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Study Name

Sars-Cov-2 Initiative MedStud HUN

Leading institution

National Institute of Mental Health, Neurology and Neurosurgery

Name and position of the study leader

Dr. András Attila Horváth, seniorresearcher

Dear Sir / Madam,

We invite you to participate in a clinical trial. In the year 2020 the coronavirus pandemic has turned our lives upside down. Please take part in this survey to help in gaining a deeper understanding of the effects of the epidemic.

Before deciding to participate, it is important to understand what the purpose of the study is, how we use your data, what the possible advantages and inconveniences are. Please read the information below carefully.

WHAT IS THE BACKGROUND AND PURPOSE OF THE INVESTIGATION?

The aim of our study is to investigate the effects of the COVID-19 pandemic for the students lifestyle, health care, general well-being and mental and physical condition.

IS THE PARTICIPATION OBLIGATORY?

Your participation in the study is up to you. If you do not wish to participate in the survey, there are no disadvantages. If you decide to participate in the investigation, you must complete the Package Leaflet and the accompanying Consent Form, accepting their contents. Your consent is voluntary and unaffected, either orally or in writing you can withdraw it without any inconvenience to you.

WHAT HAPPENS IF YOU PARTICIPATE IN THE INVESTIGATION?

You will need to complete a questionnaire during the survey. Completion can be done online or printed, handwritten and then mailed. If you do not want to reply, you can leave this space blank.

DOES PARTICIPATION CREATE A COST FOR YOU?

We are unable to charge for the test.

HOW IS MY PERSONAL DATA MANAGED?

By accepting the “Written Declaration of Consent” you agree to your personal data listed below being collected and used by your physician and study stuff:

  • marital status
  • gender
  • data on your physical and mental health or illness

any other personal data that you have obtained while participating in the investigationgained during follow-up.

The study leader will provide your personal information to the study administration, will use data protection for scientific and statistical analysis taking into account the law. We are also responsible for ensuring that your information is not disclosed into the hands of unauthorized persons.

WHO CAN I TURN TO IF I NEED FURTHER INFORMATION?

If you have any questions about the investigation, please contact the study director listed on the first page of this leaflet at the following email address: andrashorvath.nicn@gmail.com

I hereby state that I have received written information about the investigation mentioned above and I have read the enclosed Package Leaflet. I agree to participate in the investigation and I declare that my participation is voluntary. I understand that any time my consent can be withdrawn without giving any reason.By completing and returning this Consent Form, I consent that my personal information, including my physical or mental health data will be used as described in the Package Leaflet.

Neurocognitive Research Centre

1145 Budapest, Amerikai út 57.

Adatvédelem

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