HospiOils Consent for Online Research


By completing the following online form, you are participating in web-based online research regarding essential oils in the palliative care or hospice arena. This research is being conducted by HospiOils LLC.  It should take approximately ten (10) minutes to complete each entry.

Your contribution to this research is voluntary. You may refuse to contribute to this research or exit the online form at any time without penalty. You may decline to answer any particular question that is not designated as required by the online research form.

You will receive no direct benefits from participating in this research. However, your responses may help us learn more about the safe and effective use of essential oils at end of life.

There are no foreseeable risks involved in contributing data via this online form. If you contribute data via the online form, you do however acknowledge and certify that the information you entered is actual and truthful to the best of your ability.

Your data contributions will be collected via WPForms, a WordPress plugin where data will be stored in a password protected electronic format. WPForms does not collect identifying information such as your name, email address, or IP address that you have not otherwise provided via the online form. No personal health information (PHI) or any information under HIPAA should be submitted via the WPForm. Any information collected via the online form will only be used for research purposes. Submitter contact information will only be used by the researchers for purposes of data validation. Otherwise, all of your responses will remain anonymous.

If you have questions at any time about this research, you may contact HospiOils LLC via email at info@HospiOils.com.

If you feel you have not been treated according to the descriptions in this form during the course of this project, or you have any questions, concerns, or complaints that you wish to address contact HospiOils LLC via email at info@HospiOils.com.

ELECTRONIC CONSENT: By submitting your data via the online form you are electronically agreeing and certifying that the information provided is actual and truthful to the best of your knowledge. In addition, you are giving all rights of the data provided to HospiOils LLC for the purposes of education, research, and publications. Lastly, you agree:

  • You are 18 years of age or older
  • You have read the above information
  • You voluntarily agree to participate