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INFORMED CONSENT TO PARTICIPATE IN A RESEARCH STUDY
Thank you for agreeing to participate in this consumer products research study. This form provides information regarding the study, so you can choose whether or not to participate in the study.
Study Description – The purpose of this study is to gain information that can help improve consumer products. You will be provided with a pack of laundry detergent to use at home for a period of 2 weeks, as a replacement of your usual laundry detergent. You will be asked to fill in a feedback survey at the end of the test, and to dispose of the remaining product pack safely.
Voluntary Participation – Your participation is completely voluntary and you may withdraw from the study at any time and for any reason. If you choose not to participate in this study, it will not affect your ability to participate in future studies.
Responsibilities – During the study, you are expected to follow the study directions that are provided to you. Conduct the test yourself. If for any reason you cannot perform or complete the test, do not get someone else to perform the test for you. Instead send an e-mail to email@example.com. You may be directed to stop participating in the study if you do not follow these directions.
Risks and Benefits –The risks associated with participation in this study are comparable to those associated with use of marketed products similar to the one(s) being evaluated in this study. This could include the following: Accidental ingestion could cause oral mucosal or gastro-intestinal irritation, nausea, vomiting, excessive secretion and/or diarrhea. In case of accidental ingestion, drink plenty of water, do not induce vomiting and immediately call a POISON CENTER/doctor. Accidental eye contact could cause serious eye damage, pain, redness and/or swelling. If eye contact occurs, rinse cautiously with water for several minutes. Remove contact lenses, if present and easy to do. Continue rinsing. Immediately call a POISON CENTER/doctor. Prolonged skin contact may cause skin irritation, redness, swelling, dryness and/or itching. If on skin wash with plenty of water and dry hands. If skin irritation occurs, discontinue use of the product and call a POISON CENTER/doctor. Keep out of reach of children. If medical advice is needed, have product container or label at hand
There will be no direct benefits to you from your participation in this study, except the opportunity to use the product consistent with the study directions.
You will be informed of any new information that may affect your willingness to continue your participation.
Contact Information – When participating in the test, should you experience adverse health problems that you believe may be caused by the product, please stop using the product and call 112 in case of severe health issues. If you have any other problems or questions during the study or have questions about your rights as a subject please send an e-mail to firstname.lastname@example.org.
Privacy – By agreeing to take part in this study and by accepting this agreement, you consent to the study sponsor processing your personal data for the purpose of performing this research study (including the ability to contact you via mail/phone and to ship products to your home). You agree that, for these purposes, your personal data may be shared with other entities within the study sponsor group, third parties acting on behalf of the study sponsor (e.g. Toluna, external providers of IT related services, express courier/shipment carriers), regulatory authorities and an independent review board (IRB) overseeing the research, located in your country or in another country.
The study sponsor and Toluna, acting on the study sponsor's behalf, will take all reasonable steps to ensure your personal data are protected. You will not be identified by name in any publication regarding the research.
You can see what personal data of yours has been collected by checking your profile on-line or requesting info via email@example.com. If these personal data are inaccurate or incomplete, you also have the right to request the rectification, erasure or blocking of such personal data.
Confidentiality - You agree to hold in confidence any information, including but not limited to products, packages, pictures of products, usage instructions, descriptions of products, brands, brand concepts and/or ideas and environments, which is disclosed or made available to you directly or indirectly, or which you otherwise receive incident to your participation in this study. You agree that you will neither use nor discuss the above information with anyone, not even with your family and friends, except the person administering the test. You also agree that your obligations of confidentiality and non-use extend beyond your participation in the study.
You agree to assign to the study sponsor all ideas, developments, discoveries, works of authorship, designs, software, and/or inventions, whether or not patentable, conceived by you as a result of your participation in the study. Furthermore, you agree that the study sponsor may use these ideas, developments, discoveries, works of authorship, designs, software, and/or inventions in any manner it sees fit.
Your obligations under this agreement will not extend to any products or other information that are generally known to the public or which become available to the public through no fault of yours.
Expense – No payment is required to participate in this study.
Compensation – If you participate in this study, you will receive 200 bonus points Bonus points which you can accumulate to exchange into vouchers (refer to reward page for a clear overview of the whole incentive program). No other compensation will be provided for your participation in the study. Provided that you comply with study directions, you will receive this compensation even if you subsequently withdraw from the study because of safety concerns. You will not receive this compensation if you do not comply with study directions, including those relating to the return of product and providing study data.
I have read the above information, and I know I can reach out to the study sponsor via firstname.lastname@example.org to request more details about this study. I voluntarily agree to be a participant in this study and I consent to the study sponsor processing my personal data in accordance with this document. I understand that I can withdraw from the study at any time.
A copy of this consent form is available here.