Meta Test Registration Form

Gauntlet Wearable On Site Test Study for Meta 2023 - Registration Information Form

Please out the form carefully with your registration information.
uTest ID: (Do you already have a U-test account? You will need this in order to be registered and get paid the $150 for your 3 hours. Please go to www.utest.com and log in or create an account. After login, your uTest ID can be found right under your name and avatar on the left-hand side of the web page.*
Name*

First NameMiddle NameLast Name
Birth Date*

MonthDayYear
Gender*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
City / State*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Additional Comments
Are you willing to sign an NDA (Non-Disclosure Agreement, Confidentiality Agreement and Personal Data Consent form) before you participate in this project?*

YesNo
Are you able to secure transportation and participate on site (Midtown Manhattan)?*

YesNo
What weekdays (Mon/Tues/Wed/Thurs/Fri) are you generally available for on-site testing?*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
Do you prefer 9:00AM, 1:30PM, or no preference?*

9:00AM1:30PMNo Preference
Have you been convicted of a felony in the last 7 years?*

YesNo
Do you work for or do you have a household conflict with an individual that works at any of the following companies? Alphabet Inc., Amazon Inc., ByteDance Inc., Twitter Inc., Microsoft Corp, Apple Inc., Snap Inc., Samsung Electronics, Magic Leap Inc., or Uber Technologies Inc.:*

YesNo
What spoken and written languages are you proficient / conversational in?*
English, Spanish, etc.
Please provide a response based on a measurement of the circumference of your wrist (use a tape measure for more accuracy if possible) :*

Small (Smaller than 14.9cm/5-7/8")Medium (14.91cm -16.9cm or 5-7/8" - 6-5/8")Large (16.91cm - 19.3cm or 6-5/8" - 7-9/16")XL (Larger than 19.31cm or 7-9/16")
Please select a response for skin tone:*

Pale WhiteWhite or BeigeLight BrownDark BrownDarker Brown
Please select a response for arm hair type:*

LightMediumHeavy
Which is your dominant hand (used for writing):*

RightLeftAmbidextrous
Typing Skills:*

BeginnerIntermediateProficient
Have you previously participated in an on-site project with uTest?*

YesNo
Please Confirm (YES OR NO) that ALL of the Following are True: 1. You are 18 years old or older. 2. You are willing to travel to New York, NY during normal business hours. 3. You are proficient in spoken and written English. 4. You have normal or close-to-normal hearing. 5. You have normal vision OR you are able to wear vision-correcting glasses/contacts on the day(s) of the experiment. 6. You have no history of epilepsy, seizures, or severe traumatic brain injury (i.e., concussion with nausea and/or memory loss). 7. There is nothing that would impair your ability to grip or touch objects with your hands and all 10 digits. 8. You have no pre-existing conditions or injuries in your arms (which includes shoulder, arm, wrist, hand, fingers) such as tendinitis, existing or recurring pain, etc.*

YesNo
If there is anyone else you would like to recommend for this study, please provide their email address(es) here or have them email at bianca@digitalxconcierge.com.*
Thank you for your registration information. You will be contacted by Community Management via phone call, text and/or email if you are selected to participate and to set up a time and date.
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Gauntlet Wearable On Site Test Study for Meta 2023 - Registration Information Form

Thank you for your registration information. You will be contacted by Community Management via phone call, text and/or email if you are selected to participate and to set up a time and date.