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Food Experiences Adult Consent Form Unblinded

26-045334-01
THIS FORM IS STRICTLY CONFIDENTIAL ONCE COMPLETED.
25-077280-01-02 Food Experiences_ADULT Consent Form UNBLINDED_InternalUse_V1.docx Printed: 02/07/2026
ADULT (16 AND OVER) PHOTOGRAPH/FILMING CONSENT FORM
Thank you for your interest in taking part in this research, which is completely voluntary. If you do take
part, and if you give us your explicit consent, video and audio recording, and/or photography of you
taking part will take place. These recordings and photographs will be used in private presentations of
the research findings to Ipsos staff and stakeholders, and the staff, stakeholders and suppliers of
The Kraft Heinz Company (‘Kraft Heinz’) for research, insight, and training purposes. Please note that
we may also store the photographs and recordings on our, or our subcontractors’, systems that will be
hosted outside the European Economic Area.
Please note that when Ipsos UK is obtaining information from you during the research, Ipsos UK might
collect special categories of personal data from you (including, for example, information you may
choose to share about your racial or ethnic origin, political opinions, religious or philosophical beliefs,
health or sexual orientation). If we capture any special categories of personal data, we will process that
data under your explicit consent. Ipsos UK might, with your explicit consent, share this information with
Kraft Heinz, if this information fits the purpose of this research.
Please be assured that any research recordings and photographs will be held by Ipsos UK and
Kraft Heinz in strict confidence solely for the purposes described above and will be securely destroyed
once they are no longer needed.
If you are happy to take part, and for the video and audio recordings and/or photographs to be used in
this way, please read the below, complete the tick boxes as appropriate, and provide your signature
and details.

The research has been explained to me, and I have been given a full explanation about the possible uses of any video and audio recordings and/or photographs of me arising from this research. I have also been given a copy of the project’s privacy notice. I want to take part in the research.

I consent to the video and audio recordings and/or photographs of me being shared with and used by Kraft Heinz for the purposes described above.

I understand that this research might involve the collection of special categories of personal data (such as information I may choose to share about my racial or ethnic origin, political opinions, religious or philosophical beliefs, health or sexual orientation), and I agree to Ipsos UK recording and processing this information about me.

I consent to special categories of personal data being transferred to Kraft Heinz, where this information fits the purpose of this research.

Are you happy for Ipsos to re-contact you regarding this research?

Are you happy for your first name to be included in a caption with the audio and video recordings and/or photographs?

Print full name:

Date:

Address:

Telephone number:

Email address:

Please retain for future reference:
If you have any questions, please call contact Ipsos UK Ethnography on +44 (0)20 3059 5000 or at
[email protected] and quote: 25-077280-01-02 Food Experiences.
Ways to sign and return this consent form, if you are not doing so in person:
1. Print a copy, complete it using pen and paper, scan it and email it back as an attachment.
2. Sign the document using an electronic signature, check ‘Yes’ or ‘No’ by placing a tick or ‘X’ in the
appropriate column and email it back as an attachment.
• Please note, an electronic signature is not the same as typing your name and changing
the font.
3. If you cannot sign the document using methods 1. or 2., you can type your name into the
document, check ‘Yes’ or ‘No’ by placing a tick or ‘X’ in the appropriate column and email it back
as an attachment, but you must also copy and paste the information below into the email:
• I have read and completed the consent form attached. I am unable to provide an
electronic signature and have typed my name onto the document instead, to indicate
my consent. I agree to you passing this email and consent form to Ipsos.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

Draw Signature
Type In Signature

Draw your signature with your mouse, tablet or smartphone Clear

I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Adopt & Sign

Timestamp

Audit

August 4, 2026 3:31 pm BST

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