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Share Your Feedback on ONLOOP

To help us learn more, we're inviting participants to take part in a brief feedback interview.

Participation is completely optional.

As a thank-you, participants will receive an honorarium in the form of an electronic gift card.

If you're interested, email Jennifer Shuldiner at Jennifer.shuldiner@wchospital.ca to learn more and sign up.

Future Contact

Study:
ONLOOP: Evaluating a new surveillance and support system for survivors of childhood cancer in Ontario

By allowing researchers to contact me with more information about the feedback interview, I confirm I understand that:

  • I am not being asked to participate in a research study.
  • I will be given more information about the ONLOOP feedback interview.
  • I am revealing information about myself, including that I meet this research study's eligibility criteria.
  • I may refuse to participate in the ONLOOP Feedback Interview at any time, without consequence.
  • My decision, whether or not to participate, will have no effect on my current or future healthcare.

I am over the age of 18 and understand the information that has been presented.

I agree to receiving more information about the ONLOOP feedback interview by providing my contact information.

I acknowledge and consent to the researchers contacting me with more information about the ONLOOP Feedback Interview.

OR


I do not want to be contacted with information about the ONLOOP Feedback Interview.

OR


I do not want Ontario Health to contact me about any research study, in future.


YOUR REFERENCE NUMBER (you can find this on the top left of page 1 of your invitation letter):


This project has been reviewed by the Research Ethics Board at The Hospital for Sick Children. Please contact the Office of the Research Ethics Board at 416-813-8279 if you have any questions about your right as a participant.

Ontario Health is an organization committed to ensuring accessible services and communications to individuals with disabilities. To receive any part of this document in an alternate format, please contact our Communications Department at 1-855-460-2647, TTY (416) 217-1815, or publicaffairs@ontariohealth.ca