Consent form

Name:

Date:

Class:

Quick Questions

Shade in the A or B circle for each question.

1. What does a consent form record?

A A summary of the survey results collected from all participants

B The participant's signed agreement to take part after reading the information statement

2. Which consent form feature lets a participant agree to some uses of their data but not others?

A A tick box for each use of the data

B A single signature line at the top of the page

3. A consent form is complete when it has:

A A signature and a date

B A signature only

4. A 14-year-old student is invited to join an interview. Who signs the consent form?

A The student's parent or guardian

B Only the researcher running the interview

5. When should a participant read the information statement?

A After signing the consent form

B Before signing the consent form

Match the Pairs

Draw a line connecting each item on the left to its match on the right.

Left column		Right column
1[ ] I agree my survey answers may be used in the school report.		AA tick box that lets the participant agree to one specific use of their data
2Signature: ____________ Date: ___/___/___		BConsent must be for specific, listed uses. Agreeing to unlisted uses is not informed consent.
3A guardian must give consent when the participant is a minor		CThe participant signs and dates the form to record their agreement to take part
4Consent is given after reading the information statement		D[ ] I have read the Participant Information Statement.
5[x] I agree to everything, including uses not listed.		EA 14-year-old is a minor, so the guardian must also sign. The form has no guardian consent.
6Participant (age 14) signature: Sam Guardian: (blank)		FParent/Guardian name: ________ Signature: ________

Definitions

Consent form

Fill in the Blanks

Complete each line of code by filling in the missing parts.

I have read the _____________________.

[_] My answers may be used in the report

Participant signature: Ava Nguyen ____: 12/03/2026

If under 18, a ________ must sign this form

Tick one box for each ___ of your data

Spot the Error

Shade in the letter of the line that contains an error.

Question 1

A I did not read the info sheet.

B [x] Use my answers in report

C Signature: Mia Chen

D Date: 12/03/2025

Question 2

A Participant age: 12

B [x] Use answers in the report

C [ ] Quote me by name

D Signature: a friend of child

E Date: 04/05/2025

Question 3

A [x] Use my survey answers

B Signature: Ava Nguyen

C Date: (leave blank)

D [ ] Share my data with others

Question 4

A Info sheet given: 10/03/2025

B Signature: Leo Park

C Date: 05/03/2025

Question 5

A Participant: Zoe Ray

B [x] Use my marks in the report

C [ ] Quote me by name

D Signature: Ms Kim (teacher)

Answer Key

Consent form

Section A: Quick Questions

B — The participant's signed agreement to take part after reading the information statement

A — A tick box for each use of the data

A — A signature and a date

A — The student's parent or guardian

B — Before signing the consent form

Section B: Match the Pairs

[ ] I agree my survey answers may be used in the school report. → A tick box that lets the participant agree to one specific use of their data

Signature: ____________ Date: ___/___/___ → The participant signs and dates the form to record their agreement to take part

A guardian must give consent when the participant is a minor → Parent/Guardian name: ________ Signature: ________

Consent is given after reading the information statement → [ ] I have read the Participant Information Statement.

[x] I agree to everything, including uses not listed. → Consent must be for specific, listed uses. Agreeing to unlisted uses is not informed consent.

Participant (age 14) signature: Sam Guardian: (blank) → A 14-year-old is a minor, so the guardian must also sign. The form has no guardian consent.

Section C: Definitions

Consent form — A document where a participant ticks each use of their data, then signs and dates to agree to take part after reading the information statement. A guardian signs if the participant is a minor.

Section D: Fill in the Blanks

I have read the information statement.

[x] My answers may be used in the report

Participant signature: Ava Nguyen
Date: 12/03/2026

If under 18, a guardian must sign this form

Tick one box for each use of your data

Section E: Spot the Error

A — A person may only sign after reading the information statement. The line should say 'I read the information sheet.'

D — The participant is a minor, so a parent or guardian must sign. It should read 'Guardian signature: Kim Tran'. A friend cannot give consent.

C — A consent form needs a signature and a date. The date line must be filled in, for example 'Date: 02/03/2025'.

C — The date is before the information sheet was given (10/03/2025). Consent must be signed after reading it, so the date should be on or after 10/03/2025, such as 14/03/2025.

D — The participant must sign their own consent (or a guardian if they are a minor). A teacher or researcher cannot sign for them. It should be 'Signature: Zoe Ray'.