FAA Experiment # 1

Pre and post headest test.

ETHICS COMMITTEE

This study has been approved by the IRB and complies with the ethical requirements imposed by the Faculty in compliance with the regulations agreed in the [Approval code].

CONSENT TO PARTICIPATION

Participation in this study is entirely voluntary.
Participation in this study will not prejudice the participant from a medical point of view.
This study is for research purposes only and the data collected will not be used for diagnostic or clinical purposes.
No data published as a result of the study will reveal the identity of the participants.
The use of participant data for the final study will ultimately depend on the researchers responsible and may not be included for technical or other specific reasons.
The participant may withdraw their consent at any time.
Any questions about the study, the technique used, or the purpose may be asked at any time.
The researchers or managers of [University or Company name] will inform the participant of all the above and of any other data or any noteworthy incidence. Researchers or managers of [University or Company name] will request participant consent prior to the start of the study.

BASIC INFORMATION ON DATA PROTECTION

Study lead: [Study lead]

Principal Investigator: [Name]
[Department]
[Address]
[Phone]
[Email]

Purpose: To carry out the clinical research study.

Rights: Under the legal conditions, you have the right to access, rectify, and have your data deleted, to terminate or limit the treatment.

Confidentiality: Your responses to this study will be confidential. Every effort will be made by the researcher to preserve your confidentiality including assigning code names/numbers for participants that will be used on all research notes and documents. Participant data will be kept confidential except in cases where the researcher is legally obligated to report specific incidents. These incidents include, but may not be limited to, incidents of abuse and suicide risk.

Additional information: You can consult the additional information on Data Protection in this link.

CONTACT INFORMATION

If you have questions at any time about this study, or you experience adverse effects as the result of participating in this study, please contact [Contact email]. If you have questions regarding your rights as a research participant, or if problems arise which you do not feel you can discuss with the Primary Investigator, please contact [Contact email].

VOLUNTARY PARTICIPATION

Your participation in this study is voluntary. It is up to you to decide whether or not to take part in this study. If you decide to take part in this study, you will be asked to sign a consent form. After you sign the consent form, you are still free to withdraw at any time and without giving a reason. Withdrawing from this study will not affect the relationship you have, if any, with the researcher. If you withdraw from the study before data collection is completed, your data will be returned to you or destroyed.

Participants Screening Questionnaire

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I have read and I understand the provided information and have had the opportunity to ask questions. I understand that my participation is voluntary and that I am free to withdraw at any time, without giving a reason and without cost. I understand that I will be given a copy of this consent form. I voluntarily agree to take part in this study.

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