I understand that I am going to be asked a series of personal and health-related questions in order to register my interest in participating in a clinical trial run at The Boden Institute of Obesity, Nutrition, Exercise & Eating Disorders. I understand that contributing this information is entirely voluntary.
If my responses indicate that I may be eligible to participate in a clinical trial run at The Boden Institute of Obesity, Nutrition, Exercise & Eating Disorders then my details, including my name and other identifying details, will be electronically stored in a database in a secure location on the Sydney University server.
These details will be stored indefinitely and accessed only by authorised researchers so that I can be contacted in confidence regarding enrolment in a clinical trial by one of the researchers at the Boden Institute. I agree to being contacted by these researchers via email on an annual basis for the purpose of updating my information on the database.
I freely choose to contribute to this database and understand that I can withdraw my information at any time without having to give a reason by contacting James Gerofi ph: 8627 1927 or email: firstname.lastname@example.org and requesting removal of my information from the database.
If I choose to withdraw my information from the database, then I understand that my identifying details will be deleted from the database, but summary information will be stored for research purposes. This summary information can not be deleted, but will not identify me in any way.
If I choose to withdraw my information from the database, then I understand that my relationship with staff and involvement in clinical trials at The Boden Institute will not be affected.