Q01
Message
All templatesHealthcare & Clinical
eConsent Clarity & Usability Assessment for Clinical Trials
Evaluates patient comprehension, usability, and decision confidence with electronic informed consent (eConsent) in clinical trials. Designed for post-consent administration to identify barriers and improve the consent experience.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
25 questions · ~11 min
Q02
Dropdown
When did you most recently complete an electronic informed consent (eConsent) process for a clinical trial?
- Within the last month
- 1–3 months ago
- 4–6 months ago
- 7–12 months ago
- More than 12 months ago
- I have not completed an eConsent
Q03
Multiple Choice
Which device(s) did you use to review or complete the eConsent? Select all that apply.
- Smartphone
- Tablet
- Laptop
- Desktop computer
- Clinic-provided shared device
- Someone assisted by reading it to me
- Other
Q04
Opinion Scale
How clear was the eConsent in explaining the purpose and goals of the study?
Scale: 1 – 7
Min:Not at all clearMax:Extremely clear
Q05
Multiple Choice
Which of the following features, if any, did you use while reviewing the eConsent? Select all that apply.
- Search or glossary for terms
- Short informational videos
- Illustrations or diagrams
- Inline definitions next to terms
- Text-to-speech or screen reader
- Translation to another language
- Ability to enlarge text
- I did not use any of these features
Q06
Multiple Choice
Before making your participation decision, were your questions about the study adequately answered?
- I had no questions
- Yes, by study staff
- Yes, by the eConsent materials
- Partly
- No
Q07
Long Text
Based on your experience, what would make the eConsent process clearer or easier? Please share any additional thoughts.
Q08
Multiple Choice
What is your age group?
- 18–24
- 25–34
- 35–44
- 45–54
- 55–64
- 65–74
- 75+
- Prefer not to say
Q09
Message
Thank you for completing this survey. Your feedback will be used to improve the eConsent experience for future clinical trial participants. Your responses are confidential and will be reported only in aggregate.
Q10
Multiple Choice
Where did you complete most of the eConsent process?
- At the clinic with staff present
- At home or outside the clinic
- A mix of clinic and home
- Other
- Not sure
Q11
Opinion Scale
How clear was the eConsent in explaining the potential risks and side effects?
Scale: 1 – 7
Min:Not at all clearMax:Extremely clear
Q12
Opinion Scale
How would you rate the overall layout and readability of the eConsent?
Scale: 1 – 7
Min:Very poorMax:Excellent
Q13
Opinion Scale
How confident were you in your decision about participating after reviewing the eConsent?
Scale: 1 – 7
Min:Not at all confidentMax:Extremely confident
Q14
AI Interview
We'd like to explore your eConsent experience in a bit more depth. An AI moderator will ask you a couple of follow-up questions based on your responses.
Q15
Multiple Choice
How do you describe your gender?
- Woman
- Man
- Non-binary
- Prefer to self-describe
- Prefer not to say
Q16
Dropdown
Approximately how long did it take you to review and complete the eConsent, including reading?
- Less than 5 minutes
- 5–10 minutes
- 11–20 minutes
- 21–30 minutes
- 31–45 minutes
- More than 45 minutes
- I don't remember
Q17
Opinion Scale
How clear was the eConsent in explaining how your personal data will be used and protected?
Scale: 1 – 7
Min:Not at all clearMax:Extremely clear
Q18
Ranking
If anything made the eConsent harder to understand, please rank the factors below from biggest barrier to smallest. Skip this question if none applied to you.
- Medical jargon or technical language
- Length of the document
- Small text or screen size
- Too many steps or screens
- Distractions or fatigue
- English is not my primary language
- Internet or device issues
Drag to rank
Q19
Dropdown
In which region do you currently live?
- North America
- Europe
- Latin America
- Africa
- Middle East
- Asia
- Oceania
- Prefer not to say
Q20
Opinion Scale
How clear was the eConsent in explaining your right to withdraw from the study at any time?
