Page 1: Questions

Thank you for your interest in becoming a member of one of the Parent and Public Involvement Groups for the GBS3 trial.

Please click here to view role description for a parent on the “Parent and Public Involvement Virtual Group” for the GBS3 Trial.

Please read the document carefully before completing the questions below.

If you have any questions or concerns, please contact a member of the GBS3 trial team on gbs3@nottingham.ac.uk.

You can find out more about how we use your information and our privacy notice at: https://www.nottingham.ac.uk/utilities/privacy.aspx

1.1. I have read and understood the information contained in the document entitled ‘Role Description for a parent on the “Parent and Public Involvement Virtual Group” for the GBS3 Trial’ Required
2.2. I understand that information as a part of the work carried out by the GBS3 trial "Parent and Public Involvement Group" must be kept confidential. Required
3.3. I have or will create a Facebook profile. I understand I am responsible for its privacy settings. Required
4.4. I understand that the information I share on the group is governed by the terms of contract between myself and Facebook. Required
6.6. I agree that any comments or posts I share in this group can be quoted anonymously in research outputs. Required
7.7. I understand that offensive or inappropriate behaviour will not be tolerated and may result in my removal from the group. Required
8.8. I understand that my participation is voluntary and I am free to leave the group at any time, without giving a reason. Required

This part of the survey uses a table of questions, 

9.9. By signing below, I confirm all information provided is correct and I would like to be involved in the GBS3 trial parent and public involvement group.
Name of person completing the form:
Date: