Anonymous survey consent form
An anonymous survey consent form is used to collect consent from individuals who agree to participate in a survey that will not collect any identifying information about them.
Time to complete
1 minute
Eligibility
The form should be filled out by those individuals who agree to participate in the survey anonymously.
Questions for Anonymous survey consent form
1.
In order to participate in this survey, you must accept the following terms:
2.
I understand that this survey is voluntary and that I may refuse to answer any questions I do not wish to answer.
The answer should be a single choice:
- Accept
- Decline
3.
I understand that the information I provide will be kept confidential and will only be used for research purposes.
The answer should be a single choice:
- Accept
- Decline
4.
I understand that I will not receive any compensation for participating in this survey.
The answer should be a single choice:
- Accept
- Decline
5.
I have read and understood the above terms. I hereby give my consent (with signature) to participate in this survey.
The answer should be a signature.
Similar Ideas
- Informed consent form
- Research consent form
- Participant information sheet
Here are some FAQs and additional information
on Anonymous survey consent form
What is an anonymous survey?
An anonymous survey is a survey that does not collect any personally identifiable information from respondents. This means that respondents' answers cannot be traced back to them and they remain completely anonymous.
Why would I want to use an anonymous survey?
There are many reasons why you might want to use an anonymous survey. Anonymous surveys can be used to collect sensitive information from respondents without them feeling uncomfortable or embarrassed. They can also be used to collect honest feedback about a product or service.
How do I create an anonymous survey?
There are many ways to create an anonymous survey. You can use an online survey tool like BlockSurvey.
How do I collect responses to my anonymous survey?
There are many ways to collect responses to your anonymous survey. You can use an online survey tool like BlockSurvey.
Want to use this template?
Loved by people at home
and at work
“BlockSurvey is a simple, effective, and scalable tool for creating surveys for leadership and learning assessment. It's one of this year's best buying choices. Each month, it keeps improving and strives to serve its customers needs.”
Nelson Emilio
Personal Branding Strategist
“I use BlockSurvey to get feedback about all my activities and events. It is really easy to get started and create my first surveys! Then I could see how easy it was to share them. Now I am thinking to use BlockSurvey also within my creative process as an author in order to listen and engage with my audience, knowing that anonymity provides the most sincere and reliable answers.”
Georgina García-Mauriño
Author & Designer
What's next? Try out templates like
Anonymous survey consent form
1000+ Templates, 50+ Categories
Want to create secure online forms and surveys?
Join BlockSurvey.
Welcome to BlockSurvey
Finally, build secure surveys. It only takes seconds to sign up.