The Survey Consent Form is a critical document required for any research or survey activity involving human participants in the Philippines. This document ensures compliance with the Data Privacy Act of 2012 (RA 10173) and Philippine research ethics guidelines. It should be used whenever conducting surveys, research studies, or data collection activities involving human participants. The form includes essential information about the study's purpose, methodology, data handling procedures, and participant rights. Survey Consent Forms are particularly important in protecting both the participants' rights and the researchers' interests, while ensuring transparent communication about data collection and usage. The document must be written in clear, understandable language and, when necessary, translated into local dialects to ensure genuine informed consent.
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1. Title and Introduction: Clear identification of the document as a Survey Consent Form, including the study title and organizing institution
2. Purpose of the Study: Clear explanation of research objectives and why the study is being conducted
3. Participation Procedures: Description of what participation involves, including survey format, duration, and types of questions
4. Data Collection and Usage: Explanation of what information will be collected and how it will be used, in compliance with the Data Privacy Act
5. Voluntary Participation: Statement affirming that participation is voluntary and can be withdrawn at any time
6. Risks and Benefits: Description of any potential risks or discomforts and benefits of participation
7. Confidentiality Measures: Explanation of how participant privacy will be protected and data will be secured
8. Contact Information: Details of researchers, institution, and relevant contact persons for questions or concerns
9. Participant Declaration: Formal consent statement and space for participant signature/acknowledgment
1. Compensation Information: 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 Population Considerations: Required when participants are from vulnerable groups (minors, elderly, etc.)
5. Translation Statement: Include when the form is translated from English to local languages
6. Recording Consent: Required when audio/video recording or screenshots will be part of the survey
7. Medical Information Handling: Include when health-related data will be collected
1. Survey Questions Preview: Sample or complete list of survey questions for participant review
2. Data Privacy Notice: Detailed privacy notice as required by the Data Privacy Act
3. Participant Rights: Comprehensive list of participant rights under Philippine law
4. Institution Credentials: Research institution's credentials and relevant certifications
5. Withdrawal Procedures: Detailed procedures for withdrawing from the study
6. Data Security Protocols: Technical details of data protection measures
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Research Director
Data Protection Officer
Research Analyst
Market Research Manager
Academic Researcher
Ethics Committee Member
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Survey Administrator
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Human Resources Manager
Clinical Research Coordinator
Quality Assurance Manager
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