Version 1.

0
Date 6/03/2022
INFORMED CONSENT FORM

Usability Testing a Aphasia Software Finder website

Please tick
or
initial box
1 I confirm that I have read and understood the participant information dated
[INSERT DATE AND VERSION NUMBER] for the above study. I have had the X
opportunity to consider the information and ask questions which have been
answered satisfactorily.

2. I understand that my participation is voluntary and that I am free to withdraw X

without giving a reason without being penalised or disadvantaged.

I understand that I will be able to withdraw my data up to any time of the X

study.

I agree to interview being audio and video recorded. X

I agree to City recording and processing this information about me. I
understand that this information will be used only for the purpose explained
in the participant information and my consent is conditional on City complying
X
with its duties and obligations under the General Data Protection Regulation
(GDPR). I agree City to share the insights of the study with The Aphasia
Software System website.

I understand that no information that could lead to the identification of any

individual will be shared with any other party other than the researcher and
those involved in marking and moderating the coursework I produce based on X
the findings.

I agree to take part in the above study. X

Please sign below to indicate that you have read and you understand the information on this form
and that any questions you might have about the session have been answered.

06/03/2022 6/3/2022
DATE ______________________________ DATE ______________________________

X X
Name of Participant Name of Reseacher Viivia Takaoja