Why use it?

This template includes key information that participants in a focus group should acknowledge, including the receipt of incentives. Before you use this template, you might want to check out the run a focus group tool.

Focus group sign-in sheet

Focus Group details
Focus group 
Facilitator name and role 
Time and duration 
Recording method 


I acknowledge that any monies or gratuities received by me today regarding this project are accepted as compensation for expenses incurred.

I agree that I am the person whose signature appears below.

I agree not to disclose to the public any information about the matters discussed or the people attending.

I give permission for the discussion to be viewed and recorded in any format.

The supply of information relates to a supply which is private and domestic in nature.

Accordingly, please ensure no withholding tax is deducted from the payment made to me in accordance with Section 12-190 in Schedule 1 of the Taxation Administration Act 1953.