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 clearyly 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 writting 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?

Quick & Easy
We at Survey Anyplace realized that paper consent forms and forms are slow, messy and a thing of past and made all our software mobile optimized to ensure you can perform at your absolute best
Photo Upload
Deliver employee reviews directly into the right mailbox. Share your  employee reviews with Email Invitations, stay in touch through Variable Confirmation Emails and keep your communication in order with Respondent Grouping.
Automatic Alerts
Immediate awareness of responsible parties through automated email sending
Serious Set-Up Functionalities
Configure your consent form in all sorts of way with features like Offline Mode, Multiple Languages or Save and Continue

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:

  • Informationreporter about reasercher or research institution
  • Research purpose
  • Potential risks & hazards
  • Duration subject’s participation
  • Contact information
  • Statement that the agreement is volunatry

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.

Looking for more survey templates and examples?

Be prepared for the unexpected with our Consent Form Tool