Survey Consent Form

Survey Consent Form Template for Singapore

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Key Requirements PROMPT example:

"I need a Survey Consent Form for a medical research study at Singapore General Hospital, involving collection of patient health data and genetic information, which must comply with both PDPA and Human Biomedical Research Act requirements for a study starting in March 2025."

Document background

The Survey Consent Form is a crucial document required when conducting research involving human participants in Singapore. It ensures compliance with the PDPA 2012, Protection from Harassment Act, and other relevant legislation. This document should be used whenever collecting personal data through surveys, questionnaires, or research studies. The form includes essential information about data collection methods, participant rights, confidentiality measures, and withdrawal procedures. It serves as both a legal protection for researchers and an informational tool for participants, ensuring informed consent and regulatory compliance in Singapore's strict data protection environment.

Suggested Sections

1. 1. Survey Introduction: Brief overview of the survey purpose, conducting organization, and background information

2. 2. Data Collection Details: Comprehensive explanation of what information will be collected, methods of collection, and duration

3. 3. Privacy and Confidentiality: Details of data protection measures, storage methods, and compliance with PDPA requirements

4. 4. Participant Rights: Clear statement of participant rights including withdrawal, data access, and complaint procedures

5. 5. Consent Declaration: Formal statement of consent with signature block and date

Optional Sections

1. Compensation Information: Details about any payment, reward, or reimbursement for participation in the survey

2. Medical Disclaimer: Health-related warnings and disclaimers for surveys involving medical or health-related questions

3. Third-Party Data Sharing: Information about how and with whom the collected data may be shared outside the primary research team

Suggested Schedules

1. Appendix A - Contact Information Sheet: Complete contact details for researchers, supervisors, and data protection officers

2. Appendix B - Data Protection Statement: Detailed explanation of specific data protection measures and compliance with PDPA requirements

3. Appendix C - Withdrawal Form: Template form for participants to formally withdraw from the survey and request data deletion

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
Public Sector
Social Research

Relevant Teams

Research & Development
Legal
Data Protection
Marketing
Customer Insights

Relevant Roles

Research Director
Data Protection Officer
Market Research Manager
Academic Researcher
Survey Coordinator

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Authors

Alex Denne

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