Accessibility Research Consent

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Informed Consent Agreement

Study Title: Accessibility Feedback for Pixels Dice

Company: Systemic Games, LLC (doing business as Pixels)

Contact Information:
Katie Hayward

Director of Marketing and Operations
Email: [email protected]
Phone: 515-770-5848

Purpose of the Study
You are invited to participate in a product feedback study conducted by Systemic Games, LLC (dba Pixels). The purpose of this study is to gather feedback from users about the accessibility of our Bluetooth-enabled dice and the associated app, with a focus on understanding and addressing various accessibility needs. Your participation will help us improve the product for individuals with diverse needs.

Procedures
If you agree to participate, you will receive a Bluetooth-enabled dice to test. We will ask for your feedback on aspects such as ease of use, challenges encountered, and suggestions for additional features or improvements. Feedback can be provided through email, phone, or a survey.

Voluntary Participation
Your participation is entirely voluntary. You may stop participating at any time without the need to notify us. You are free to decide not to provide feedback at any point, and there will be no penalty or consequence for doing so.

Confidentiality
We will not share any personally identifiable information in connection with this study. Any feedback you provide will be anonymized and used solely for product improvement purposes. In any publications or reports resulting from this study, we will refer only to your age group and general accessibility needs (e.g., physical, visual, auditory, etc.) without revealing your name or other identifying details.

Risks and Benefits
There are no expected risks associated with your participation. The primary benefit is contributing to the improvement of products designed to support individuals with various accessibility needs.

Compensation
You will receive a free Bluetooth-enabled dice in exchange for your participation. There is no additional compensation for participating in this study.

Use of Feedback
Your anonymized feedback may be used in reports, publications, or presentations related to the development and accessibility of Pixels Dice products. By participating, you grant us permission to use your feedback for these purposes.

Contact Information
If you have any questions about the study or your participation, please contact:
Katie Hayward

Director of Marketing and Operations
Email: [email protected]
Phone: 515-770-5848

Consent
By signing below, you acknowledge that you have read and understood the information provided in this form. You voluntarily agree to participate in this study and consent to the use of your feedback as described above

*If participant is a minor, please enter parent/guardian first name here

*If participant is a minor, please enter parent/guardian last name here

*If participant is a minor, you may choose to share their first name so we may address them in internal communications - names will never be shared publicly unless explicit consent is given by the child and their guardian

*Examples: Visual impairment, hearing impairment, cognitive disability, speech or communication disorder, autism spectrum disorder, etc.

*Only required if address is outside of USA

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*By typing your full name (or parent/guardian), you agree to the terms above and confirm your consent.

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