Consent for Participation, Release, and Non-Disclosure Agreement

Research Study: PG&E VGI Research

I volunteer to participate in this research study conducted by AnswerLab, LLC (“AnswerLab”) on behalf of its client (“Client”).  The purpose of the study is to improve Client’s understanding of how users interact with prototypes and/or live digital interfaces using test and/or real accounts.

 

  1. I understand that my participation in this study is voluntary. I agree to allow AnswerLab and Client (or their designees) to observe how I interact with applications and/or devices. I understand that AnswerLab (or its designee) will interview me about my experiences using the applications and/or devices. 

 

  1. I understand that AnswerLab records all interviews using video cameras, microphones, and software.  In this consent form, “Recordings” shall refer to videos, photographs, audio recordings, screen captures and any other recordings taken by AnswerLab and/or Client in connection with the interview(s). 

 

  1. I hereby give my permission to AnswerLab and Client (and their designees) to:

  • record any part of my participation in this study by using cameras (for video and photographs), audiotapes, and screen captures;

  • use eye-tracking technology to analyze where my eyes are focused and for how long (if part of study); 

  • share with Client my personal information as provided to AnswerLab during the screening process as well as the study itself, including, but not limited to, my name, image, likeness, biographical information, user names, and account information, as part of this study (“Personal Information”);

  • share with Client the eye-tracking data and Recordings, which include my likeness (if eye-tracking is part of study); and

  • use the Recordings and any notes for producing research findings and recommendations to Client. 

 

  1. I understand that the Recordings and Personal Information will be analyzed by Client for its internal use.  I also understand that any video, photograph, or screen captures that include my likeness will not be redacted by AnswerLab before AnswerLab shares these Recordings with Client. This means that I may be recognizable to Client personnel who review any of these Recordings.

 

  1. Neither AnswerLab nor Client will publicly display, sell or distribute the Recordings or my Personal Information without my written consent.

 

  1. For purposes of notice under the California Consumer Privacy Act and the California Privacy Rights Act (together, the “CCPA/CPRA”), the information described above that AnswerLab collects as part of this study may be categorized as biometric information, personally identifying information, and participant profiles based on biometric and personally identifying information.  Also for purposes of notice under the CCPA/CPRA, the categories of information that AnswerLab collects as part of the study will be used for improving Client’s understanding of how users interact with prototypes and/or live digital interfaces using test and/or real accounts.   To learn more about AnswerLab’s privacy practices and disclosures visit AnswerLab’s privacy policy at https://www.answerlab.com/privacy-policy.

 

  1. I understand that for studies in which AnswerLab is performing healthcare research, AnswerLab may ask me for certain protected health information (“PHI”). Any PHI related to the subject of this study that I disclose will be used solely for purposes of the study. AnswerLab will not otherwise actively solicit disclosures from me of any medical information. Any PHI incidentally disclosed by me unrelated to the subject of this study will not be used or disclosed to anyone outside of AnswerLab or Client for any purpose, except as required by law or to prevent harm.  

 

  1. I understand that as part of the screening process for studies using eye-tracking technology, AnswerLab may ask me if I have eye conditions, eye diseases, and/or LASIK surgery. This information is used solely to screen out eye-tracking study recruits and is not otherwise used or disclosed to anyone outside of AnswerLab or Client for any purpose, except as required by law or to prevent harm.

  2. Neither AnswerLab nor Client will use the Recordings or my Personal Information for any purpose other than those disclosed in this consent form. If, at a later date, AnswerLab or Client wants to use the Recordings or my Personal Information for a purpose not previously disclosed to me in this consent form, AnswerLab and/or Client will directly notify me of this new use and obtain my explicit consent to use it for this new purpose.

 

  1. During this study, I understand that confidential new designs, interfaces, hardware, software, products, or services may be discussed with me.  I may also receive a physical prototype of a new design or product.  I agree not to:

 

  1. Disclose any information relating to such new designs, interfaces, hardware, software, products, or services; 

  2. Disclose any information about this research study; 

  3. Disclose the fact that I participated in this study;

  4. Use any such information for any purpose other than participation in this study, 

  5. Take any written notes about this study; or

  6. Use any device (e.g., computer, cameras or cell phones) to record audio or visual information (e.g., screenshots) during this study.

 

I also agree to: (i) return any physical prototypes or designs that I receive in connection with this study using the self-addressed packaging provided to me within 10 days of the completion of this study, and (ii) delete all software provided to me from my computer(s)/personal device(s) promptly after the completion of this study.  I understand and agree that Client is a third-party beneficiary of this agreement.  I understand that if I do not comply with the terms above, AnswerLab or Client may pursue legal action against me.

