Questionnaire | page 1

Registration as a study participant under 18 years

at the MPI for Human Cognitive and Brain Sciences in Leipzig

Please enter your child's data here.

Surname *

First name *

Birthday * Format (DD.MM.YYYY)

Gender * female male diverse

Handedness *

Native language

Have you learned a second language before the age of 6?

parents
First name/Name

Email *

My child would like to participate in studies*

at the institute (Leipzig) and online

only at the institute (Leipzig)

online only

Street / House number *

Place *

Zip code *

Phone number *

How did you find out about us?

How did you find out about us? Flyer Where did you see the flyer?

How did you find out about us? Notice Where did you see the notice?

How did you find out about us? Friends or acquaintances

How did you find out about us? Letter received

How did you find out about us? Website

How did you find out about us? Social Media On which platform?

How did you find out about us? Others

Comment

Information on data storage and study participation

We assure you that your data will be treated confidentially, stored exclusively within the Max Planck Institute for Human Cognitive and Brain Sciences (MPI-CBS), and not passed on to third parties. Only a clearly defined group of MPI-CBS staff members responsible for recruiting study participants will have access to the data. The data is used exclusively for the purpose of inviting you to participate in scientific studies. You have the option, at any time, to have your data in the database permanently deleted. To do so, please write an e-mail with the subject "Delete" to the address: db_management@cbs.mpg.de

* I have read and agree to the information on data storage and study participation. You may contact me to participate in a study.

yes

* I have read and agree to the detailed information on data protection.

yes