Nutrition Research Study Participation Agreement

Participant Information

Name: _________________________ Date of Birth: _________________ Study ID: ______________________

Study Details

Study Title: _____________________________________ Principal Investigator: ____________________________ Sponsor Organization: _____________________________ Study Duration: __________________________________

Agreement Terms

1. Voluntary Participation

I understand that my participation in this nutrition research study is entirely voluntary. I may withdraw at any time without penalty or loss of benefits to which I am otherwise entitled.

2. Study Procedures

I agree to:

• Complete dietary questionnaires and food logs as requested
• Attend scheduled appointments for measurements and assessments
• Follow the prescribed dietary protocol
• Report any adverse effects or concerns promptly
• Provide blood samples as specified in the protocol (if applicable)

3. Risks and Benefits

Potential risks include: ________________________________ Potential benefits include: _____________________________

4. Confidentiality

I understand that:

• My personal information will be kept confidential
• Data will be stored securely and accessed only by authorized personnel
• Results may be published but my identity will not be revealed

5. Compensation

Compensation details: ________________________________

Signatures

Participant Signature: _________________ Date: _________

Investigator Signature: ________________ Date: _________

Witness Signature: ___________________ Date: _________