Informed Consent:I. I understand that I am being invited to take part in the research study. I confirm that I have
read and understood the information of the above study and have had the opportunity to ask questions.
II. I understand that my participation in the study is voluntary and that I am free to withdraw at
any time, without giving any reason, without my medical care or legal rights being affected.
III. I understand the risks and potential benefits of this research study. I freely give my consent to take part in research study described in this form.
IV. I understand that my identity will not be revealed in any information released to third parties or published.
V. I agree not to restrict the use of any data or results that arise from this study provided such a use is only for scientific purpose(s).
VI. I agree to take part in the above study.