A group of
graduate students in the School of Information Management and Systems at UC
Berkeley are conducting studies to assess the effectiveness of the Healthy
Communities System.
If you volunteer
to participate in this study, you will be asked to use one or more paper
computer systems of Healthy Communities, and to answer some questions. The questions will be asked orally before,
during and after the design activities.
There will also be written questionnaires before and after each
activity. Your interactions with the
computer may be recorded with still photographs.
There are no
benefits to you for participating, other than what may be an educational
experience in using some new technologies for Healthy Communities. We hope that the research will benefit
society by improving Healthy Communities.
This research poses no risks to you other than those normally
encountered in daily life. All of the
information from your session will be kept confidential and be referred to by
an ID number. The correspondence between your name and ID number will be kept
confidential and treated with the same care as our own confidential
information. We will not name you if
and when we discuss your behavior in research publications. After the research is completed, we may save
the notes for future use by ourselves or others. However, this same confidentiality guarantees given here will
apply to future storage and use of the materials.
Your
participation in this research is voluntary, and you are free to refuse to
participate or quit the experiment at any time. Whether or not you chose to participate will have no bearing in
relation to your standing in any department of UC Berkeley. If you have questions about the research,
you may contact
Professor Marti
Hearst at 510-642-1464, or by electronic mail hearst@sims.berkeley.edu. You may keep a copy of this form for
reference.
If you accept
these terms, please write your initials and the date here: __________________________