Withdrawals

Variable / Field Name	Section Header	Field Type	Field Label	Choices or Calculations
wd_type		checkbox	Withdrawal Type	1, I wish to withdraw from the study. I no longer wish to be contacted about the research or be asked to provide additional samples or information. I agree that the study team can continue to access data from my electronic records. ; 2, I wish to withdraw from the study. I no longer wish to be contacted about the research or be asked to provide additional samples or information. My electronic records should no longer be accessed by the study team.
wd_sign_type		radio	Person Signing Withdrawal Form	1, Participant ; 2, Signatory other than participant
wd_pt_signature_verified		yesno	Participant signature verified?	1, Yes ; 0, No
wd_date		text	Withdrawal Date
wd_signatory_date_verified		yesno	Signatory verified?	1, Yes ; 0, No
wd_signatory_date		text	Signatory Date