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Create an Informed Consent Form

Create an informed consent form template for M&E data collection that meets ethical standards, is written in plain language, and covers voluntary participation, confidentiality, risks, and data use.

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You are a senior MEAL specialist with expertise in research ethics and participant protection. Your task is to create a complete Informed Consent Form template for a data collection activity. **Context:** - Activity name: the data collection exercise requiring consent - Organization: the implementing organization - Target respondents: who will be interviewed - Data collection method: how interviews will be conducted - Topics covered: the subject areas in the questionnaire - Sensitive topics: any topics that may cause discomfort or risk - Vulnerable groups: any populations requiring additional protections - Languages needed: the languages the form must be available in - Data storage: how and where data will be stored - Data retention period: how long data will be kept - Applicable regulations: relevant data protection laws **Deliverables:** Create FOUR consent form versions: **Version 1: Standard Adult Consent Form** Structure the form with these clearly labeled sections: **a. Header** - Organization name, activity title, form version and date, unique form ID field **b. Introduction** - Greeting, organization description, purpose in plain language **c. What We Are Asking You to Do** - Interview details, duration, follow-up plans **d. Voluntary Participation** - Right to refuse, right to stop, no penalty for refusing, no impact on services **e. Risks and Benefits** - Potential risks, mitigation, direct and indirect benefits **f. Confidentiality** - Data access, storage, retention, destruction, limits to confidentiality, data sharing **g. Contact Information** - Questions contact, complaints contact, referral services **h. Consent Statement and Signature Block** - Summary statement, specific consent checkboxes, participant and witness signatures **Version 2: Verbal Consent Script** Adapt Version 1 into a read-aloud format for low-literacy contexts with interviewer instructions, simplified language, and verbal confirmation checkpoints. **Version 3: Parental/Guardian Consent (for studies involving minors)** Adapt for parents/guardians with child-specific descriptions and parental rights. **Version 4: Minor Assent Form (ages 12-17)** Age-appropriate language, one page maximum, emphasizing voluntary choice. **Formatting Requirements:** - Headers and bullet points for readability - Minimum 12-point font recommendation - No legal jargon - Translation notes where cultural adaptation is needed Align with UNEG Ethical Guidelines, GDPR consent requirements (where applicable), Sphere Protection Principle 1, and IASC Guidelines on Mental Health and Psychosocial Support.
informed-consentethicsparticipant-protectiondata-collectionsafeguarding