Neftaly Interview Consent Form Template

📝 Neftaly Interview Consent Form Template

Participant Consent Form for Research Interviews

Project Title: ______________________________________
Research Code: ____________________________________
Interviewer Name: __________________________________
Date: _____________________________________________

---

Introduction

You are being invited to participate in a research interview conducted by Neftaly. Before you decide, it is important that you understand why the research is being done and what it will involve. Please read the following information carefully.

---

🔐 Purpose of the Interview

The goal of this research is to understand consumer perspectives and behaviors on various topics relevant to Neftaly’s strategic and research objectives.

---

🎤 What Participation Involves

• A one-on-one interview lasting approximately ____ minutes.
• The interview will be audio-recorded for transcription and analysis.
• You may skip any questions and stop the interview at any time without penalty.

---

🔏 Confidentiality

• Your responses will be kept confidential and anonymized.
• All recordings and transcripts will be stored securely on Neftaly’s encrypted systems.
• Only authorized research personnel will access your data.

---

📄 Use of Data

• The data will be analyzed for research purposes and may be included in internal reports, presentations, or publications.
• No identifiable personal information will be shared or published.

---

✅ Your Consent

Please confirm your agreement by checking each item:

☐ I have read and understood the information above.
☐ I voluntarily agree to participate in this interview.
☐ I consent to the audio recording of the interview.
☐ I understand I can withdraw at any time without giving a reason.

---

🖊️ Participant Details

Full Name: __________________________________________
Signature: __________________________________________
Date: _______________________________________________

---

🖊️ Interviewer Acknowledgement

Name: ______________________________________________
Signature: __________________________________________
Date: _______________________________________________