Macmillan Professional's self-efficacy to support self management among cancer survivors

Researcher name: Dr Chloe Grimmett

Ethics reference: 3642

You are invited to take part in a research study conducted by the Macmillan Survivorship Research Group, based at the University of Southampton. Click here to download the information sheet for more details on the study.

Your decision to participate in this study is completely voluntary and you have the right to stop your participation at any time. If you do not wish to complete this questionnaire simply close this webpage.

All information collected in this questionnaire will be kept confidential. Responses are stored anonymously and will only be viewed by the research team. The questionnaire itself does not request enough information to identify individual respondents.

Preliminary analysis of data collected will be presented at the Macmillan Conference. It is also likely that result will be published in academic journals. Numerical data will be averaged and any quotations will be reported anonymously.

If you have questions about this project, you may contact Dr Chloe Grimmett from the Macmillan Survivorship Research Group, c.grimmett@soton.ac.uk. If you have questions about your rights as a participant in this research, or if you feel that you have been placed at risk, you may contact the Chair of the Ethics Committee, School of Health Sciences, University of Southampton, Highfield Campus, Southampton, SO17 1BJ, United Kingdom Tel: +44 (0)23 8059 9393.

Please feel free to print a copy of this consent form for your records.

Please read the following statements and tick the box to indicate you agree with the following statements. You will then be transferred to the questionnaire.

  1. I have read and understood the information sheet (insert date /version no. of participant information sheet) and have had the opportunity to ask questions about the study.
  2. I agree to take part in this research project and agree for my data to be used for the purpose of this study.
  3. I understand my participation is voluntary and I may withdraw at any time without my legal rights being affected.
  4. I understand that it would be helpful for future research projects that have Ethics Committee approval to be able to use information about me collected during the study. I consent to this use.
  5. By ticking the consent box and beginning the online questionnaire, I indicate my willingness to voluntarily take part in the study.

Tick here if you agree:

Data Protection
I understand that information collected about me during my participation in this study will be stored on a password protected computer and that this information will only be used for the purpose of this study. All files containing any personal data will be made anonymous.