CONSENT FORM (Follow up Interviews) Study Title: RAPP: Responses to Alcohol and Pregnancy Policy Researchers: Fiona Woollard, Rachel Arkell, Rebecca Brione University email: f.woollard@soton.ac.uk ERGO number: 70549 Please initial the box(es) if you agree with the statement(s): I have read and understood the information sheet [4/5/2022 Version 2]and have had the opportunity to ask questions about the study. I agree to take part in this research project and agree for my data to be used for the purpose of this study. I understand my participation is voluntary and I may withdraw for any reason without my participation rights being affected. I understand that should I withdraw from the study after preliminary results have been analysed or published then the information collected about me up to this point may still be used for the purposes of achieving the objectives of the study only. I understand that I may be quoted directly in reports of the research but that I will not be directly identified (e.g. that my name will not be used). I understand that taking part in the study involves audio and video recording which will be transcribed and then destroyed for the purposes set out in the participation information sheet. I give permission for the corrected transcript, with identifying information removed, to be deposited to the University of Southampton data repository as described in the participant information sheet so it can be used for future research and learning. Name of participant (print name)ةةةةةةةةةةةةةةةةةةةةةةةةةةةةة Signature of participantةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةة. Dateةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةة.. ةةةةةةة. Name of researcher (print name)ةةةةةةةةةةةةةةةةةةةةةةةةةةةةة Signature of researcher ةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةة. Dateةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةةة.. ------------------------------------------------------------------------------------------------------------------------------- [4/5/2022] [Version number 2] [ERGO number 70549]