Dear participant,

We are IB-1 students at TGES School and are replicating a cognitive psychology experiment for
our Internal Assessment (IA) for our IB Psychology [HL]. If you decide to participate in this
experiment you should know that during this experiment:
1. No physiological harm would be caused,
2. No psychological harm would be caused,
3. All data that is collected would be kept confidential,
4. Your name would be kept confidential and anonymous,
5. Once the experiment is over, you would be told the detailed purpose of this
experiment,
6. If you choose to, you would be told the results of the experiment as well (once
obtained all the results)
7. Once knowing about the experiment, you have every right to withdraw your
consent from this experiment

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“I give my consent to participating in the research.”

Name:

Date:

Email:

Student or Parent/Guardian Signature (if participant is below the age of 16):