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Consent Form


Thank you for agreeing to take part in this research project. This means taking part in an online (Zoom) interview. You will be asked about your experiences as a public contributor (a patient or member of the public) involved in the co-production of UK health research. 

Once the research collection is completed and analysed, you will be invited to take part in an optional online workshop in which we will share key themes and findings from the research and ask for your thoughts.

To find out more please read the participant information leaflet  or contact if you have any questions.

Title of Project:   How do public contributors experience power and power-sharing within the co-production of UK health research? 

Name of Researcher(s): Emily Ahmed. Academic Supervisors, Kate Seers and Sophie Staniszewska

I confirm that I have read and understand the participant information sheet for the above study. I have had the opportunity to consider the information, ask questions and have had these answered satisfactorily (required)
I understand that my participation is voluntary and that I am free to withdraw at any time without giving any reason, without my legal rights being affected. (required)
I understand that data collected during the study, may be looked at by individuals from the University of Warwick and regulatory authorities, where it is relevant to my taking part in this study. The Lived Experience Advisory Panel for this project will have access to data extracts but not entire transcripts to protect confidentiality. I give permission for these individuals to have access to my data. (required)
I am happy for anonymised data to be used in future research. (required)
I consent to the interviews and workshops being video recorded (required)
I agree to quotes from interviews and workshops being used in publication and other research ouputs and understand that I will not be identifiable from them. (required)
I understand that during interviews and workshops I will be invited to do drawing activities, that this is entirely optional and will not affect my participation in the research. I give permission for the reproduction of these drawings to be used in publication and other research outputs and understand that I will not be identifiable from them (required)
I agree to take part in the above study. (required)

Privacy notice

Thank you for consenting to taking part in this research

If you have any further questions please email

The University of Warwick is the Data Controller of any information you have entered on this form and is committed to protecting the rights of individuals in line with Data Protection Legislation. The University's Data Protection webpages provide further information on your rights and how the University processes personal data. If you wish to submit a data subjects rights request, make a complaint or report a suspected personal data breach, please contact the University’s Data Protection Officer by email at