Survey Consent Form

Survey Consent Form Template for South Africa

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Key Requirements PROMPT example:

"I need a Survey Consent Form for a market research study involving online data collection from adult participants across South Africa, with specific provisions for sharing anonymized data with international research partners by March 2025."

Document background

A Survey Consent Form is essential for any research or data collection activity involving human participants in South Africa. This document is required to comply with the Protection of Personal Information Act (POPIA) and other relevant South African legislation, including the National Health Act for health-related research. The form should be used prior to conducting any survey, questionnaire, or research study where personal information will be collected. It provides participants with comprehensive information about the study's purpose, data collection methods, privacy protections, and their rights, while documenting their informed consent. The document is particularly crucial in ensuring ethical research practices and legal compliance in the South African context, where data protection regulations require explicit consent for personal information processing.

Suggested Sections

1. Title and Introduction: Clear identification of the document as a Survey Consent Form and brief introduction to the research/survey purpose

2. Researcher/Organization Information: Details of the organization/individuals conducting the survey, including contact information and institutional affiliations

3. Purpose of the Survey: Clear explanation of why the survey is being conducted and how the results will be used

4. Participant Rights and Voluntary Nature: Statement of voluntary participation, right to withdraw, and explanation that there are no negative consequences for non-participation

5. Data Collection and Processing: Description of what information will be collected, how it will be collected, and how it will be processed and stored

6. Confidentiality and Privacy: Explanation of how participant privacy will be protected and data will be kept confidential in accordance with POPIA

7. Risks and Benefits: Description of any potential risks or discomforts and any benefits of participation

8. Data Retention and Destruction: Information about how long data will be kept and how it will be destroyed

9. Declaration and Signature: Formal consent statement and space for participant signature and date

Optional Sections

1. Compensation Information: Details of any compensation or incentives offered for participation, if applicable

2. Third Party Data Sharing: Information about sharing data with third parties or other researchers, if applicable

3. International Data Transfers: Details about cross-border data transfers if data will be processed or stored outside South Africa

4. Recording Consent: Specific consent for audio/video recording if the survey includes recorded components

5. Parental/Guardian Consent: Additional consent section for surveys involving minors or individuals who cannot provide consent themselves

6. Future Research Use: Specific consent for using the data in future research projects

Suggested Schedules

1. Survey Questions Overview: Summary or example of the types of questions that will be asked in the survey

2. Privacy Policy: Detailed privacy policy of the organization conducting the survey

3. Data Protection Protocol: Detailed information about data security measures and protocols

4. Contact Information Sheet: Comprehensive list of contact details for researchers, ethics committee, and data protection officer

5. Withdrawal Form: Template form for participants to request withdrawal from the study and deletion of their data

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

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Academic Research

Market Research

Healthcare

Social Sciences

Education

Financial Services

Public Sector

Non-Profit Organizations

Consumer Goods

Technology

Professional Services

Healthcare Research

Clinical Research

Marketing Services

Relevant Teams

Legal

Compliance

Research & Development

Data Protection

Ethics

Clinical Operations

Market Research

Academic Research

Data Analytics

Marketing

Quality Assurance

Regulatory Affairs

Relevant Roles

Research Director

Data Protection Officer

Research Coordinator

Market Research Analyst

Ethics Committee Member

Legal Counsel

Compliance Officer

Research Administrator

Project Manager

Survey Administrator

Research Ethics Officer

Data Privacy Manager

Research Scientist

Clinical Research Coordinator

Marketing Manager

Academic Researcher

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