Consent Form For Questionnaire Research Paper

General Consent Form Templates

Standard Adult Informed Consent Form – New!

Online Survey Consent FormNew! – for studies collecting data via an online survey

Informational Letter Consent  – Only for use in exempt, online studies that are not anonymous.  This consent template has also been approved for use by Medical College of Wisconsin, Milwaukee School of Engineering, Marquette University and Children’s Hospital of Wisconsin.

Parental Permission and Child Assent Form Templates

Parent Consent FormNew! – use in conjunction with the Child Assent form below

Child Assent FormNew! – typically used for children ages ~6-12

Combined Parent Consent and Child Assent FormNew! – Same as the Standard Adult Informed Consent; use with children ages ~12-17

Request to Waive Consent, Alter or Remove Elements of Consent or Waive Documentation of Consent

Request to Waive, Waive Documentation of Consent, or Alter Consent– Complete if you will not be obtaining consent, if you will be removing elements of consent from the consent form, or if you will not be obtaining a written signature on a consent form.


Informed Consent Form Templates

(language used throughout form should be at the level of a local student of class 6th/8th)

Notes to Researchers:
  • Please note that these are templates developed by the WHO ERC to assist the Principal Investigator in the design of their informed consent forms (ICF). It is important that Principal Investigators adapt their own ICFs to the outline and requirements of their particular study. The logo of the Institution must be used on the ICF and not the WHO logo.
  • The informed consent form consists of two parts: the information sheet and the consent certificate.
  • Do not be concerned by the length of these templates. They are long only because they contain guidance and explanations which are for you and which you will not include in the informed consent forms that you develop and provide to participants in your research.
  • These templates include examples of key questions that may be asked at the end of each section, that could ensure the understanding of the information being provided, especially if the research study is complex. These are just examples, and suggestions, and the investigators will have to modify the questions depending upon their study.
  • In these templates:
    • square brackets indicate where specific information is to be inserted
    • bold lettering indicates sections or wording which should be included
    • standard lettering is used for explanations to researchers only and must not be included in your consent forms. The explanation is provided in black, and examples are provided in red in italics. Suggested questions to elucidate understanding are given in black in italics.

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