Example consent form.

Informed Consent Form for Usability Participants

Web site:

http://www.d.umn.edu/

Purpose of this study:

The purpose of this study is to understand how people use the UMD web site. Your participation in this study will help us to adapt the UMD web site to the needs and desires of its users.

Information we will collect:

We will ask you to try out the UMD web site. We will observe how you interact with it, and will also interview you briefly. The information from your visit will be used, along with that from other similar visits, to improve the site. Summary data may be used in publication for educational/research purposes.

Video permission:

We will take hand written notes and video tape the session. By signing this consent form, you are giving us consent to use your verbal statements and images, but not your name, for the purposes of demonstration and evaluation. Summary data may be used in publication for educational/research purposes.

Non-disclosure:

We may discuss ideas with you or show you web designs which are not yet announced. We are doing this so we can get your feedback only. By signing this form, you agree not to tell anyone, including family members, detailed information about this visit and about any new interface designs you observe during this interview. What you can say is that you participated in a study to help improve the web site.

Freedom to withdraw:

You are free to refuse to participate, take a break, or withdraw from this study at any time. Please let us know when you need a break.