1. I understand that I am being invited to take part in a survey as part of a research study. I understand that taking part is voluntary. 2. I understand that the information I give will be kept safe and my contribution will be confidential. 3. I understand that data collected during the study may be looked at by individuals from [Bristol Royal Hospital for Children / Bristol Royal Infirmary / North Bristol NHS Trust] or from regulatory authorities such as the University/NHS Trust, where it is relevant to my taking part in this research. I give permission for these individuals to have access to the data collected today. This data will not contain my name/name of the patient or any other identifying details. 4. Do you consent to taking part in this survey? Yes
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