View and download real interview consent form samples and examples. Covers research, journalism, dissertation, UX, and podcast use cases. Copy or download free.
A general-purpose sample suitable for any interview type.
INTERVIEW CONSENT FORM Study Title: [Insert Study Title] Researcher: [Researcher Name], [Institution] Contact: [Email Address] | [Phone Number] ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ PURPOSE You are invited to participate in a research interview. The study aims to [describe research objective]. This project has been approved by [IRB/Ethics Board Name], Protocol No. [XXXX]. WHAT YOU WILL BE ASKED TO DO You will be interviewed for approximately [duration]. The interview will cover topics related to [subject matter]. With your permission, the interview will be [audio/video] recorded for transcription purposes only. YOUR RIGHTS • Participation is entirely voluntary • You may withdraw at any time without penalty • You may decline to answer any question • You may request that recording be stopped at any time CONFIDENTIALITY All information you provide will be kept confidential. [Describe storage method, anonymization approach, and data retention period.] RISKS AND BENEFITS The risks of participation are minimal. There are no direct benefits to you, though your participation will contribute to [research purpose]. ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━ CONSENT I have read and understood the information above. I voluntarily agree to participate. Participant Name (print): ______________________________ Participant Signature: _______________________________ Date: __________ Researcher Signature: ________________________________ Date: __________
Comprehensive IRB-compliant sample for academic research interviews.
RESEARCH INTERVIEW CONSENT FORM — SAMPLE Study Title: [Insert Study Title Here] Principal Investigator: [Name, Degree], [Department] Institution: [University/Organization Name] IRB Protocol No.: [XXXXXX] Contact: [email] | [phone] ───────────────────────────────────────────────────────── INTRODUCTION You are being asked to participate in a research study. Please read this form carefully. Ask questions about anything you do not understand before deciding whether to participate. PURPOSE OF THE STUDY The purpose of this study is to [describe the research objective and significance]. Approximately [number] participants will take part in this study. WHAT YOU WILL BE ASKED TO DO You will participate in a one-on-one interview lasting approximately [duration]. The interview will be conducted [in person / via Zoom / by telephone] and will cover topics related to [subject area]. With your permission, the interview will be audio recorded to ensure accuracy of transcription. RISKS The risks to you are minimal. You may find some questions sensitive or uncomfortable. You are not required to answer any question you do not wish to answer. BENEFITS There are no direct benefits to you. Your participation contributes to advancing knowledge about [topic]. CONFIDENTIALITY Your responses will be kept confidential. Your name will not be used in any publication. Data will be stored on a password-protected computer accessible only to the research team and deleted after [retention period]. VOLUNTARY PARTICIPATION Your participation is entirely voluntary. You may refuse to participate or withdraw at any time without consequence. ───────────────────────────────────────────────────────── STATEMENT OF CONSENT I have read and understand the above information. I voluntarily agree to participate in this interview. Participant Signature: ______________________________ Date: ____________ Researcher Signature: ______________________________ Date: ____________
Full informed consent with risks, benefits, confidentiality, and participant rights.
INFORMED INTERVIEW CONSENT FORM — SAMPLE Project: [Study Title] Researcher: [Name], [Institution], [Email] Ethics Approval: [Board Name], Reference No. [XXXX] WHAT THIS STUDY IS ABOUT [2–3 sentence description of the research topic and why it matters.] WHAT WILL HAPPEN You will take part in a recorded interview lasting [duration]. Topics will include [describe areas]. You may skip any question you prefer not to answer. RISKS AND BENEFITS Risks: Minimal. Some questions may touch on sensitive topics. Benefits: None direct to you; contributes to [field of knowledge]. CONFIDENTIALITY & DATA STORAGE Your data will be anonymised/pseudonymised. Audio recordings will be transcribed and deleted within [timeframe]. Transcripts retained for [period] then destroyed. VOLUNTARY NATURE OF THIS RESEARCH Participation is voluntary. You may withdraw before, during, or after the interview. Withdrawal will not affect your relationship with [institution]. INFORMED CONSENT STATEMENT By signing below, I confirm that: [ ] I have read and understood the information above [ ] I have had the opportunity to ask questions [ ] I agree to participate voluntarily [ ] I consent to the interview being [audio/video] recorded Participant Name: _________________________ Date: ___________ Participant Signature: _____________________________________ Researcher Name: _________________________ Date: ___________ Researcher Signature: _____________________________________
For reporters, press, and media professionals.
JOURNALISM INTERVIEW CONSENT FORM — SAMPLE Publication / Media Outlet: [Publication Name] Journalist / Reporter: [Reporter Name] Contact: [email] | [phone] Date of Interview: [Date] ───────────────────────────────────────────────────────── CONSENT TO INTERVIEW I, [Participant Name], agree to be interviewed by [Reporter Name] on behalf of [Publication / Media Outlet] on the following terms: RECORDING [ ] I consent to this interview being audio recorded [ ] I consent to this interview being video recorded [ ] I do not consent to recording; notes only ATTRIBUTION [ ] I consent to be quoted by my full name [ ] I consent to be quoted as [agreed pseudonym/description] [ ] I wish to speak on background/off the record (as agreed) USE OF CONTENT I understand that quotes and information from this interview may be published in [publication/broadcast], including online editions and social media. RIGHT TO REVIEW [ ] I request the opportunity to review relevant quotes before publication [ ] I do not request review ───────────────────────────────────────────────────────── Participant Signature: ______________________________ Date: ____________ Journalist Signature: ______________________________ Date: ____________
For user research, usability testing, and product design studies.
UX RESEARCH INTERVIEW CONSENT FORM Company / Team: [Company Name], [Team/Department] Researcher: [Researcher Name], [Role] Contact: [email] Session Date: [Date] | Duration: [Duration] ───────────────────────────────────────────────────────── ABOUT THIS SESSION You have been invited to participate in a user research interview. We are studying how people [use/interact with/perceive] [product/service/prototype]. Your feedback will inform design decisions — your honest opinions are valuable. WHAT TO EXPECT This session will last approximately [duration]. We will ask you to [describe, think aloud, complete tasks, answer questions]. There are no right or wrong answers. RECORDING & OBSERVATION [ ] I consent to audio recording [ ] I consent to video recording (face/screen) [ ] I consent to screen recording only [ ] I consent to observers watching the session DATA USE Recordings and notes will be used internally for design research only. Data will not be shared externally or used for marketing. GDPR / PRIVACY You have the right to access, correct, or delete your data at any time. Contact [email] to exercise your rights. Data will be retained for [period]. ───────────────────────────────────────────────────────── Participant Signature: ______________________________ Date: ____________ Researcher Signature: ______________________________ Date: ____________
Each interview consent form sample above provides a starting point. To adapt them:
Need a specific form type? Browse our full library: research interview consent form, dissertation interview consent form, podcast interview consent form, and more.