# Informed Consent for UX Research

**Study:** [study name]
**Responsible:** [organization or person]
**Contact:** [name, email]
**Date:** [session date]

### Who we are and what we are doing

We are [organization] and we are running a study to [objective in one plain sentence: understand how people use X, find out what makes Y hard].

We are not evaluating you. We are evaluating [the product, the service, the process]. If something is unclear or does not work, that is useful information for us, not a mistake on your part.

### What we will ask of you

The session lasts about [X] minutes and is [remote by video call / in person at (place)]. During that time we will [talk about your experience with X / ask you to use (product) while telling us what you are thinking / show you some material and ask your opinion].

You do not need to prepare anything.

### Recording

With your authorization, we will record [audio / audio and video / the screen]. The recording lets us review what you said afterwards without depending on what we manage to write down at the time.

If you would rather we did not record, the session happens anyway and we take notes.

### What we do with what you tell us

We analyze all the sessions together and write a report of what we found. That report is read by [the X team / our client, (name, or "a company in the Y sector" if there is a confidentiality agreement)].

The report may quote you verbatim, without your name and without details that would make you recognizable. That includes things like your job title next to your company's name, which often identify a person even with no name attached. Instead of your name we use something like "Participant 3".

[If applicable] We may also use a short video clip in an internal presentation to the team. You authorize that separately below, and you can say no without changing anything else.

### Taking part is voluntary

Answering is optional: you can skip any question, ask us to pause, or end the session at any point. You do not have to explain why.

If you later want to withdraw your authorization, write to [email]. What we already analyzed before that point cannot always be undone, but we stop using your material from then on.

[If there is an incentive] The [amount / description] incentive is yours regardless, even if you decide to stop early.

### Your data

We store: [list the concrete items: your name and email to arrange the session, the recording, our notes].

Who has access: only [the research team at (organization)]. The files live in [where: a restricted-access drive].

For how long: we keep recordings [X months] and then delete them. The report carries nothing that identifies you.

### Your rights

You can ask us at any time what information we hold about you, to correct it if it is wrong, or to delete it. Write to [contact email] and we reply within [timeframe].

### Questions

Any question about the study, before or after: [name, email, phone if relevant].

### Authorizations

Tick what you authorize. You can tick some and not others.

- [ ] I agree to take part in this session.
- [ ] I authorize recording [audio / audio and video / the screen] of the session.
- [ ] I authorize quoting me verbatim, without my name, in the study report.
- [ ] [If applicable] I authorize using a short video clip in internal team presentations.

I read this document, I understood what it is about, and I was able to ask questions.

**Name:** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Signature:** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**Date:** \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

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## License and attribution

Template by UXR SpA · Paulina Contreras · version 1.0

Published under Creative Commons Attribution 4.0 International (CC BY 4.0):
https://creativecommons.org/licenses/by/4.0/

You may use it, adapt it and use it in paid work, including commercially, as
long as you credit the authorship and link to uxr.cl.

The license covers this template. The document you complete with it is yours and
is not covered: your study's data and your participants' data are yours.

Original, usage context and legal grounding: https://uxr.cl/en/templates/informed-consent/
Check that your copy is not out of date.
