Consent Form Template

A consent form is used as an official document to indicate you agree to certain terms and conditions. It may also grant another person permission to do something on your behalf. Consent forms may be used in numerous situations:

  • Grant a child the right to travel alone
  • Give official permission to someone to use your property (e.g. your neighbour wants official permission to temporarily use your driveway due to remodelling)
  • Grant doctors permission to perform surgery and indicate you are aware of any risks

(adjust this template to meet your needs)

Consent Form Template

Consent Form Template

A consent form is used as an official document to indicate you agree to certain terms and conditions. It may also grant another person permission to do something on your behalf. Consent forms may be used in numerous situations:

  • Grant a child the right to travel alone
  • Give official permission to someone to use your property (e.g. your neighbour wants official permission to temporarily use your driveway due to remodelling)
  • Grant doctors permission to perform surgery and indicate you are aware of any risks

(adjust this template to meet your needs)

Consent Form Template
Sign up now to customize the Consent Form Template
To customize this template after signing up, choose ‘Consent Form' as example when creating a new survey.
To customize this template after signing up, choose ‘Consent Form' as example when creating a new survey.

Top Three Tips

  • Informed consent is not merely a form but a process. All necessary information must be clearly present and defined so that the person can make an informed, voluntary decision about what they are agreeing to. This involves informing about possible risks, extra costs and the purpose your permission is needed for.
  • Ideally, adult consent forms should be written in 8th-grade level English or lower. A reading score of 50 or higher is regarded as optimal in such situations, You can discover your reading score here.
  • Minimize the passive voice to the extent possible, use “we will send you the results”, instead of “the results will be sent to you”.

Why use Survey Anyplace as Consent Form Tool?

offline capabilities
Offline Capabilities
Let people sign the consent form both on- and offline. ideal for people who work remotely.
email follow-up
Automatic Alerts
Immediate inform responsible parties through automated email sending
Zapier integration
Zapier Integration
Integrate your consent forms with all your favorite apps or tools via our Zapier integration.
Easy survey editing
Quick & Easy
We at Survey Anyplace realized that paper reviews and forms are slow, messy and most of all, a thing of past. So we made all our software mobile optimized to ensure your consent forms run smoothly and effortlessly.

Consent Form Sample

To use this sample consent form template, sign up for Survey Anyplace , and choose ‘Consent Form’ as template when creating a new survey.

Consent Form Format

As can be seen in the above sample, the consent form should at least include the following information:

  • Information about researcher or research institution
  • Research purpose
  • Potential risks & hazards
  • Duration subject’s participation
  • Contact information
  • A statement that the agreement is voluntary

It is important that the consent form approvals are easy to understand, distribute, collect and organize. Online consent forms are far mor efficient  Mobile devices such as a tablet or smartphone are ideally suited for this task. All our forms and surveys are mobile optimized to provide the most user-friendly experience we can offer.

Be prepared for the unexpected with our Consent Form Tool