IFD:UXTemplates/recordingReleaseForm

From Medien Wiki
< IFD:UXTemplates
Revision as of 19:28, 24 March 2014 by JanD (talk | contribs) (Created page with "Source: [http://www.usability.gov/how-to-and-tools/resources/templates/consent-recording-release-form-adult.html|usability.gov], released [http://www.usability.gov/about-us/index...")
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)

Source: [1], released the public domain

Consent & Recording Release Form - Adult

I agree to participate in the study conducted and recorded by the [Agency/Organization].

I understand and consent to the use and release of the recording by [[Agency/Organization]. I understand that the information and recording is for research purposes only and that my name and image will not be used for any other purpose. I relinquish any rights to the recording and understand the recording may be copied and used by [Agency/Organization] without further permission.

I understand that participation in this usability study is voluntary and I agree to immediately raise any concerns or areas of discomfort during the session with the study administrator.

Please sign below to indicate that you have read and you understand the information on this form and that any questions you might have about the session have been answered.


Date:_________

Please print your name: ____________________________________________________

Please sign your name: ____________________________________________________


Thank you!

We appreciate your participation.