Follow up Consent

Variable / Field Name	Section Header	Field Type	Field Label	Choices or Calculations
flw_consent_text		text	Your permission to proceed Thank you for coming this far. Now to take part, please read the statements below, and initial the boxes if you're happy to go ahead.
flw_consent_init		yesno	I give my consent for the information I provide in this study to be used as advised	1, Yes ; 0, No
flw_consent_verbal		radio	Verbal consent given?	1, Yes
flw_consent_no_init		text	NOTE: Unless 'I give my consent for the information I provide in this study to be used as advised' is answered as Yes, the questions in the follow-up survey form will not be visible
flw_consent_3_6m		yesno	I give my consent for this survey to be sent to me in 3 to 6 months' time, and over the course of the next 3 years.	1, Yes ; 0, No
flw_consent_phone		yesno	I would like the possibility to be contacted by a nurse, doctor or researcher to discuss my COVID-19 illness further	1, Yes ; 0, No
flw_phone		text	If yes, please enter your telephone numbers below: Telephone:
flw_mobile		text	Mobile phone: (Start with 07 then enter rest of mobile number)
flw_consent_signed		yesno	Patient / Adult's signature provided?	1, Yes ; 0, No
flw_consent_date		text (date_dmy)	Date consent provided
follow_up_consent_complete	Form Status	dropdown	Follow up Consent section complete?	0, Incomplete ; 1, Unverified ; 2, Complete