1. I agree voluntarily to take part in this study.

  2. I confirm that I meet the criteria for participation in this research:
  3. I have been diagnosed as dyslexic by a psychologist
    I am over the age of 18 years
    I am right-handed
    I have normal or corrected to normal vision and hearing
    I am fluent in English

    I confirm that I do not have the following health condition:
    I do not have any medical history relating to epilepsy or other seizure disorders

  4. I have read the Information Sheet provided and been given a full explanation of the purpose of this research.

  5. The researcher has answered all my questions and has explained possible problems that may arise as a result of my participation in this research.

  6. I understand that I will be asked to perform the following tasks,
    • Relaxed state
    • Reading related tasks – words and nonsense words
    • Writing related tasks – writing, typing and copying words
    • Rapid Automized Naming – Naming familiar things such as letter, digits, objects and colours quickly
    • Browsing the web
    • Interpreting tables/graphs/charts
    • Look at a number and key it on to the phone to make a call

  7. I understand that my name and identity will be stored separately from the data, and these are accessible only to the investigators. All data provided by me will be analysed anonymously using code numbers.

  8. I understand that I will not be identified in any publication arising out of this research.

  9. I understand that all information provided by me is treated as confidential and will not be released by the researcher to a third party unless required to do so by law.

  10. I am giving consent for the data being collected to be accessed for future research if required, where all the identification details are removed and kept confidential.

  11. I am willing for this session to be video taped; the videotape will contain only the test being performed and not me.

  12. I understand I am free to withdraw from the research and stop participating at any time without needing to give any reason.

  13. Name of participant:_________________________________________

    Signature of Participant: ________________________ Date: _____ / _____ / _____

    I confirm that I have provided the Information Letter concerning this study to the above participant; I have explained the study and have answered all questions asked of me.

    Signature of researcher: ________________________ Date: _____ / _____ / _____