UCLA Office of the Human Research Protection Program (OHRPP) - Research Participant Survey
We would like to learn more about the informed consent process for participation in research studies at UCLA. Your opinion as a research participant is important to us.

If you would like to submit your feedback in a different way, or you would like to speak to an OHRPP staff member directly, you may contact OHRPP by phone, fax, mail or e-mail:

UCLA Office of the Human Research Protection Program
Box 951406
Los Angeles, CA 90095-1406

Telephone: (310) 206-2040
Fax: (310) 794-9565
E-Mail: participants@research.ucla.edu

Completing this survey will take about 10 minutes.
Which of the following describe the type of study in which you participated? (Check all that apply): *
The research study was explained to me by (Check all that apply): *
Please rate how well the following parts of the research study were explained to you: *
Very Well
Fairly Well
Not Sure
Very Poorly
What the researchers wanted to learn
Possible risks or discomforts
Possible benefits
How much time it would take
If you could stop being in the study
Alternatives, if any, to being in the study
Protection of your private information
Costs if you participated
Who to contact with questions
Thinking about the study, tell us about your experience with each statement: *
Not Sure
I felt comfortable asking questions about the study.
I was given enough information to make an informed choice about whether or not to be in the study.
I was given enough time to think about whether I wanted to be in the study.
Based on your experience, would you participate in another study at UCLA? *
If you would not participate in another study at UCLA, is there a reason why?
Please tell us a little about yourself:
Gender: *
Age: *
Ethnicity: *
Highest level of education: *
May we contact you about your responses? *
If yes, please provide your name, phone number, mailing address and/or e-mail address below. Thank you for your time. For additional information about participation in research at UCLA, please visit this link: http://ora.research.ucla.edu/OHRPP/Pages/ResearchParticipantsInfo.aspx
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy