Q01
Message
All templatesEducation & Academic
Informed Consent Comprehension Assessment
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.
Sample questions
A preview of what’s in the template. Every question is editable before you launch.
17 questions · ~8 min
Q02
Multiple Choice
Did you read the consent information provided to you?
- Yes, completely
- Yes, partially
- No
- Not sure
Q03
Multiple Choice
Based on the consent information: Your participation in this study is entirely voluntary.
- True
- False
- Not sure
Q04
Opinion Scale
How confident are you that you understand your rights as a participant in this study?
Scale: 1 – 7
Min:Not at all confidentMax:Very confident
Q05
Dropdown
What is your age group?
- 18–24
- 25–34
- 35–44
- 45–54
- 55–64
- 65 or older
- Prefer not to say
Q06
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.
Q07
Opinion Scale
How well do you feel you understand the consent information you reviewed?
Scale: 1 – 7
Min:Not at allMax:Very well
Q08
Multiple Choice
Based on the consent information: Your individual responses may be shared publicly with your name attached.
- True
- False
- Not sure
Q09
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.
Q10
Multiple Choice
What is your gender?
- Woman
- Man
- Non-binary
- Prefer not to say
Q11
Multiple Choice
Based on the consent information: You may withdraw from the study at any time without penalty.
- True
- False
- Not sure
Q12
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?
Q13
Dropdown
In which region do you currently reside?
- Africa
- Asia
- Europe
- North America
- South America
- Oceania
- Prefer not to say
Q14
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
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
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
Q17
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
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
- Directly tests comprehension with multiple-choice items covering voluntariness, public sharing of data, and withdrawal rights, rather than just collecting a signature
- Pairs self-rated understanding (opinion scale) with actual knowledge-check questions, letting researchers spot gaps between perceived and real comprehension
- Includes an AI follow-up interview to probe further when a participant's answers suggest incomplete understanding, plus an open-text field for lingering questions
- Captures demographic dropdowns (age, region, education, employment status) so researchers can analyze comprehension patterns across subgroups, backed by automated per-response quality scoring and auto-generated reports for IRB documentation
Jotform
Research Informed Consent Form TemplateThis is a research consent form for collecting participant agreement and signatures, not a comprehension-verification instrument — it documents that consent was given rather than testing whether it was understood. It's a ready-to-field template within Jotform's general form builder, useful for the consent-collection step but not for IRB comprehension checks. Researchers needing both consent capture and comprehension verification would need a separate instrument for the latter.
What it does well
- Established, widely-used form builder with fast template deployment
- Likely supports e-signature and standard consent-document fields
- Familiar interface for researchers already using Jotform for other study logistics
Where it falls short
- Static question set with no adaptive follow-up to probe whether a participant actually understood the consent terms
- No automated scoring or reporting specifically measuring comprehension accuracy
- No AI interview (text or voice) option to explore misunderstandings qualitatively
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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