Ƶ

Survey Consent Form for the United States

Survey Consent Form Template for United States

A Survey Consent Form is a legal document used in the United States to obtain informed consent from individuals participating in research studies or surveys. It outlines the purpose of the research, participant rights, data handling practices, and potential risks or benefits. The document must comply with federal regulations including The Common Rule and state-specific privacy laws, while ensuring clear communication of all essential information to participants.

Your data doesn't train Genie's AI

You keep IP ownership of your information

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

Download a Standard Template

4.6 / 5
4.8 / 5
Access for free
OR

Alternatively: Run an advanced review of an existing
Survey Consent Form

Let Ƶ's market-leading legal AI identify missing terms, unusual language, compliance issues and more - in just seconds.

What is a Survey Consent Form?

The Survey Consent Form serves as a crucial legal and ethical document in research contexts across the United States. This document is essential whenever conducting research involving human subjects, whether in academic, commercial, or clinical settings. It ensures compliance with federal regulations such as The Common Rule (45 CFR 46) and state-specific privacy laws. The form typically includes detailed information about the study's purpose, procedures, risks, benefits, and data handling practices. Organizations must use this document to obtain informed consent before collecting any survey data, making it a fundamental component of ethical research practice.

What sections should be included in a Survey Consent Form?

1. Introduction: Purpose of the survey and research objectives

2. Participation Details: What participation involves, estimated time, type of questions

3. Voluntary Nature: Statement that participation is voluntary and can be withdrawn

4. Risks and Benefits: Any potential risks or benefits from participation

5. Confidentiality: How data will be protected and used

6. Contact Information: Who to contact with questions or concerns

7. Consent Statement: Explicit agreement to participate

What sections are optional to include in a Survey Consent Form?

1. Compensation: Details of any payment or reward for participation

2. Recording Permission: Permission to record responses or interviews

3. Future Research: Permission to use data in future studies

What schedules should be included in a Survey Consent Form?

1. Data Protection Notice: Detailed information about data handling and privacy practices

2. Survey Questions Preview: Sample or full list of survey questions if required by IRB

3. Withdrawal Form: Form for participants to formally withdraw from the study

Authors

Alex Denne

Head of Growth (Open Source Law) @ Ƶ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Jurisdiction

United States

Publisher

Ƶ

Document Type

Consent Form

Cost

Free to use
Clauses

























Industries

Common Rule (45 CFR 46): Federal Policy for the Protection of Human Subjects that provides basic regulations for research involving human subjects, including requirements for informed consent

HIPAA Privacy Rule: Federal regulation that establishes standards for the protection of individuals' medical records and other personal health information if health data is collected in the survey

COPPA: Children's Online Privacy Protection Act that imposes requirements on operators of websites or online services directed to children under 13 years of age

ADA Compliance: Americans with Disabilities Act requirements ensuring survey accessibility for participants with disabilities

CCPA: California Consumer Privacy Act that provides California residents with specific rights regarding their personal information if participants are from California

State Privacy Laws: Various state-specific data privacy laws and age of consent requirements that may affect survey administration and data collection

IRB Guidelines: Institutional Review Board requirements for research involving human subjects, including specific consent form elements and participant protections

Industry Standards: Professional guidelines from organizations like ESOMAR and AAPOR that establish best practices for market research and survey conduct

Data Protection Framework: Requirements for data collection, storage, sharing, transfer, and retention policies, including participant rights regarding their data

Ethical Requirements: Core principles including voluntary participation, right to withdraw, informed consent, clarity of purpose, and transparency about data use

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

Find the exact document you need

Consent Authorisation Form

A US-compliant legal document for obtaining and recording formal authorization for specific actions or information sharing, adhering to federal and state regulations.

Download

Parent Consent Letter For Marriage

A U.S. legal document providing parental consent for a minor's marriage, subject to state-specific requirements.

Download

Assent Forms

Not Found

Download

Parent Permission Letter

A U.S.-compliant legal document granting parental authorization for a minor's participation in specific activities or services.

Download

Basic Consent Form

A U.S.-compliant legal document used to obtain and document explicit permission from individuals for specific activities or information use.

Download

Massage Medical History Form

A HIPAA-compliant medical history and consent form for massage therapy services in the United States, designed to collect comprehensive client health information and treatment authorization.

Download

Massage Forms

U.S.-compliant massage therapy documentation package including intake, consent, and liability forms that meet federal and state requirements.

Download

Proxy Access Consent Form

A U.S. legal document authorizing a designated individual to access a patient's medical records and health information in compliance with HIPAA regulations.

Download

Nail Salon Consent Form

A U.S.-compliant legal document obtaining client consent for nail care services while protecting both service provider and client interests.