 

  • I understand that my full name will not be used in any research report or marketing materials. I understand that my information will be kept confidential, except as described in this document. I will not receive any follow-up sales calls as a result of my participation in this study.

  1. If I live outside of the United States, I hereby give my permission to AnswerLab to transfer the Recordings and my Personal Information to the United States.  

 

  1. If I want to learn more about how AnswerLab uses my Personal Information, I can review AnswerLab’s privacy policy at https://www.answerlab.com/privacy-policy.

 

  • I will receive payment in consideration for my participation in this study and for the use of the Recordings and my Personal Information as described above. For purposes of notice under the CCPA/CPRA, this Incentive represents the average value of a study participant’s Recordings and Personal Information to AnswerLab and Client.

 

  1. I understand that I may limit or terminate any recording of me during this study by making a termination request to AnswerLab.  I also understand that I am free to ask questions at any time during this study and that I am free to withdraw from the study and discontinue participation, including exercising my rights to delete my personal information under the CCPA/CPRA or other applicable law, at any time.  However, I understand that if I withdraw from the study or exercise my right to delete my personal information before the study is complete, I may not get paid the Incentive.

 

  1. GENERAL RELEASE.  In consideration of AnswerLab’s payment to me of the Incentive, I hereby release AnswerLab and Client and each of their respective officers, employees, representatives, agents, counsel, and directors from any and all actions, causes of action, claims, demands, damages, and liabilities of whatever kind or nature, in law or in equity, now known or unknown, suspected or unsuspected to the extent that any of the foregoing arises from any action or failure to act relating to this research study, on or prior to the date hereof, except, with respect to any such person being released hereby, any actions, causes of action, claims, demands, damages, and liabilities arising out of such person’s willful misconduct.


PG&E CCPA Financial Incentive Notice 


PG&E (hereafter “PG&E “we,” “us,” or “our”) offers programs, benefits, and other offerings to consumers related to the collection, retention, or sale of Personal Information that may be deemed a “financial incentive” or “price or service difference” under the California Consumer Privacy Act (“CCPA”).  These offerings may involve collecting the following categories of Personal Information from customers who participate: identifiers; customer records; protected class and demographic information; commercial information and preferences; internet or other electronic network activity information and device information; audio, electronic, visual, or other sensory information; and inferences.  We are providing you with this information so that you may make an informed decision on whether to participate in our programs.  Examples of the programs we offer include:   

  • Surveys: We may offer our customers opportunities to participate in surveys.  In exchange for participation you may be offered a financial incentive, such as a discount or a coupon.  As part of these surveys we may collect Personal Information, such as your name, preferences, experiences, beliefs, opinions, and other responses to the survey questions.  Participation in surveys is governed by the applicable terms and conditions for the survey, which will also describe any financial incentives associated with that survey and how to participate.  You can terminate participation at any time as will be explained in the survey terms.  Our good-faith estimate of the value of your Personal Information is the value of the benefit we offer to you.  We have calculated such value by using the expense related to the benefit.


  • Limited-Time Promotions or Sweepstakes: From time to time, we may offer incentives limited to a specific time period, such as limited-time sweepstakes, contests and other promotions.  In exchange for your participation in these promotions, you may be offered a financial incentive, such as a prize.  As part of these limited-time promotions or sweepstakes, we may collect your Personal Information, such as your name, email address, and phone number.  Participation in a limited-time offer or promotion is governed by the applicable terms and conditions for the program (e.g., Sweepstakes Rules and Prize Acceptance Agreements), which will also describe any financial incentives associated with the promotion and how to participate.  You can terminate participation at any time as will be explained in the program terms.  The value of your Personal Information will be disclosed in the promotions terms. 


  • One-Time Promotions: In addition to the programs identified above, we may also offer you one-time percentage off coupons, discounts, or other promotions from time to time, such as when you provide us your email address and agree to receive marketing emails in exchange for a one-time coupon.  Such offers may not be available at all times.  The amount and terms of such offers will be presented to you at the time of the offer.  You can terminate participation at any time by contacting us at [insert contact method TBD – phone/email for recruit vendor].  Our good-faith estimate of the value of your Personal Information is the value of the benefit we offer to you.  We have calculated such value by using the expense related to the benefit.


By participating in any of the above promotional programs, you agree that the benefits are reasonably related to the value of the Personal Information collected and retained.  


Participation in our promotional programs is always optional, and you can terminate program participation at any time as explained in the applicable program terms.  You can also contact us at Recruitment@p3technology.io to unsubscribe or cancel your participation in any program.