UNM Project Complaint Form
Use this form to report a complaint or concern regarding a UNM project.

All research complaints and concerns are taken very seriously. The information you provide will be kept as confidential as possible. However, we may need to share this information with others in order to follow-up with your complaint or concern. If you prefer to remain anonymous, a thorough review may not be possible, as without this information follow-up discussions are not feasible.

Name (leave blank if want to remain anonymous)
Your answer
Phone
Your answer
Email
Your answer
Would you like to receive follow-ups, if there are any?
IRB reference number, if known (available on the consent form)
Your answer
Name of Principal Investigator or other project staff
Your answer
Project title or description
Your answer
How are you related to the project?
If you are a participant, please answer these next questions. If not, skip to the next section.
When did you start participating in this study?
Your answer
Are you still participating in this study?
Your answer
Do you have a Consent Form for this study?
Do you have any other written information about this study? If yes, please describe.
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms