rightsSelangorYouth . The information derived from this focus group discussion in-depth interview will be used
internally for research purposes.

to [explore attitudes and reactions among engaged citizens (smokers and non-smokers) and senior group regarding the
concept of tobacco harm reduction, potentially reduced risk products for adult consumers, and appropriate
fiscal/regulatory framework for these products.] The information learned derived in from this focus group will be used
[internally to informfor the company’s client’s corporate communications strategy].

Procedure
As part of this in-depth interviewfocus group discussion, study, you will be placed in a group of 8-10 individuals. Aan
interviewer moderator moderator will ask you several questions that will complement the objectives of the studywhile
facilitating the discussion. As approved through Merdeka Centre, thisThis focus group discussion in-depth interview
focus group will be audio-recorded to ensure the accuracy of the transcript. and a note-taker will be present. However,
your responses will remain confidential, and no names or personal particulars will be included in the final report.

You can choose whether or not to participate in the focus group discussion in-depth interviewfocus group, and you
may stop at any time during the course of the study.

You are free to share your opinion as Please note that there are no right or wrong answers to focus group discussion in-
depth interview focus group questions. [Research Department, Merdeka Strategic Development Centre Sdn Bhd]
wants(s) to hear the many varying view points and would like for everyone to contribute their thoughts. Out of respect,
please refrain from interrupting others. However, feel free to be honest even when your responses counter those of
other group members.

Confidentiality
Should you choose to participate, you will be asked not toto respect the privacy of other focus group members by not
discloseing any content discussed during the focus group discussion in-depth interview either by oral or written
statements. Any discussion on the study should not be uploaded on any social media applications. study. Researchers
within [Research Department]in Merdeka Center will analyse the data, but—as stated above—your responses will
remain confidential, and no names or personal particulars will be included in any reports.

Contact
If you have any questions or concerns regarding this study, please contact:

Merdeka Strategic Development Centre Sdn BhdCenter

Tan Seng Keat (Senior Research Manager)or Azlina Halit
info@merdeka.orgsengkeat@merdeka.org
Mobile no: +60382101488012-3950316 (Tan Seng Keat or Azlina Halit)
Office no: +6 03 79322756

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MERDEKA CENTER FOR OPINION RESEARCHMERDEKA CENTER 004 1

 Focus Group Discussion In-Depth Interview Focus Group Consent Form

I hereby understand this information and agree to participate fully under the aforementioned conditions. stated above.

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Printed Participant’’s Name:

__________________________________ _______________________
Participant’s Signature Date:

MERDEKA CENTER FOR OPINION RESEARCHMERDEKA CENTER 004 2