Clinical Trial eConsent Survey Template: Clarity & Usability - Survey Template | QuestionPunk
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Clinical Trial eConsent Survey Template: Clarity & Usability

Measure patient understanding of eConsent in clinical trials. Evaluate clarity and usability to boost compliance. Customize this template.

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
dropdown
When did you most recently complete an eConsent for a clinical trial?
Q2
multiple choice
Which device(s) did you use to review or complete the eConsent?
  • Smartphone
  • Tablet
  • Laptop
  • Desktop computer
  • Clinic-provided shared device
  • Someone assisted by reading it to me
  • Other
Q3
multiple choice
Where did you complete most of the eConsent?
  • At the clinic with staff present
  • At home or outside the clinic
  • A mix of clinic and home
  • Other or not sure
Q4
numeric
About how many minutes did it take to review and complete the eConsent (including reading)?
Q5
matrix
Please rate how clear each aspect of the eConsent was.
Q6
opinion scale
Overall, how easy was the eConsent to understand?
Q7
multiple choice
Which features did you use, if any, while reviewing the eConsent?
  • 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
Q8
rating
Rate the layout and readability of the eConsent.
Q9
ranking
Rank any factors that made understanding harder (top = biggest barrier). You may skip if none.
Q10
multiple choice
Before deciding, were your questions answered?
  • I had no questions
  • Yes, by study staff
  • Yes, by the eConsent materials
  • Partly
  • No
Q11
opinion scale
How confident were you in your decision about participating after reviewing the eConsent?
Q12
multiple choice
Attention check: To confirm you are paying attention, please select Yes.
  • Yes
  • No
Q13
multiple choice
What is your age group?
  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65–74
  • 75+
  • Prefer not to say
Q14
multiple choice
How do you describe your gender?
  • Woman
  • Man
  • Non-binary
  • Prefer not to say
Q15
multiple choice
Where do you currently live?
  • North America
  • Europe
  • Latin America
  • Africa
  • Middle East
  • Asia
  • Oceania
  • Prefer not to say
Q16
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
Q17
multiple choice
What is your current employment status?
  • Employed full-time
  • Employed part-time
  • Self-employed
  • Unemployed and looking for work
  • Not working and not looking for work
  • Student
  • Retired
  • Unable to work
  • Caregiver or homemaker
  • Prefer not to say
Q18
multiple choice
Is English your primary language?
  • Yes
  • No
  • Prefer not to say
Q19
multiple choice
In the last 12 months, how often did you need help reading medical forms?
  • Never
  • Rarely
  • Sometimes
  • Often
  • Always
  • Prefer not to say
Q20
long text
What would make the eConsent clearer or easier for you?
Max 600 chars
Q21
ai interview
AI Interview: 2 Follow-up Questions on Your eConsent Experience
AI Interview
Q22
chat message
Thank you for completing the survey. Your feedback helps improve patient eConsent.

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