すべてのテンプレート
Education & Academic

Research Participant Eligibility & Informed Consent Screener

Screens prospective research participants for eligibility and verifies comprehension of informed consent elements before enrollment in an academic study.

設問の例

テンプレートの内容をプレビューできます。すべての設問は公開前に自由に編集できます。

全13問・約4分
Q01
メッセージ

Welcome to this research screening. Over the next few minutes we will confirm your eligibility and ensure you understand the study before you decide whether to participate. There are no right or wrong answers. Your responses are confidential and will be reported only in aggregate.

Q02
メッセージ

About this study: • Purpose: You will answer short questions about your attitudes and experiences. • Duration: Approximately 5–10 minutes. • Risks: Minimal. Some questions may cause mild discomfort. You may skip any question you prefer not to answer. • Withdrawal: Participation is entirely voluntary. You may stop at any time without penalty or loss of compensation. • Privacy: Responses are collected without direct identifiers, stored securely, and analyzed only in aggregate. • Contact: If you have questions, please reach the research team listed in the study posting.

Q03
選択式

In the past 12 months, have you participated in any academic research studies?

  • Yes
  • No
  • Not sure
Q04
プルダウン

What is your age group?

  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65 or older
  • Prefer not to say
Q05
自由回答(長文)

Do you have any questions or concerns about the study information provided above? If so, please share them here.

Q06
選択式

Are you 18 years of age or older?

  • Yes, I am 18 or older
  • No, I am under 18
Q07
選択式

Based on the information above, which of the following best describes your rights as a participant?

  • Participation is voluntary, and I may withdraw at any time without penalty.
  • I may withdraw, but only before answering the first question.
  • I must complete the full survey to receive any compensation.
  • My individual responses will be shared with third parties.
Q08
選択式

What is your gender?

  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q09
メッセージ

Thank you for completing this screening. If you were eligible and consented, you will now proceed to the main study. If not, no further action is needed. We appreciate your time.

Q10
選択式

Do you consent to participate in this study under the terms described above?

  • Yes, I agree to participate.
  • No, I do not agree to participate.
Q11
プルダウン

What is the highest level of education you have completed?

  • Less than high school
  • High school or equivalent
  • Some college
  • Associate degree
  • Bachelor's degree
  • Master's degree
  • Doctorate or professional degree
  • Prefer not to say
Q12
選択式

What is your current employment status?

  • Employed full-time
  • Employed part-time
  • Self-employed
  • Student
  • Homemaker/Caregiver
  • Unemployed
  • Retired
  • Prefer not to say
Q13
プルダウン

In which region do you currently reside?

  • North America
  • Latin America/Caribbean
  • Europe
  • Middle East/North Africa
  • Sub-Saharan Africa
  • East Asia
  • South Asia
  • Southeast Asia
  • Oceania
  • Prefer not to say

含まれる機能

  • AIによる深掘り

    自由回答に合わせてAIが追加で質問し、固定のフォームでは拾えない具体的な内容を引き出します。

  • 注意確認設問

    急いだ回答や質の低い回答者を除外する仕組みを標準で備えています。

  • AIが作成する設問文

    文言、設問の順序、条件分岐をAIが調査の目的に合わせて作成します。

  • 自動レポート

    回答が集まると、テーマ、引用、わかりやすい要約が自動で作成されます。

他ツールとの比較

ほかのアンケートツールで最も近いテンプレートを調べました。それぞれの優れている点と、このテンプレートがさらに踏み込んでいる点をまとめています。

このテンプレートを選ぶ理由

  • Combines an actual eligibility gate (age check) with a plain-language study summary before asking for consent, rather than presenting consent as a single static document
  • Includes a comprehension check question ('which of the following best describes your rights') that verifies the participant understood the consent terms, not just that they clicked agree
  • Layers in standard screening demographics (age group, gender, education, employment, region, prior research participation) so eligibility and quality screening happen in one flow
  • Provides an open-text field for questions or concerns before enrollment, with automated per-response quality scoring and a generated report for the researcher

Jotform

Research Informed Consent Form Template

A static, fillable consent form template aimed at capturing signed consent for academic/research studies, similar in purpose to our screener's consent section. It's built for form completion and e-signature capture rather than for verifying comprehension or screening eligibility conversationally. Best suited for teams that only need a documented consent record, not a full participant intake/eligibility flow.

優れている点

  • Purpose-built for research consent documentation, likely with e-signature support
  • Simple, familiar Jotform builder for quick customization and deployment
  • Likely integrates with Jotform's broader form ecosystem (notifications, storage)

物足りない点

  • Static form with fixed questions — no adaptive AI follow-up to probe unclear or concerning answers
  • No built-in comprehension check or automated scoring of whether a participant actually understood consent terms
  • No voice AI interview option or automated eligibility report generation

よくあるご質問

「Research Participant Eligibility & Informed Consent Screener」テンプレートにはどのような設問が含まれていますか?

すぐに使える設問が13問含まれており、最初の設問は次のとおりです:「Welcome to this research screening. Over the next few minutes we will confirm your eligibility and ensure you understand…」・「About this study: • Purpose: You will answer short questions about your attitudes and experiences. • Duration: Approxim…」・「In the past 12 months, have you participated in any academic research studies?」。すべての設問は上でプレビューでき、自由に編集できます。

このアンケートの回答にはどのくらい時間がかかりますか?

回答者は通常、13問を約4分で回答し終えます。

テンプレートは編集できますか?

はい。公開前であれば、すべての設問、選択肢、順序を編集できます。設問の追加や削除のほか、調査の目的に合わせた作り直しをAIエディターに依頼することもできます。

このテンプレートは無料で使えますか?

はい。エディターで開けば、すぐに編集を始められます。お試しにアカウントは不要で、無料プランでアンケートを公開できます。

公開の準備はできましたか?

このテンプレートをエディターで開いてみてください。最初の回答者が目にする前に、すべてを自由に変更できます。

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