A group of
graduate students in the School of Information Management and Systems at UC
Berkeley are conducting studies to assess the effectiveness of XXX.
If you volunteer
to participate in this study, you will be asked to use one or more computer
systems to XXX, 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 will be recorded on video and/or
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 XXX. We hope that the research will benefit society by improving
XXX. 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: ___________________