CONSENT FORM AND INFORMATIONAL SHEET

TO PARTAKE IN A PSYCHOLOGICAL STUDY

By signing this consent form/Information sheet you are agreeing to ALL of the following:
1.) You agree that you will partake in the study (more on this below).
2.) You agree that you are informed of ALL of the possible risks and benefits of the study
(more of this is also mentioned on page 2)
Your signature is MANDATORY if you wish to partake in the study, however, you also have
the right to withdraw yourself from it at any time if you wish.
You are permitted to ask any questions pertaining to the study after you have partaken in it.

The study:
The aim of this study is to find out if the time given to look at images affects how we
perceive the images. We will be finding this out using a questionnaire (on paper) where you
will be presented with a few ambiguous images. You will then be asked a question regarding
what you perceive of the image. There will also be a time limit for how long you can look at
the image before noting down your answer(s).

There will be multiple groups of people (the minimum number of groups is 4 and the
number of groups must be even which will each have at least 3 participants), each of these
groups will have a different time limit. Half of the groups will contain only male participants,
while the other half will contain only female participants. The questionnaire itself MUST be
answered on a day when all of the participants in the study have about the same general
emotion (e.g. on a P.E day or at the very end of the day). ONLY the students in Year 10 are
permitted to partake in the study.

The results from each time limit (multi-gender) and group (single-gender) will be separately
averaged.

Possible Risks of participating in the study

As with any psychological study, there are some risks involved, but in this study, the risks are
relatively minor and should not cause prolonged distress to you as a participant. They are:

 The time limit for each question might make you feel stressed or put you in a negative state
of mind
  You may feel like you are performing poorly on the questionnaire, HOWEVER, this is not to
worry as this is to be expected, as stated previously you may ask the researcher(s)
conducting the study ANY questions you may have after you complete the questionnaire.

 In the questionnaire you will be asked to interpret ambiguous images, this may cause stress
and confusion

Possible Benefits of participating in the study

There are NO significant benefits of partaking in the study except possibly understanding a little bit
about how you perceive things in relation to your peers

Consent to partake in this study.

Circle the option that you feel applies. This section should be answered INDEPENDENTLY

Have you read and fully understood the information sheet? (Yes / No)

Have you understood and accepted all of the possible risks and
benefits of this study? (Yes / No)

Do you feel like you have received enough information about the study
to make an informed choice on whether you want to participate in this study? (Yes / No)

Do you understand that you can withdraw yourself from the study
at any time without ever needing to state your reason? (Yes / No)

Do you wish to partake in the study? (Yes / No)

Your FULL Name and form: ______________________

Date (dd/mm/yyyy): _______________ Sign Here: ________________