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Survey Consent Form Template for Belgium

A Survey Consent Form compliant with Belgian law and EU GDPR requirements, designed to obtain informed consent from participants in research studies or surveys. This document outlines the purpose of data collection, participant rights, data protection measures, and privacy safeguards in accordance with Belgian Data Protection Act and EU regulations. It includes mandatory disclosures about data processing, storage, and participant withdrawal rights, while ensuring transparency and legal compliance in research activities conducted within Belgian jurisdiction.

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What is a Survey Consent Form?

The Survey Consent Form is a crucial legal document required for any research activity involving data collection from human participants in Belgium. This document ensures compliance with both the EU General Data Protection Regulation (GDPR) and Belgian data protection laws, particularly the Law of 30 July 2018. The form must be provided to and signed by participants before any data collection begins, documenting their informed consent and understanding of how their data will be used. It serves as a legal record of the participant's agreement to take part in the research while protecting both the participants' rights and the researchers' interests. The document should be updated regularly to reflect any changes in data protection laws or research protocols.

What sections should be included in a Survey Consent Form?

1. Introduction: Identifies the research organization/researcher and explains the purpose of the consent form

2. Survey Purpose: Clearly states the objectives of the survey and its intended use

3. Participant Rights: Outlines the voluntary nature of participation and right to withdraw

4. Data Collection: Details what information will be collected and how

5. Data Protection: Explains how personal data will be stored, processed, and protected in accordance with GDPR

6. Confidentiality: Describes measures to maintain participant privacy and data confidentiality

7. Duration and Procedure: Explains how long the survey will take and what it involves

8. Risks and Benefits: Outlines any potential risks and benefits of participation

9. Contact Information: Provides details for questions or concerns

10. Consent Declaration: Formal statement of consent with signature/acknowledgment space

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

1. Compensation: Include when participants will receive payment or incentives for participation

2. Third Party Data Sharing: Required when data will be shared with other organizations or researchers

3. Future Research Use: Include when data may be used for future research purposes

4. Special Category Data Notice: Required when collecting sensitive personal data (health, ethnicity, etc.)

5. Parental Consent: Required for participants under 18 or lacking capacity to consent

6. Recording Notice: Include when audio/video recording is part of the survey

7. Translation Declaration: Required when the form is provided in multiple languages

What schedules should be included in a Survey Consent Form?

1. Data Processing Details: Detailed information about data processing activities and security measures

2. Survey Questions Preview: Sample or complete list of survey questions for participant review

3. Privacy Notice: Detailed privacy policy and data protection information as required by GDPR

4. Withdrawal Form: Template form for participants to withdraw their consent

5. Child Consent Supplement: Additional forms and information for underage participants

Authors

Alex Denne

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

Jurisdiction

Belgium

Publisher

Genie AI

Document Type

Consent Form

Cost

Free to use

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