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Apply as a subject for scientific experiments

Please enter all information either in english or in german.

General information

Gender

First name

Last name

Weight in kg

Street

Zip code

City

Telephone numbers

Birthday

Birthplace

Nationality

Native language

Abilities

Second language

Music instruments played

Education level

Current job

Regular ten finger use

Afflictions

Unremovable body decoration

Handedness

Dyslexia/reading disability

Visual impairments

suffering from Astigmatism
red-green color blindness
spectacle wearer
Contacts wearer

Claustrophobia

Implants description

Eye or ear surgeries

We conduct scientific studies using different methods. Please check the method for which you do not like to volunteer.

Notes for the institute

Disclosure

I confirm that the details I have provided in the above form are correct and complete. I am also aware that data gathered about myself in the course of the experiment(s) in which I participate will be used in an anonymised form for evaluations and scientific publications at our institute.

I authorize the institute to save my personal data (e.g. name, address, telephone, etc.) in a digital form and to process and reprocess this information for scientific purposes. I can revoke this consent in writing any time by sending a email to the database management unit.

Yes, I agree