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Research Participant Screener

Use this research participant screener template to collect eligibility, experience, availability, accessibility, contact, and consent details for adult studies.

Pages
5 + Confirmation
Fields
13
Structure
Multi-Page
Compatibility
Pro Required

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Best For
UX Research Teams Academic Researchers Product Teams Research Agencies Interview Studies
Includes
Choice fields Written answers Consent and checkboxes Contact details Conditional logic

Introductory content; no answers are collected on this page.

  • Are you 18 years old or older? Single choice Required
  • Country or region of residence Short answer Required
  • I agree to submit these answers for participant screening. Checkbox Required

  • Which statement best describes your experience with the topic? Single choice Required
  • Have you joined related research in the last six months? Single choice Required
  • Briefly describe your relevant experience Long answer

  • General availability Multiple choice Required
  • Preferred session format Single choice Required
  • Accessibility or participation needs Long answer

  • Full name Short answer Required
  • Email address Email Required
  • Phone number Phone number Required
  • Preferred contact method Single choice Required

Submission Received Confirmation ending

Shown after a successful form submission.

Not eligible Confirmation ending

Shown after a successful form submission.

Before You Publish

Three quick checks help make the copied template ready for your audience.

  1. Customize the Content

    Replace sample copy, labels, choices, and images with details that match your audience and workflow.

  2. Review the Questions

    Keep only the information you need, confirm required fields, and review options, limits, and consent text.

  3. Test the Experience

    Complete the form on desktop and mobile, check every route and validation state, and verify the confirmation and notifications.

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