Consent Form for Taking Part in the Survey

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Who made the survey?

My name is Fabian Schmurr and I study at the University of Bremen.
I am doing this survey.

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Description of the survey

Many people like computer games.
Deaf and hard-of-hearing people also like computer games.

But there are problems.

For example:
How do I find a computer game?
How do I know that a computer game fits me?

So I tried to make a computer-game search.

Now I have to test if this search fits.

Please try out the search.
After that you can rate the search.

How does the survey help?

It is important to make inclusive searches.
This way more people can find computer games that fit.

Inclusive here means:
All people can easily find a computer game that fits.
Also deaf people.
And hard-of-hearing people.

If there are more inclusive computer-game searches,
then there are fewer problems finding good computer games.

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Your participation in the survey

Please take part in the survey on the internet.
You must be older than 18 years.

The survey takes about 15 minutes.
The survey starts on 02.08.2026.
The survey ends on 15.09.2026.

You can do the survey on a computer.
And also on a smartphone.
It is best to do the survey on a computer.

Your participation is voluntary.
You will not get a reward.

You can stop the survey at any time.
You may only do the survey once.

The survey is safe.
And there are no big risks.

But an error can happen.
This is true for all computers.
Data can be stolen.
These data are then your answers from the survey.
But this error happens only rarely.

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Data protection

I now explain the rules for data protection:

• What do I do with the data?
• Which rights do you have?

Please read the explanation carefully.

Do you have questions?
Then write me an email.
Fabian Schmurr, Email: fasc@uni-bremen.de

What do I do with the data?

For the survey I need the following data:

• Your answers in the survey
• Personal data
  • Age
  • Hearing status
  • How do you speak?
  • What do you do?

But your name is not saved.

The survey is anonymous.
No one knows what your answers are.

Some answers may later appear in books, booklets, reports, information sheets.

This is important for meetings and conferences or on the internet.

There are no names there.
No one can see who gave the answer.
For example, whether the answer comes from you.

I save the data.
I follow the DSVGO.
The DSVGO is the General Data Protection Regulation.

These rights you have.

Art. 7 Para. 3 DSVGO: Right to withdraw consent

Withdraw means:
You say: I do not want this anymore.

Consent means:
you agree.

Withdrawal of consent means:
At the beginning you agree.
This is no longer the case now.

You can always tell us:
I do not agree anymore.
Then I may not use your data anymore. 

 

Art. 15 DSVGO: Right to information

Information means:
You ask something.
And you get an answer. 

You can ask me:
Which data do I have about you? 
How do we use the data about you?

I will tell you then. This is called information.

 

Art. 16 DSVGO: Right to correction

Correction means:
I must change something wrong so that it is right. 

You can tell us:
We should correct your data. 
If your data are wrong.
Or if something is missing. 

 

Art. 17 DSVGO: Right to deletion

Deletion is similar to throwing away. 
When the data are deleted, then they are gone.

You can tell us:
I should delete your data.

 

Art. 18 DSVGO: Right to restriction of processing

Processing means:
Your data are used.

Restriction of processing means:
Not everything may be done with the data.

You tell us what I may do with your data.
And what I may not do.

Art. 21 DSVGO: Right to object

To object means:
You say: I do not want this.

You can always say:
I may not use your data. 
You do not want this.

Then I may not use your data anymore.

 

Art. 77 DSVGO: Right to complain to a supervisory authority

The supervisory authority is an office of the state.
Something like a department.

The supervisory authority checks:
Do I handle your data correctly?

Complaint means:
You can write a letter to the supervisory authority. 
Or a fax. Or an email.

If you think that I do something wrong with your data.

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Understood everything?

Do you agree?
Then click the box below.
You can then click on “Continue”.
And start the survey.

 

Examples for the wording come from:

Verbund Forschungsdaten Bildung: Formulierungsbeispiele für "informierte Einwilligungen" in leichter Sprache. Frankfurt am Main : DIPF | Leibniz-Institut für Bildungsforschung und Bildungsinformation 2018, 9 S. - (fdb info; 5) - URN: urn:nbn:de:0111-pedocs-223024 - DOI: 10.25656/01:22302

The originial version of the informed consent has been translated from German into English using GenAI

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