INFORMED CONSENT
Ik, ondergetekende, ………..
ouder/voogd van ………, geef hierbij de toestemming om deel te nemen aan een onderzoek aan de Vakgroep Experimenteel-Klinische en Gezondheidspsychologie van de Universiteit Gent. Ook mijn kind geeft de toestemming om aan het onderzoek deel te nemen. Ik verklaar dat ik
(1)
de uitleg over de achtergrond, doelstelling en opzet van dit onderzoek heb gelezen en dat mij de mogelijkheid werd geboden om bijkomende informatie te verkrijgen.
(2)
volledig uit vrije wil mijn kind laat deelnemen aan het wetenschappelijk onderzoek.
(3)
de toestemming geef aan de proefleider om de resultaten van mijn kind op anonieme wijze te bewaren, te verwerken en te rapporteren.
(4)
op de hoogte ben van de mogelijkheid om de deelname van mijn kind aan het onderzoek op ieder moment stop te zetten zonder opgave van reden.
(5)
ervan op de hoogte ben dat ik, op aanvraag, een samenvatting van de onderzoeksbevindingen kan bekomen.
(6)
op de hoogte ben van het feit dat alle gegevens voortvloeiend uit dit onderzoek kunnen gebruikt worden bij verdere gelijkaardige onderzoeken, die het onderwerp zullen zijn van een aparte aanvraag bij het ethisch comité.
Gelezen en goedgekeurd op ………. (datum),
Handtekening
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