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Participant Consent Form for gov.bc.ca design research

The Government Digital Experience is working to improve the current B.C. government website to better serve the needs of the people. In doing so, we are requesting help to review the B.C. government website. They will be virtual sessions.

Audio Recording and Transcripts

During the session, the interviewer may take notes, audio recording, video recordings or screen recordings to assist in the analysis. Your name or other identifiers will not be associated with any of the recordings nor will the recordings be used for any other purpose than those described in this form or otherwise permitted by law. The recordings may be used for training or evaluation purposes.

All recordings, transcripts and notes will be stored for the duration of the project and then securely disposed of as transitory records in accordance with the Information Management Act and related policies.

Confidentiality

Your confidentiality will be respected. We will de-identify all notes and ask that you not name yourself or others in audio or video recordings. You can choose to not be included in those recordings.

In capturing individuals’ stories and experiences, personal information of a confidential nature may be shared during the interview. In compliance with the Freedom of Information and Protection of Privacy Act, all personal information will be protected using appropriate security controls.

Collection Notification

This information is collected by Ministry of Citizens’ Services – GDX under section 26(c) and 26(e) of the Freedom of Information and Protection of Privacy Act, and will be used for the purpose of assisting analysis in the project described above. It may be used for training or evaluation purposes. Should you have any questions about the collection of this personal information, please contact:

Ali Emery

Product Owner, Online Service Solution (OSS)

ali.emery@gov.bc.ca

617 Government St.

Victoria, BC V8V 1X6

778-677-7611

I confirm that I am over the age of 18 years.Missing or incorrect value

I agree to being audio taped for the purpose described above.

YesNo

Missing or incorrect value

I agree to being photographed for the purposes described above.

YesNo

Missing or incorrect value

I agree to being video recorded for the purpose described above.

YesNo

Missing or incorrect value

I agree to screen capture recording for the purpose described above.

YesNo

Missing or incorrect value

I understand the following:

I have read and understood the Participant Consent form
I have had the opportunity to ask questions and have had satisfactory responses to my questions
I will receive a dated and signed copy of this form

Full NameMissing or incorrect value

EmailMissing or incorrect value

How do you wish to be contacted?By EmailBy PhoneBy Text

I acknowledge and understand that by clicking the “submit” button, I am attaching my electronic signature to this form, and that by doing so, I am providing the same consent as I would be manually signing a physical copy of this form.Missing or incorrect value

We’d like to provide you compensation as a thank you in helping us in our research project.

Selected participants will receive a $25 electronic gift card by email from Virtual Incentives after the session. You will have the option to choose the type of gift card you want.

Yes, I want to receive a $25 e-Gift cardMissing or incorrect value

Collection Notification

Your personal information is collected through Virtual Incentives under section 26(c) and section 26 (e) of the Freedom of Information and Protection of Privacy Act, for the purpose of delivering and confirming that you have received your e-Gift card.

Registration of your e-Gift card through Virtual Incentives is voluntary. Please be aware that your IP address, email address and e-Gift details will be collected by Virtual Incentives, and this information will be stored and may be accessed outside of Canada. By selecting "yes" you are consenting to your personal information (IP address, email address and e-Gift details) being stored and/or potentially accessed outside Canada. Your consent is effective as soon as you submit.

If you have any questions about the collection, use or disclosure of your personal information, please contact:

Ali Emery

Product Owner, Online Service Solution (OSS)

ali.emery@gov.bc.ca

617 Government St.

Victoria, BC V8V 1X6

778-677-7611

The following questions are optional. These questions allow us to ensure that we are able to gather data that is representative of all British Columbians.

1. Please select your age range.19-34 years35-49 years50-64 years65 years and above

<div>British Columbia is made up of 8 regions. Please see the map to find which region you reside. If you need more help finding your location, please see an interactive map of B.C. at <a href="https://www.workbc.ca/Labour-Market-Information/Regional-Profiles.aspx" rel="noopener" target="_blank">B.C. & Regional Profiles</a> from WorkBC.ca.</div>2. Where do you currently reside?CaribooKootenayMainland/SouthwestNechakoNorth CoastNortheastThompson-OkanaganVancouver Island/CoastOutside of British ColumbiaNot sure

8 regions of British Columbia

3. Is English your primary language? If not, please state your primary language.YesNo, my primary language is:

Please do not include any personally identifiable information about yourself or others in your responses

4. How often are you on the web?A few times a month or lessA few times a weekOnce a dayMultiple times a day

5. During the session, which device do you intend to use? We suggest you use the device you normally use when exploring the B.C. government website or the web in general.

Desktop or Laptop ComputerTabletSmart PhoneOtherOtherPlease do not include any personally identifiable information about yourself or others in your responses

6. Would you like to be contacted for future sessions?

YesNo

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Participant Consent Form for gov.bc.ca design research

About the Project

Participant Consent to Recording

Consent to Participate in Interviews

Compensation

Preliminary Questions