Hemophilia WellBeing International Survey
2012-2013 © Eduardo Remor, Ph.D.

1.

17% of survey complete.

English version

Consent Form

Question Title

Hemophilia WellBeing International Survey is an international survey on wellbeing in haemophilia conducted by Eduardo Remor, Ph.D. (Universidad Autonoma de Madrid, Spain). We would like your feedback to learn more about the wellbeing perception as a person with hemophilia. The information you will provide is anonymous and confidential. This survey takes less than 10 minutes to complete, and your participation is voluntary.
Thank you for your participation!
Prof. Eduardo Remor, Ph.D.
Faculty of Psychology
Universidad Autónoma de Madrid, Spain

ELECTRONIC CONSENT:

Clicking on the "agree" button below indicates that:

• you have read the above information
• you have hemophilia
• you voluntarily agree to participate
• you are at least 16 years of age

Yes, I agree to participate.

Research funding
The work of the Dr. Eduardo Remor related to the HWBI International Survey has been supported by grants from “Consejería de Educación, Comunidad de Madrid/UAM,” reference CCG08-UAM/HUM-4462 (during the period 2009–2010) and Bayer Hemophilia Award Program from Bayer Health Care, USA (2012), and was aproved by UAM Research Ethics Committee (CEI 16-342).