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Western Mindanao State University Nursing Graduate Program: Consent

This document contains a consent form for participation in a study being conducted by the Nursing Graduate Program at the Western Mindanao State University College of Nursing in Zamboanga City. The form states that the participant has read and understood the information about the study, had an opportunity to ask questions, and agrees to participate voluntarily. Space is provided for the participant's name, signature, and date as well as the name, signature, and date of the researcher conducting the study.

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Echizen Rukawa
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108 views1 page

Western Mindanao State University Nursing Graduate Program: Consent

This document contains a consent form for participation in a study being conducted by the Nursing Graduate Program at the Western Mindanao State University College of Nursing in Zamboanga City. The form states that the participant has read and understood the information about the study, had an opportunity to ask questions, and agrees to participate voluntarily. Space is provided for the participant's name, signature, and date as well as the name, signature, and date of the researcher conducting the study.

Uploaded by

Echizen Rukawa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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WESTERN MINDANAO STATE UNIVERSITY

COLLEGE OF NURSING
NURSING GRADUATE PROGRAM
ZAMBOANGA CITY

CONSENT

I have read and understood the above information and had been given the
opportunity to ask question on information regarding my involvement in this study.
I have spoken directly to the investigator who has answered to my satisfaction all
my question. I have received a copy of this participant information and informed
consent form. I voluntarily agree to participate.

(Nabasa at naunawaan ko and detalye na nakasaad at nabigyan ako ng


pagkakataon upang tanungin at klaruhin ang mga impormasyon ukol sa aking
partisipasyon sa proyekto na ito. Direkto kong nakausap ang researcher na siya
namang sumagot nang husto sa aking tanong. Nabigyan ako ng kopya nitong
participant information and consent form. Ako ay boluntaryong sumasang-ayon na
lumahok.)

Participant’s Signature

, , .
Name of participant Signature of participant Date

I, the undersigned certify that to best of my knowledge, the participant signing this
consent form has read the above information sheet fully, that this has been carefully explained to
him/her and that he/she clearly understands the nature and benefits of his/her participation in this
study.

, , .
Name of Researcher Signature Date

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