25 Questions for a Travel Agency Customer Satisfaction Survey Free form template
Informed consent form for survey research. Participants agree before the first question.
An information sheet on the welcome screen, five consent statements, an optional follow-up interview and five optional questions about the participant. Fill in the bracketed parts, add your study questions and have the final wording approved by your ethics committee.
Free plan: 100 responses a month and up to 50 surveys, no credit card.
The template’s real survey on a phone.
- 12 ready questionsAbout 2 min on a phone.
- Yours to changeQuestions, answers and logic.
- A ready reportA chart for every closed question.
- Export on every planCSV, Excel and SPSS.
Consent comes before data. Each participant reads what the study is about and agrees to it, one statement at a time, before you collect a single answer.
The 12 questions in this survey consent form.
In the order participants meet them. The wording is a starting point: your ethics committee or your organisation’s rules decide the final text.
Consent statements
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I have read the information about this study.
Why ask it. Confirms the participant has seen the information sheet on the welcome screen. A No ends the survey.
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I am 18 years of age or older.
Why ask it. Keeps minors out of a study meant for adults. A No ends the survey, so they never reach your study questions.
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I understand that taking part is voluntary and that I can stop at any time without giving a reason.
Why ask it. The participant’s right to withdraw, stated in their own agreement and not only on the information sheet.
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I agree that my answers may be used in reports and publications without my name or any details that could identify me.
Why ask it. Permission to publish the results, on the condition that no one can be identified in them.
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I agree to take part in this study.
Why ask it. The consent itself. Only participants who answer Yes to all five statements go on to your study questions.
Follow-up interview
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May we contact you later about a follow-up interview?
Why ask it. Recruits interviewees from the survey. A No skips the e-mail question. Delete both questions if your study has no second stage.
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Your email for the follow-up
Why ask it. Shown only to participants who said Yes. Their answers are no longer anonymous, and the description of the question before it tells them so.
About the participant
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What is your age group?
Why ask it. Describes who took part, in bands that start at 18 to match the age statement.
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What is your gender?
Why ask it. Lets you report the make-up of the sample. The Other field lets participants describe themselves.
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In which country do you live?
Why ask it. An open answer, so participants from any country can reply. Delete it if your study runs in one country.
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What is the highest level of education you have completed?
Why ask it. A common variable for comparing groups in the analysis. Rename the levels to match your country’s system.
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Which best describes your current employment status?
Why ask it. Completes the demographic profile. Like every question in this block, it is optional and can be declined.
How to set up a survey consent form from this template.
- 1
Copy the form
Click “Use this template” and create a free account or log in. The form is copied to your account with all 12 questions and the logic. The copy waits in your survey list as a draft.
- 2
Fill in the information sheet
Replace every part in square brackets on the welcome screen: the study title, who runs it, its purpose, how long data is kept, who sees it and the contact e-mail. Add the ethics approval reference if you have one.
- 3
Add your study questions
Put your research questions after the consent block. Then send the final wording to your ethics committee or check it against your organisation’s rules before anyone answers.
- 4
Share it and track consent
Send the link to participants or print the QR code for recruitment posters. The report shows how many people agreed to each statement.
How to work with the consent answers.
Who agreed, and who stopped
Each consent statement gets a chart of Yes and No answers. A No at any of the first five ends the survey, so the chart shows where people decided not to take part.
Describe your sample
The demographic block gives you age, gender, country, education and employment for the methods section. Export everything to Excel, CSV or SPSS on any plan.
A list for the interviews
Participants who agreed to a follow-up left an e-mail. On Basic and higher plans, filter the responses by that Yes and invite them from one list.
How to get consent right.
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Let your committee set the text
This wording is a starting point. Your ethics committee, your institution or your organisation’s rules decide the final text, and this page is not legal advice.
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Keep the promise of anonymity
Turn on anonymous mode, available on every plan, to hide IP address, country, browser and device. Remember that participants who leave an e-mail for the follow-up are no longer anonymous.
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Write the information sheet for a phone
Short paragraphs with bold headings are read on a small screen. Say how long the survey takes and how to stop at any time.
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One checkbox for a short survey
For a short, low-risk questionnaire, a consent checkbox on the submit button can replace the five statements. It works on Standard and higher plans.
More consent and research questions you can add.
Not in the template. Add any of them in the builder in a few clicks, if your ethics committee asks for them.
More consent statements
- I agree that my anonymised answers may be shared with other researchers.
- I agree that my answers may be stored for future studies on the same topic.
- I understand who to contact if I have a concern about this study.
Eligibility
- Do you currently live in [country or region]?
- Have you [used the service / worked in the sector] in the last 12 months?
- Have you taken part in an earlier stage of this study?
Background
- What is your current occupation or field of study?
- Which language do you speak most often at home?
- Do you live in a city, a town or a rural area?
Free tools for your results
- Sample size calculatorHow many participants your study needs before the results mean something.
- Margin of error calculatorHow precise your percentages are with the number of people who agreed to take part.
- Survey dropout calculatorHow many people leave between the consent block and the last question.
- What informed consent isWhat participants need to know before they agree, and how to ask for it.
- Surveys for academic researchRun a study from the consent form to the data your analysis needs.
- A survey for your thesisHow to design and run the survey for your thesis, step by step.
More templates
Questions about this template
What should an informed consent form for a survey include?
Who runs the study and how to contact them, what it is about, how long it takes, that taking part is voluntary and can stop at any time, what data is collected, how long it is kept and who sees it, and how results are reported. This template puts all of it on the welcome screen and asks for agreement in five statements.
Can I use this text as it is?
Use it as a starting point. Fill in the bracketed parts and have the final wording approved by your ethics committee, or check it against your organisation’s rules. Requirements differ by country and institution, and this template is not legal advice.
Is this a signed consent form?
No. SurveyNinja has no e-signature. Consent is recorded as Yes answers in each participant’s response. If your committee requires a signature, collect it on paper or with an e-signature service.
What happens if someone answers No?
A No to any of the first five statements takes the participant straight to the end of the survey. They see the thank-you screen and answer none of your study questions.
Can participants stay anonymous?
Yes. The form asks for no name. Anonymous mode, on every plan, hides IP address, country, browser and device. Only participants who agree to a follow-up interview leave an e-mail, and the form tells them their answers will no longer be anonymous.
Can I use it for participants under 18?
Not as it is. The form is written for adults and ends the survey for anyone under 18. Studies with minors usually need a parent’s or guardian’s consent as well, so ask your ethics committee how to collect it.
Ask for consent before the first answer.
Copy the form, fill in your information sheet and add your study questions after it.