Pharmacy Research Opportunity - Women’s Health

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* 1. Full Name

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* 2. Email Address (accessible on your smartphone)

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* 3. Mobile Device: Apple iOS or Android?

Apple (iOS)

Android

Other

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* 4. Pharmacy Name?

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* 5. Consent - By giving consent you agree to the following:

I confirm that I have read and understood the information on this study. I have had the opportunity to consider the information and ask questions which have been answered satisfactorily.

I understand that participation is voluntary, and I will be able to withdraw from this study at any time without any repercussions.

Data shared will be used by CPS and COHESION to inform and improve the support provided by CPS to community pharmacies across Scotland.

I understand that my information will be processed under the terms of UK data protection law (including the UK General Data Protection Regulation (UK GDPR) and the Data Protection Act 2018).

All data is stored in a secure UK Cloud Data Centre and not shared with third parties.

At the end of the study, volunteers will be able to delete their data and account.

I understand that the anonymised information I provide will be published as a report by CPS and COHESION and possibly also in a peer-reviewed journal.

I understand that confidentiality and anonymity will be maintained, and it will not be possible to identify me in any reports.

Identifiable data (e.g. name, email address) will only be used for this study and will not be distributed outside of the evaluation team at CPS and COHESION unless consented.

I agree that my information will be shared with COHESION for the purpose of this study.

I confirm that I have read, understood, and agree to the above terms of participation.