Download

Informed Assent Form

A U.S. legal document obtaining agreement from minors for research participation, complementing parental consent.

Download

Facial Consent Form Printable

A U.S.-compliant consent form for facial treatments that documents patient understanding and authorization of procedures.

Download

Picnic Consent Form

A U.S.-compliant consent form for picnic participants that addresses liability, safety, and emergency authorization requirements.

Download

Permission To Work Form For Minors

A U.S. legal form authorizing employment of minors, requiring parental consent and compliance with federal and state child labor laws.

Download

Parental Consent To Adoption Form

A U.S. legal document recording birth parents' voluntary consent to terminate parental rights for adoption purposes.

Download

Consent Letter For Internship

A U.S.-compliant formal document establishing agreement between intern and host organization, outlining internship terms and conditions.

Download

Consent Form For Treatment In Hospital

A U.S. healthcare document obtaining patient authorization for medical treatment while ensuring compliance with federal and state regulations.

Download

Consent Form Data Privacy

A U.S.-compliant legal document obtaining individual consent for personal data collection and processing under federal and state privacy laws.

Download

Anaesthesia Consent Form

A U.S. healthcare document obtaining patient consent for anesthesia services, complying with federal and state medical consent laws.

Download

3rd Party Consent Form

A U.S. legal document authorizing the sharing of information or rights with a third party while ensuring privacy law compliance.

Download

Secretary Consent Form

A U.S. legal document recording an individual's formal consent to serve as corporate secretary and acknowledging associated responsibilities.

Download

Security Guard Consent Form

A U.S.-compliant consent form for security guard employment that covers background checks, physical requirements, and key acknowledgments under federal and state laws.

Download

Recommended Consent Letter

A U.S.-compliant formal document used to obtain and record explicit permission from an individual for a specific purpose or action.

Download

Parents Consent Form For Trip

A U.S. legal document providing parental authorization for minor participation in organized trips, including medical consent and liability releases.

Download

Parent Consent Letter For Working Student

A U.S. legal document providing parental authorization for minor employment, ensuring compliance with federal and state labor laws.

Download

Parent Consent For Working Student

A U.S. legal document providing parental authorization for a minor's employment, complying with federal and state labor laws.

Download

Non Covered Services Consent Form

A U.S. healthcare document obtaining patient consent for services not covered by insurance or government programs.

Download

Access To Medical Records Consent Form

A HIPAA-compliant form used in the US to authorize the release of medical records to designated parties.

Download

Consent To Treat Form For Adults

A U.S. healthcare document obtaining patient authorization for medical treatment, compliant with federal and state regulations.

Download

Massage Consent Form

A US-compliant legal document obtaining client consent for massage therapy services while protecting both practitioner and client interests under federal and state regulations.

Download

Patient Consent Statement

A U.S. healthcare document recording patient's informed consent for medical procedures or treatments, compliant with federal and state regulations.

Download

Parents Consent Letter For Conducting Research

A U.S. legal document providing parental authorization for minor participation in research studies, ensuring compliance with federal and state regulations.

Download

Consent Letter To Use Property For Business

A U.S. legal document granting permission from a property owner to conduct business activities on their property.

Download

Consent Letter For Insurance Claim

A U.S.-compliant authorization document allowing insurance companies to process claims and access necessary information for claim settlement.

Download

Consent Letter For Adoption

A US legal document expressing birth parent(s) or guardian's formal consent to adoption, conforming to federal and state-specific requirements.

Download

Written Permission Form

A U.S.-compliant legal document that formally grants authorization from one party to another for a specific purpose or activity.

Download

Emergency Contact Parental Consent Form

A U.S.-compliant form authorizing emergency contacts and medical decisions for minors when parents/guardians are unavailable.

Download

Consent Letter For Rent Agreement

A U.S. legal document providing formal authorization for rental arrangements from relevant parties.

Download

Consent Letter For Loan Application

A U.S.-compliant authorization document allowing lenders to access and verify information for loan processing.

Download

Assent Form

A U.S.-compliant document used to obtain agreement from minors or individuals who cannot provide full legal consent.

Download

Consent Letter For Parents Permission

A U.S. legal document providing written parental authorization for activities or services involving minors.

Download
See more related templates

ұԾ’s Security Promise

Genie is the safest place to draft. Here’s how we prioritise your privacy and security.

Your documents are private:

We do not train on your data; ұԾ’s AI improves independently

All data stored on Genie is private to your organisation

Your documents are protected:

Your documents are protected by ultra-secure 256-bit encryption

We are ISO27001 certified, so your data is secure

Organizational security:

You retain IP ownership of your documents and their information

You have full control over your data and who gets to see it