Survey Consent Form Template UK

The Survey Consent Form Template UK is offered in multiple formats, including PDF, Word, and Google Docs, featuring both editable and printable versions.

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Sample

Survey Consent Form Template UK

Editable – Printable

PDF – 1 PDF – 2

Survey Consent Form Template UK

1. Participant Information


2. Research Study Information


3. Purpose of the Study

4. Description of Participation

5. Voluntary Participation

6. Risks and Benefits

7. Confidentiality of Data

8. Contact Information

9. Consent Statement



PDF

WORD

Examples

Survey Consent Form Template UK (1)
Title:
Participant Consent Form for [Title of the Survey]
Researcher Information:
[Name of the Researcher]
[Institution/Organization]
[Contact Information]
Purpose of the Study:
This survey aims to [describe the purpose of the survey, e.g., understand public opinion on a specific issue, gather data for research, etc.].
Voluntary Participation:
Your participation is completely voluntary. You may choose not to participate or withdraw at any time without any consequences.
Confidentiality:
All information collected in this survey will be kept confidential and used solely for research purposes. Your identity will not be disclosed to any third parties.
Procedure:
If you agree to participate, you will be asked to complete a [describe the survey format, e.g., online questionnaire, telephone interview] that will take approximately [duration, e.g., 15 minutes] to complete.
Risks and Benefits:
There are no known risks associated with this survey. Your participation may contribute to [describe potential benefits, e.g., advancements in knowledge, informing policy, etc.].
Consent:
By signing below, you indicate that you have read and understood the information provided and agree to participate in this survey.
Participant Signature:
______________________________________
[Name of Participant]
________________________
[Date]
Survey Consent Form Template UK (2)
Title:
Participant Consent Form for [Title of the Survey]
Research Project:
Conducted by [Researcher/Institution Name] for [specify field or purpose].
Background:
This survey addresses [briefly explain the issue/topic the survey addresses and its relevance].
Eligibility:
You must be [state eligibility criteria, e.g., over 18 years of age, residents of a specific area, etc.] to participate.
Data Collection:
Data will be collected using [specify collection methods, e.g., surveys, interviews], and will involve questions regarding [briefly describe what the survey will ask].
Withdrawal:
You may withdraw from the study at any point without any reasons or consequences to your participation.
Data Retention:
Your responses will be stored securely and will be deleted after [duration] unless otherwise agreed. Personal identifiers will not be retained.
Contact Information:
For any questions regarding your rights as a participant, you may contact [Independent Ethical Review Board or similar contact].
Consent:
By signing below, I consent to participate in the study as outlined above and understand my rights and the nature of the research.
Participant Signature:
______________________________________
[Name of Participant]
________________________
[Date]

Printable

PDF – 1 PDF – 2

Survey Consent Form Template UK