CEE Usability Testing (ASK and PFC)

INFORMED CONSENT FORM
You are being asked to participate in a research study. This form describes the purpose, procedures, benefits, risks
and precautions of the study. It also describes your right to withdraw from the study at any time. A member of the
study staff is available to read through this form with you and discuss all the information, if you wish.

Why is this study being done?

This study is being done to determine the ideal design of a website designed for adults across the United States. The
study will ask participants to interact with a website containing financial information. Receiving feedback on the
website will lead to design solutions that will enhance the quality of the site layout and content.

What do I need to know about this study?

Adults 18 and older are asked to participate in this study. Each session will last 60 minutes, and participants will work
one-on-one with a moderator. The sessions will be video recorded, and individuals’ names will not be used in any
description of findings. In accordance with the Paperwork Reduction Act of 1995, the questions asked as part of this
study have been approved by the Federal government’s Office of Management and Budget (OMB) under OMB control
number 3170-0024. Without this approval, we could not ask these questions.
Participants will be asked to interact with and provide feedback on a website. While they do so, where they look on
the screen will be tracked. The moderator will ask questions while the participant completes assigned activities using
the website. Participants will then discuss their thoughts and opinions about the website with the moderator. Other
researchers may observe in another room.

What are the potential risks of being in the study?

There are minimal risks associated with this study. Participants will complete short questionnaires and provide
feedback about the website. Participants do not have to answer any questions that they do not want to answer.

Does being in this study provide any benefit?

The study will help to improve the usability of the website. Participants in the study will receive $75 for their
participation.

Will it cost me anything to be in this study?

There are no costs to participate in the study, other than possible transportation costs to and from the facility.

Do I have to be in this study?
Participation is voluntary.

Who will have access to this study and/or contact information?

Only the researchers working on this project will have access to the information provided in the study.

Who do I contact if I have questions about the study?

If you have questions or concerns about the study, you can contact
Jen Romano Bergstrom, Fors Marsh Group, [email protected], 571-858-3795.

I, _______________________________________, have read this form and agree to participate in this study.
Print Name
_________________________________________________________________________________________
Participant’s Signature
Date
_________________________________________________________________________________________
Researcher’s Signature
Date

1010 N. Glebe Road, Suite 510 | Arlington, Virginia 22201 | www.forsmarshgroup.com