Thank you for your interest in participating in this market research. Comscore, Inc. (“Agency”) is conducting market research on Postmenopausal Osteoporosis for the purpose(s) of collecting consumer feedback (“Market Research”). You should consult with your physician prior to consenting to participate in this Market Research to ensure that your participation and any risks associated with participation and your health are discussed, understood and accepted. Interviews conducted by the Agency are not intended to be a source of medical advice or treatment. You should communicate any questions about medications, health care, and/or participation in the program to your health care provider. This Market Research is sponsored by a company interested in the biopharmaceutical industry and may be a company engaged in the business of research, development and commercialization of human therapeutics (“Sponsor”).
Your participation in this Market Research is voluntary; however, if you do not consent, you will not be able to participate in this Market Research.
1. Information collected during this Market Research. During your participation in this Market Research, the Agency will collect information about you which will include your personal information and, if applicable, may include health related information (collectively, “Personal Information”) – for example, your contact details (such as name, address, and phone number), medical condition and treatment information, where you work, or your type of practice.
The Agency may also wish to record your participation in the Market Research by utilizing audio and video recording technology, which may include your name, words, images, and likeness ("Recordings”) The Agency and/or Sponsor may use, edit, and reproduce Recordings solely for the purposes of the Market Research set out in this Consent and Release Form. The Agency and/or Sponsor will comply with all privacy laws applicable to the use of such Recordings.
Please check this box if you authorize and consent to having the Agency and/or Sponsor audio and video record you and retain Recordings for purposes of the Market Research.
2. Disclosure of your Personal Information. Personal Information [and any Recordings] collected will be used only for purposes of this Market Research. The results of this Market Research will be reported to the Sponsor in de-identified form only and will not identify you individually, unless you have consented to additional disclosure or are participating in research where Sponsor representatives are actively viewing and/or listening to the research. The Sponsor may elect to share the de-identified results of this Market Research publicly.
Your Personal Information, including compensation related information, might also be used for internal review and audit purposes of the Sponsor to ensure compliance with applicable law and industry standards.
Further, if you disclose information having to do with the safety or quality of Sponsor’s products, the Agency may be required to disclose non-identifiable information about you (e.g., gender) to the Sponsor as necessary to fulfill regulatory and legal obligations. See Section 5 (adverse events and product quality issues) for more information.
While representatives of the Sponsor may be present to witness your interview in certain cases, Personal Information disclosed by the Agency will be kept to a minimum to avoid unnecessary disclosure to the Sponsor or its representatives consistent with the intent of this Market Research being conducted.
3. Your privacy will be protected. This Market Research is subject to applicable laws governing the protection of Personal Information and your information will be treated confidentially, subject to the potential disclosures discussed above. Your Personal Information provided may be transferred and processed outside the country in which it is collected. Regardless of the country where your Personal Information is collected or processed, the Agency and the Sponsor maintain appropriate administrative, technical and physical safeguards to maintain data security and protect your Personal Information. The Sponsor is a multi-national company which maintains datacenters around the world, including in the European Union and the United States (the Sponsor’s global headquarters). However, your Personal Information will only be transferred after ensuring that adequate safeguards are in place to protect such information (e.g., Standard Contractual Clauses in a form approved by the EU Commission). Transfers of Personal Information among Sponsor and its group entities follow applicable laws and the Sponsor’s Binding Corporate Rules (BCRs).
You may withdraw from this Market Research at any time by contacting the Agency. You will have the right to withhold information during this Market Research. Your rights to access, correct, delete, restrict, and object to the processing of any Personal Information may be exercised by contacting Comscore, Inc. at 11950 Democracy Drive, Suite 600, Reston, VA 20190.
Your Personal Information will be retained for a period of 11 years after the completion of this Market Research, unless applicable law requires retention for a longer period of time.
4. This Market Research is confidential. Except for the limited disclosures which may be required below (Section 6 – Participant’s Obligations) to satisfy your obligation to obtain permission to participate in this Market Research, you acknowledge and agree that (a) your participation in this Market Research, including any information you receive about this Market Research and any information disclosed by the moderator during the interview is confidential and (b) you will not disclose such information to any third party unless required by applicable law.
5. Adverse events and product quality issues. During the course of this Market Research, you may disclose information having to do with the safety or quality of Sponsor’s therapeutic product(s) or medical device(s). Under certain circumstances, there are regulatory and legal obligations to report certain types of safety or quality information to regulatory agencies (e.g., U.S. Food and Drug Administration, European Medicines Agency). As a result, you should be aware that the Agency may be required by law to report safety and quality information reported by you to the Sponsor and/or Sponsor’s authorized agent, business partners or collaborators. In such cases, the Sponsor and/or Sponsor’s authorized agent may need to contact you for further information necessary to fulfill Sponsor’s regulatory and legal reporting obligations.
6. Participant’s obligations. It is your obligation as a participant in this Market Research to obtain all required third party permissions and to be aware of any limitations imposed on your participation by third parties. This includes permissions from private or government employers or other entities with which you are affiliated. Neither the Sponsor, nor the Agency, will obtain such permissions on your behalf. It is your sole responsibility to understand any potential conflicts of interest created by your participation and to satisfy any necessary reporting obligations in connection with your participation. By consenting to this Market Research, you acknowledge and agree to this obligation, which is necessary to qualify for participation.
7. Intellectual property/future inventions. You understand that a commercial therapeutic, diagnostic, device, and/or combination product(s) may be developed using the information you provide, including your feedback and/or medical information collected during this Market Research. Sponsor, other researchers or research companies may patent or sell discoveries that result from or are related to this information. You do not have any rights to these discoveries. Should your participation in this Market Research result in a patentable invention, to which you may have rights, then by virtue of consenting to this Market Research, you agree to assign and hereby do assign those rights to the Sponsor. Neither Sponsor nor the Agency will compensate you for the information you provide in excess of the honorarium you may receive for participating in this Market Research, if any. By consenting to this Market Research, you acknowledge and agree to this paragraph, which is necessary to qualify for participation.
By selecting “I Consent” below, you certify that you are eighteen (18) years old or older. You certify that you have read and understand the information above, agree to comply with the requirements included herein. You agree that your Personal Information will be accessed, collected, processed and transferred as described in this Consent and Release Form and agree to be a participant in this Market Research.