All Templates

Informed Consent Comprehension Check Survey Template

Assess participants' grasp of informed consent, risks, and withdrawal rights. Ready-to-use survey template for IRB compliance and research ethics.

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! Please answer based on the consent information you reviewed. If you are unsure, select “Not sure.”
Q2
Multiple Choice
Did you read the consent information?
  • Yes, completely
  • Yes, partially
  • No
  • Not sure
Q3
Opinion Scale
How well do you understand the consent information?
Range: 1 – 10
Min: Not at allMid: SomewhatMax: Very well
Q4
Matrix
Based on the consent you reviewed, indicate whether each statement is true, false, or you are not sure.
RowsTrueFalseNot sure
Participation is voluntary.•••
You may stop at any time without penalty.•••
The consent document describes potential risks.•••
Your data will be handled as described in the consent.•••
Contact information for questions is included.•••
Q5
Short Text
According to the consent, how can you withdraw from the study if you choose to stop?
Max 100 chars
Q6
Multiple Choice
Which types of risks, if any, did the consent mention? 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
Q7
Multiple Choice
Attention check: To confirm attention, please select “Not sure.”
  • Yes
  • No
  • Not sure
Q8
Opinion Scale
How confident are you that you understand your rights in this study?
Range: 1 – 10
Min: Not at all confidentMid: Somewhat confidentMax: Very confident
Q9
Long Text
Do you have any questions or concerns about consent, risks, or withdrawal before proceeding?
Max 600 chars
Q10
Dropdown
What is your age group?
  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65 or older
  • Prefer not to say
Q11
Multiple Choice
What is your gender?
  • Woman
  • Man
  • Non-binary
  • Prefer not to say
Q12
Dropdown
Where do you currently live?
  • Africa
  • Asia
  • Europe
  • North America
  • South America
  • Oceania
  • Prefer not to say
Q13
Multiple Choice
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
Q14
Multiple Choice
What is your current employment status? 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
Q15
Long Text
Any additional comments about the consent information or this questionnaire?
Max 600 chars
Q16
AI Interview
AI Interview: 2 Follow-up Questions on Consent Understanding
AI InterviewLength: 2Personality: [Object Object]Mode: Fast
Reference questions: 13
Q17
Chat Message
Thank you for your responses. You may proceed to the study or close this window.

Ready to Get Started?

Launch your survey in minutes with this pre-built template

Use This TemplateBrowse More Templates