Scale: 1 – 7
Min:Not at all clearMax:Extremely clear
Q21
Multiple Choice
What is the highest level of education you have completed?
- Less than high school
- High school or equivalent
- Some college or associate degree
- Bachelor's degree
- Graduate or professional degree
- Prefer not to say
Q22
Opinion Scale
How clear was the eConsent in explaining what procedures and visits are involved?
Scale: 1 – 7
Min:Not at all clearMax:Extremely clear
Q23
Multiple Choice
Is English your primary language?
- Yes
- No
- Prefer not to say
Q24
Opinion Scale
Overall, how easy was the eConsent to understand?
Scale: 1 – 7
Min:Very difficult to understandMax:Very easy to understand
Q25
Multiple Choice
In the last 12 months, how often did you need help reading medical forms or documents?
- Never
- Rarely
- Sometimes
- Often
- Always
- 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.
How it compares
We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.
Why this template
- Our template is purpose-built for post-consent evaluation of eConsent comprehension, not for capturing the consent signature itself — it measures clarity of purpose, risks, data use, withdrawal rights, and procedures via targeted opinion-scale items
- Includes an AI follow-up interview that adaptively probes respondents on their eConsent experience after the structured questions, something static form/survey builders cannot replicate
- Captures usability specifics (device used, location, time to complete, features used, layout/readability rating) plus a ranking question isolating what specifically made the eConsent hard to understand
- Collects health-literacy and demographic context (education, language, frequency needing help with medical forms) so comprehension gaps can be segmented by respondent characteristics, then rolls into an auto-generated report
Jotform
Clinical Trial Informed Consent Form TemplateThis is a fielding-ready form for capturing the informed consent signature/agreement itself, not a survey evaluating how well an eConsent was understood after the fact. It's built on Jotform's drag-and-drop form builder with e-signature support. Useful for the consent step itself, but it doesn't assess comprehension, usability, or decision confidence.
What it does well
- Ready-to-use, customizable form fields and layout via Jotform's builder
- Supports e-signature collection for the consent process itself
- Easy to embed or share as part of a clinical trial workflow
Where it falls short
- Designed to capture consent, not to evaluate comprehension or usability after the fact
- Static form fields only — no adaptive follow-up questioning to probe understanding gaps
- No mechanism for automated scoring of response quality or generating a comprehension/usability report
SurveySparrow
Patient Consent Form TemplateA general patient consent form template, not specific to clinical trials or eConsent usability assessment. It's positioned as a fielding-ready form for capturing patient consent, similar in purpose to Jotform's offering rather than a post-consent evaluation instrument. Its conversational survey format is a plus for engagement, but content is generic to patient consent rather than clinical-trial eConsent comprehension.
What it does well
- Conversational, one-question-at-a-time format that can feel less intimidating than a static form
- General healthcare template library suggests easy customization for various consent scenarios
- Fielding-ready with minimal setup
Where it falls short
- Not tailored to clinical trials or eConsent-specific comprehension/usability topics
- No adaptive AI interview or voice AI option to explore individual patient confusion points
- No built-in per-response quality scoring or auto-generated analytical report
QuestionPro
System Usability Scale Survey TemplateA generic System Usability Scale (SUS) instrument that could be adapted to measure usability of an eConsent platform, but it isn't tailored to clinical trials, informed consent content, or comprehension of risks/withdrawal rights/data use. It's a standardized, fielding-ready usability questionnaire rather than a domain-specific eConsent evaluation. Teams would need to build the consent-comprehension and demographic/health-literacy sections themselves.
What it does well
- Based on the well-established, validated SUS methodology for measuring perceived usability
- Fielding-ready and quick to deploy for general system usability measurement
- Standardized scoring approach familiar to UX researchers
Where it falls short
- Generic usability focus only — no items on consent comprehension, risk/withdrawal clarity, or decision confidence specific to clinical trials
- No adaptive AI or voice AI follow-up to probe why usability scores were low for a given respondent
- No health-literacy or demographic segmentation built in, and no automated qualitative report generation
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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