Research Study Eligibility Screening & Consent Quiz Template
Pre-screen participants and verify informed consent with this ready-to-use survey template. Filter recruits, meet IRB standards, and boost data quality.
What's Included
AI-Powered Questions
Intelligent follow-up questions based on responses
Automated Analysis
Real-time sentiment and insight detection
Smart Distribution
Target the right audience automatically
Detailed Reports
Comprehensive insights and recommendations
Sample Survey Items
Q1
Chat Message
Welcome: This brief screening will check eligibility and your understanding of the study. It takes about 5–10 minutes. Participation is voluntary.
Q2
Multiple Choice
Are you 18 years of age or older?
Yes, I am 18 or older
No, I am under 18
Q3
Chat Message
About this study: You will answer short questions about attitudes and experiences. Expected time is about 5–10 minutes. Participation is voluntary.
Q4
Chat Message
Risks: Minimal risk, such as mild discomfort from certain questions. You may skip any question you prefer not to answer. You can stop at any time without penalty.
Q5
Chat Message
Privacy: Responses are collected without direct identifiers, stored securely, and analyzed in aggregate. For questions, contact the research team listed in the study posting.
Q6
Multiple Choice
Which statement best describes your rights if you join this study?
Participation is voluntary, and you may withdraw at any time without penalty.
You must answer all questions to receive any compensation.
Your identifiable data will be made public.
There are absolutely no risks of discomfort.
Q7
Multiple Choice
Do you consent to participate in this study under the terms described?
Yes, I agree to participate.
No, I do not agree to participate.
Q8
Dropdown
What is your age group?
18-24
25-34
35-44
45-54
55-64
65 or older
Prefer not to say
Q9
Multiple Choice
What is your gender?
Woman
Man
Non-binary
Prefer not to say
Q10
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/Professional
Prefer not to say
Q11
Multiple Choice
What is your current employment status?
Employed full-time
Employed part-time
Student
Unemployed
Retired
Prefer not to say
Q12
Dropdown
Where do you currently live?
North America
Latin America/Caribbean
Europe
Middle East/North Africa
Sub-Saharan Africa
East Asia
South Asia
Southeast Asia
Oceania
Prefer not to say
Q13
Multiple Choice
In the last 12 months, have you participated in any academic studies?
Yes
No
Not sure
Q14
Multiple Choice
Attention check: To confirm you are paying attention, please select “Prefer not to say.”
Yes
No
Prefer not to say
Not sure
Q15
Long Text
Any questions or concerns about the study information?
Max 600 chars
Q16
AI Interview
AI Interview: 2 Follow-up Questions on your responses to this screening
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Q17
Chat Message
Thank you. If you were not eligible or chose not to participate, no further action is needed. Otherwise, you may proceed to the main study.
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