Informed Consent Form

Introduction
This study is a market research survey for (COMPANY NAME) who is trying to better understand heathcare practices in (XXX).

This study will use aggregated data in the analysis. The study will consist of approximately (XXX) physicians across the world who accepted the invitation to participate, and who met all qualifying criteria.

Participation is completely voluntary; you are free to end involvement with this study at any time, without providing a reason. We would like your permission to use your responses in the study, without revealing your personal information.

The study is for research purposes only and your answers will be confidential. This research is not intended as a promotional exercise. Your data will only be analyzed in combination with other physicians' responses for reporting purposes.

Confidentiality and study data
This study is compliant with GDPR, and all international/local data protection legislations and Insights Association/ EphMRA/ BHBIA guidelines.

The data collected will be transferred digitally to the U.S.A. and analyzed in aggregate, but never on an individual basis. We will make sure that it is kept secure at all times.

Your information will only be used for research purposes and will not be passed to any other organization without your permission. We need your consent in order for us to collect and use any information about you.

CONSENT AND AUTHORIZATION
By entering this survey link, I confirm that I have read and understand the information in this informed consent document and agree to participate in this study. Sign below in order to verify consent.