Study Participant Screening Template
Researchers use this form to screen potential study participants by collecting eligibility, age range, relevant health conditions, availability, and contact details.
When to use it
- Recruiting participants for a health research study
- Checking basic eligibility before scheduling a screening call
- Finding out when interested participants can take part
- Collecting contact details for follow-up
What it asks
- What is your name?
- What is your email address?
- What is your phone number?
- What is your age range?
- Do you meet the study’s eligibility requirements?
- What relevant health conditions do you have?
- When are you available to take part?
Why it should be encrypted
Answers may reveal health conditions and personal contact details. They should be readable only by the research staff who need them, not SealForm or people outside the study team.
Tips
- Explain the study’s eligibility requirements in clear, simple language.
- Ask only for health details needed for initial screening.
- Include a preferred way to contact participants and a suitable time to reach them.