CONSENT FORM

Dear participants,

I give my consent to participate in the IB biology experiment for the Internal Assessment run by

Logayne Ahmed, After taking your measurements (height, weight, etc.) you will be given a

respirometer, to measure your respiratory rate after doing jumping jacks for 45 seconds. Before

taking part in this experiment you should be aware of the following:

1. No physiological harm will be caused

2. No psychological harm will be caused

3. Your name and the data collected will remain confidential

Please consider the following points and check the boxes before signing:

I understand that all information data about me will remain confidential

I understand that I have the right to withdraw from the experiment at any time

My anonymity will be protected as my name will not be identifiable

I will be debriefed at the end of the research and will have the opportunity to find out the results
when they are available

I give my informed consent to participate in this experiment:

Date:

Phone number/email:

Signature: