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

Template Overview

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

Chat Message

Welcome! Please answer based on the consent information you reviewed. If you are unsure, select “Not sure.”

Multiple Choice

Did you read the consent information?

Yes, completely
Yes, partially
No
Not sure

Opinion Scale

How well do you understand the consent information?

Range: 1 – 10

Min: Not at allMid: SomewhatMax: Very well

Matrix

Based on the consent you reviewed, indicate whether each statement is true, false, or you are not sure.

Rows	True	False	Not 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.	•	•	•

Short Text

According to the consent, how can you withdraw from the study if you choose to stop?

Max 100 chars

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

Multiple Choice

Attention check: To confirm attention, please select “Not sure.”

Yes
No
Not sure

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

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.

Frequently Asked Questions

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Can I export survey results?

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IRB