NASA, the U.S. space agency, uses this consent form in its usability testing. The questions below ask you to examine this document in light of the guidelines for informed consent in this chapter.
The text reads, “Please read this page carefully. You have agreed to participate in a usability study that will evaluate [system]. By participating in this study, you will help NASA to improve [system] in future redesigns. Our team will observe you and record information about how you work with the [system]. We will also ask you to fill out questionnaires about your experience and follow-up questions. We will record your comments and actions using written notes and video cameras. Our team will use the data from your study session, including videotapes, solely for the purposes of evaluating the [system] and sharing results of these evaluations with [the study sponsor]. Your full name will not be used during any presentation or in the results of this study. By signing this form, you give permission for NASA to use: • Your recorded voice: Yes No • Your verbal statements: Yes No • The videotape of your session: Yes No If you need a break at any time, please inform the study facilitator immediately. If you have questions about how the session will proceed, you may ask them at any time. You may withdraw from your study session at any time. Receipt for [Incentive] Please acknowledge that you have received from [NASA, or study sponsor] [the exact amount of money, or describe the nonmonetary incentive, if it is merchandise] for your participation by signing below. Your acceptance of this [incentive] does not constitute employment by [NASA, or study sponsor]. I have received my [incentive]. If you agree with these terms, please indicate your agreement by signing below: Signature: __________________________________ Print Name: __________________________________ Date: ____________ Information from National Aeronautics and Space Administration, 2010: www.hq.nasa.gov/pao/portal/usability/process/utPlanning.htm.”