Stephen F. Austin State University

Consent Checklist

Please follow the checklist below when constructing your informed consent for adult participants.
Please note that some items may not apply to your study.

Download a PDF version of the Informed Consent Checklist listed below.

Informed Consent Checklist

____ A statement that the study involves research.

____ An explanation of the purposes of the research.

____ The expected duration of the subject's participation.

____ Identification of any procedures which are experimental.

____ A description of any reasonably foreseeable risks of discomforts to the subject.

____ A description of any benefits to the subject or to others which may reasonably be expected from the research.

____ A disclosure of appropriate alternative procedures or courses of treatment, if any, that might be advantageous to the subject.

____ A statement describing the extent, if any, to which confidentiality of records identifying the subject will be maintained.

____ For research involving more than minimal risk, an explanation as to whether any compensation is due, and an explanation as to whether any medical treatments are available if injury occurs, and, if so, what they consist of, or where further information may be obtained.

____ An explanation of whom to contact for answers to pertinent questions about the research and research subject's rights, including the faculty sponsor's name and contact information if the investigator is a student.

____ A statement that participation is voluntary, refusal to participate will involve no penalty or loss of benefits to which the subject is otherwise entitled, and the subject may discontinue participation at any time without penalty or loss of benefits, to which the subject is otherwise entitled.

____ A statement that the subject or the subject's legally authorized representative will receive a copy of the information consent statement.