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Ipsos - Google RSAS - Consent Form

PHOTOGRAPH / FILMING CONSENT FORM FOR RESEARCH PROJECTS

Research Event: 26-045923 Retail Sales Associates

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, audio and video recordings, and photographs of you participating may take place. These recordings and photographs - including your first name in a caption - may be used in private presentations of the research findings to Ipsos UK staff and/or to Google staff and stakeholders. There may also be Google staff observing your interview live. Please note that we may also store the photographs and film footage on our, or sub-contractors’ systems that will be hosted outside of the European Union.

Please be assured that any research footage and photographs will be held by Ipsos UK and Google in Strict Confidence solely for the above research and analysis purposes and will be securely destroyed once no longer needed.

If you are happy to take part, and for the photos and film footage 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 film footage and/or photographs of me. I have also been given a copy of the project’s privacy notice. I want to take part and agree to the following:

The research has been explained to me and I have been given a full explanation about the possible uses of any photographs and/or film footage of me arising from this research.		Yes
I consent to Google observing my interview live		Yes
I consent to the use of my photographs as described above.		Yes
I consent to the use of my audio and film footage as described above		Yes
I grant Ipsos UK and Google the right to use these images in any private presentation of the research findings.		Yes
Are you happy for Ipsos UK to re-contact you regarding this piece of research?		Yes
Are you happy for your first name to be included in a caption with the photos and film footage?		Yes

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Timestamp

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June 25, 2026 12:35 pm BST

Ipsos - Google RSAS - Consent Form Uploaded by Amy Bickers - [email protected] IP 94.15.125.235

June 25, 2026 12:43 pm BST

Take Part in Research - [email protected] added by Amy Bickers - [email protected] as a CC'd Recipient Ip: 212.42.190.49