Research Study Evaluation Form
Please provide your evaluation of the research study.
Participant Full Name
First Name
Last Name
Email Address
example@example.com
Date of Participation
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Overall Satisfaction with the Study
1
2
3
4
5
Clarity of Instructions
1
2
3
4
5
Relevance of Study Topics
1
2
3
4
5
Would you recommend participating in this study to others?
Yes
No
Additional Comments or Suggestions
Submit
Should be Empty: