Sample Nondisclosure and Consent Form

Figure 7.10: A combined nondisclosure and consent form.

Thank you for participating in our product research. Please be aware that confidential information will be disclosed to you and that it is imperative that you do not reveal information that you may learn during the course of your participation. In addition, your session will be videotaped, to allow staff members who are not present to observe your session and benefit from your feedback.

Please read the statements below and sign where indicated. Thank you.




I agree that I will disclose no information about the product research conducted by ABC Company Inc. or about the specifications, drawings, models, or operations of any machine, devices, or systems encountered.

I understand that video and audio recordings will be made of my session. I grant ABC Company Inc. permission to use these recordings for the purposes mentioned above, and waive my right to review or inspect the recordings prior to their dissemination and distribution.




Please print name:                                       
Signature:                                       
Date: