#2_Attach 7_Consent Form

Attachment 7: Informed Consent Form

Identification of Project	NCI Cancer.gov Evolution User Focus Groups and Triads
Statement of Age of Subject	I state that I am at least 18 years of age, in good physical health, and wish to participate in research being conducted by the Office of Market Research and Evaluation of the National Cancer Institute, Rockville, MD 20852.
Purpose	The purpose of this research is to gain insight into design and content preferences for Cancer.gov so that the Web site can best meet the needs of cancer patients, family, and friends and health care professionals.
Procedures	Participants will be asked to join an in-person focus group, triad, or remote triad at which point they will be asked a series of questions about their preferences for content and design of Cancer.gov. The total time involved, including instructions, will be no more than 90 minutes.
Confidentiality	All information collected in this study is confidential. I understand that the data I provide will be grouped with data others provide for the purpose of reporting and presentation, and that my name will not be used. I understand that the focus group or triad will be audiotaped, but my voice will not be played to others besides the research team without my written permission.
Risks	I understand that the risks of my participation are expected to be minimal in nature.
Benefits, Freedom to Withdraw, & Ability to Ask Questions	I understand that this study is not designed to help me personally but that the investigators hope to learn about preferred Cancer.gov design and content so that the Web site can be most useful for cancer patients, family, and friends. I am free to ask questions or withdraw from participation at any time and without penalty.
Contact Information of Investigators	Deputy Director, Office of Market Research and Evaluation, National Cancer Institute Telephone: 301-435-7789 Email: [email protected]

Printed Name of Research Participant _____________________________

Signature of Research Participant ________________________________

Date______________________