Virtual Reality Research Participation Consent Form
Please review and complete this consent form to participate in our virtual reality research study.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Age
*
Have you previously participated in a virtual reality research study?
*
Yes
No
Briefly describe any prior experience with virtual reality (optional)
I have read and understand the information about this research study.
*
I confirm
I understand that my participation is voluntary and I may withdraw at any time.
*
I understand
Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Participant Signature
*
Submit Consent
Submit Consent
Should be Empty: