Participant Consent Form
Thank you for contributing your thoughts and reflections at today’s event. Your feedback is valuable and will help CERG (Cultural Engine Research Group) to understand how the Wild Essex Imaginarium has influenced participants’ thinking, learning, and future actions.
Please tick the boxes below to indicate how you consent for your responses (to Mentimeter, whiteboards, surveys, or written notes) to be used.
Consent Options (please tick all that apply)
☐ Anonymous use in metrics
I consent to my responses being included anonymously in evaluation metrics (e.g. “70% of participants reported an increased understanding”).
☐ Anonymous quotes
I consent to my responses being quoted anonymously in CERG reports, blog posts, or other outputs.
☐ Attributed quotes
I consent to my responses being quoted with my name attached in CERG reports, publications, or promotional material.
☐ REF and research purposes
I consent to my responses being used in research publications or for REF (Research Excellence Framework) case studies.
☐ Future contact
I am happy to be contacted for follow-up evaluation or future CERG activities.
Email: ________________________________________
Participant Declaration
I understand that I may choose not to provide consent for certain uses of my responses. I also understand that I can withdraw my consent at any time by contacting CERG.
Name (optional): ________________________________________
Signature: ______________________________________________
Date: ____________________
Please email response to: tsamps@essex.ac.uk
Download PDF version: