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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.

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Sample questions

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13 questions · ~4 min
Q01
Message

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
Message

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
Multiple Choice

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

  • Yes
  • No
  • Not sure
Q04
Dropdown

What is your age group?

  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65 or older
  • Prefer not to say
Q05
Long Text

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

Q06
Multiple Choice

Are you 18 years of age or older?

  • Yes, I am 18 or older
  • No, I am under 18
Q07
Multiple Choice

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
Multiple Choice

What is your gender?

  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q09
Message

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
Multiple Choice

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
Dropdown

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
Multiple Choice

What is your current employment status?

  • Employed full-time
  • Employed part-time
  • Self-employed
  • Student
  • Homemaker/Caregiver
  • Unemployed
  • Retired
  • Prefer not to say
Q13
Dropdown

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

What’s included

  • AI follow-ups

    Adaptive probes on open-ended answers that pull out detail a static form would miss.

  • Attention checks

    Built-in safeguards against rushed answers and low-quality respondents.

  • AI-drafted copy

    Wording, ordering, and branching written by the AI — tuned to your research goal.

  • Auto report

    Themes, quotes, and a plain-English summary write themselves once responses come in.

Ready to launch?

Open this template in the editor. Every part is yours to change before the first respondent sees it.

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