Focus Group Consent Form: Online Learning (Mar ’23) – MCAP

Name *

First

Last

Phone *

Please agree to all of the conditions below to be eligible to participate in this research. *

I agree to participate in this research project.
I give permission for my profile information to be pulled from AIMGA’s database. This includes information including gender, medical background, location of residence, etc.
I understand that this session will be recorded for the researchers to transcribe the session, and that no identifying information will be used, nor will the recording be used for any other purpose.

Please check off that you are available at the time below for a virtual focus group. *