| consent_text |
|
text |
Consent form questions will only show if Tier 1 or Tier 2 selected in the Tiers form |
|
| consent_given |
|
yesno |
Any mode of Consent or Assent Given : |
1, Yes ; 0, No |
| consent_daterec |
|
text (date_dmy) |
Date received |
|
| consent_mode |
|
checkbox |
Mode of consent (check all that apply): |
1, consent_mode___1 Adult ; 2, consent_mode___2 Adult Extra Convalescent Sampling ; 3, consent_mode___3 Adult BioAID ; 4, consent_mode___4 Consultee ; 5, consent_mode___5 Witnessed ; 6, consent_mode___6 Telephone ; 7, consent_mode___7 Next of Kin (Scotland only) ; 8, consent_mode___8 Adult Regained Capacity (Scotland only) ; 9, consent_mode___9 Young Person 12-18y ; 10, consent_mode___10 Child under 12y ; 11, consent_mode___11 Parent/Guardian |
| consent_optcondit |
|
checkbox |
Agreement to optional conditions of consent (check all that apply): |
1, consent_optcondit___1 Other unrelated use ; 2, consent_optcondit___2 Manufacture and Commercial lack ; 3, consent_optcondit___3 DNA RNA sequence sharing ; 4, consent_optcondit___4 Future contact by mobile phone text message (SMS) |
| consent_phone |
|
text |
If yes to future contact by mobile phone, enter UK mobile phone number: (Start with 07 then enter rest of mobile number) |
|
| consent_ctu_dms_complete |
Form Status |
dropdown |
Consent Ctu Dms section complete? |
0, Incomplete ; 1, Unverified ; 2, Complete |