Contribution to our Research

interested in research

First name, Surename

Gender

female

male

others

not stated

Date of birth

Place of residence

E-mail address

Phone number

Do you have a driving licence class B?

Yes

Visual aids: Do you wear glasses or contact lenses?

None

Glasses

Contact lenses

Are you interested in online studies?

Yes

Are you interested in laboratory & driving simulator studies?

Yes

I agree to the storage of personal data in accordance with the Federal Data Protection Act. These data are earmarked for a specific purpose (they are only used in the context of study requests) and will not be passed on to third parties without my necessary consent. Until revoked, I agree that I will be contacted for new studies and asked about my interest in participating.

All fields marked with (*) are mandatory fields and must be filled in.

The data you provide in this form are processed exclusively for the purpose of responding to and actioning your enquiry and to get in contact with you. With regard to the processing we refer to art. 6 para. 1 lit. a GDPR, provided that there is no other legal basis. We never pass your data on to others. You may withdraw your consent at any time with effect for the future. Should you withdraw your consent, we will delete your data instantaneously. Your data will also be deleted once we have processed your enquiry or the purpose for their storage has lapsed. You may request information on your stored personal data at any time. For further information on data protection, please see the privacy policy of this website.

I herewith consent to the processing of my data. I have read and understood the above notification as well as the privacy policy.

You want to make an important contribution to our research?