Centre for Sleep Science
Department of Anatomy, Physiology and Human Biology
School of Human Sciences
The University of Western Australia

Participant Consent Form

Research Project: Sleep Diary Data Collection

The Centre for Sleep Science at The University of Western Australia (UWA) is conducting research on sleep patterns. As part of this research, we request your consent to collect and use your sleep diary data for research purposes. Please read the following information carefully before making your decision.

Purpose of Data Collection

Your sleep diary data will be used exclusively for research conducted by the Centre for Sleep Science at UWA. This data will help us better understand sleep health and contribute to scientific findings.

Data Ownership & Confidentiality

• The University of Western Australia will retain full ownership of any sleep diary data collected as part of this study.
• iyarn will not access, analyze, or use this data for any purpose unless explicitly authorized in writing by UWA.
• All data will be securely stored and handled in compliance with ethical and privacy regulations.

Voluntary Participation

Participation in this study is completely voluntary. You may choose to opt in or out at any time without any consequences. If you decide to withdraw, your data will no longer be used in the research.

Consent Statement

By selecting “YES,” you acknowledge that:

• You have read and understood the information above.
• You voluntarily consent to provide your sleep diary data for research conducted by UWA’s Centre for Sleep Science.
• You understand that iyarn will not use your data without UWA’s permission.
• You may withdraw your consent at any time by notifying the research team.

Consent Options

Do you consent to provide your sleep diary data for research conducted by the Centre for Sleep Science at The University of Western Australia?

[ ] YES – I consent to participate in this research study.
[ ] NO – I do not consent to participate in this research study.

Research Contact Information

For any questions regarding this study, please contact: Dr Jennifer Walsh
Centre for Sleep Science
The University of Western Australia
Email: Jennifer.Walsh@health.wa.gov.au