I have read the previous Participant Information Sheet and agree to take part in the following research project:
Title: Surveillance of influenza using a self-test for influenza
Ethics Approval Number: H-2019-116
I have had the project, so far as it affects me, and the potential risks and burdens fully explained to my satisfaction. I have had the opportunity to ask any questions I may have about the project and my participation. My consent is given freely.
I have been given the opportunity to discuss my potential participation in this study with a member of my family or a friend.
Although I understand the purpose of the research project is to improve the quality of health/medical care, it has also been explained that my involvement may not be of any benefit to me.
I understand that I will be reading the results of a flu test in the app, and that these results are experimental and should not determine whether I should visit my GP for additional treatment. I will use my best judgment for treatment based on my symptoms.
I agree to participate in the activities as outlined in the Participant Information Sheet. I understand that the project will collect information from me as described in the Participant Information Sheet.
I have been informed that the information gained in the project may be published in a book/journal article/thesis/news article/conference presentations/website/report etc.
I have been informed that in the published materials I will not be identified and my personal results will not be divulged.
I agree to my information being used for future research purposes by any researchers conducting research in this field: (yes/no)
I understand my information will only be disclosed according to the consent provided, except where disclosure is required by law.
I am aware that I may obtain a copy of this Consent Form, and the attached Participant Information Sheet from fluathome.org.au.