A pre-study instrument that verifies participants' understanding of consent information, risks, and withdrawal rights. Designed for IRB compliance and suitable for any human subjects research protocol.
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
Template Overview
17
Questions
AI-Powered
Smart Analysis
Ready-to-Use
Launch in Minutes
This professionally designed survey template helps you gather valuable insights with intelligent question flow and automated analysis.
Sample Survey Items
Q1
Chat Message
Welcome to this brief comprehension check.
Before you begin the study, we want to make sure you feel fully informed about what participation involves. Please answer the following questions based on the consent information you just reviewed.
There are no right or wrong answers — if you are unsure about something, simply select "Not sure." This should take approximately 3–5 minutes. Your responses are confidential and will be used only to ensure informed participation.
Q2
Multiple Choice
Did you read the consent information provided to you?
Yes, completely
Yes, partially
No
Not sure
Q3
Opinion Scale
How well do you feel you understand the consent information you reviewed?
Range: 1 – 7
Min: Not at allMid: NeutralMax: Very well
Q4
Multiple Choice
Based on the consent information: Your participation in this study is entirely voluntary.
True
False
Not sure
Q5
Multiple Choice
Based on the consent information: Your individual responses may be shared publicly with your name attached.
True
False
Not sure
Q6
Multiple Choice
Based on the consent information: You may withdraw from the study at any time without penalty.
True
False
Not sure
Q7
Multiple Choice
According to the consent information, how can you withdraw from the study if you choose to stop participating?
Contact the research team directly
Simply close the browser or stop responding
Submit a formal written request
Withdrawal is not permitted once started
Not sure
Q8
Multiple Choice
Which types of risks, if any, were mentioned in the consent information? Please select all that apply.
Mild inconvenience or time burden
Possible discomfort from some questions
Confidentiality or privacy risks
Physical risks
None mentioned
Not sure
Other
Q9
Opinion Scale
How confident are you that you understand your rights as a participant in this study?
Range: 1 – 7
Min: Not at all confidentMid: NeutralMax: Very confident
Q10
AI Interview
We'd like to understand your experience with the consent information a bit more. Please share your initial thoughts and our moderator will ask a few brief follow-up questions.
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Reference questions: 3
Q11
Long Text
Based on your responses in this assessment, do you have any remaining questions, concerns, or thoughts about the study's consent process, risks, or your rights as a participant?
Max chars
Q12
Dropdown
What is your age group?
18–24
25–34
35–44
45–54
55–64
65 or older
Prefer not to say
Q13
Multiple Choice
What is your gender?
Woman
Man
Non-binary
Prefer not to say
Q14
Dropdown
In which region do you currently reside?
Africa
Asia
Europe
North America
South America
Oceania
Prefer not to say
Q15
Dropdown
What is the highest level of education you have completed?
Less than high school
High school or equivalent
Some college or vocational training
Bachelor's degree
Master's degree
Doctorate or professional degree
Prefer not to say
Q16
Multiple Choice
What is your current employment status? Please select all that apply.
Employed full-time
Employed part-time
Self-employed
Unemployed and looking for work
Student
Homemaker/caregiver
Retired
Prefer not to say
Q17
Chat Message
Thank you for completing this comprehension check. Your responses help us ensure that all participants feel fully informed before proceeding. You may now continue to the study or close this window.
Frequently Asked Questions
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