Qualtrics - Adding a Consent Form to Your Survey

This document details how to add a consent block to your survey and have the survey continue only if the user consents.

Adding a Consent Block

1. Create a new survey.

2. Select "Add Block" at the bottom of the first block of your survey.

Survey Add Block" width="1058" height="281" />

3. Click and drag the block above the Default Question Block.

4. In the new block:

1. Select "Add new Question."

2. Select "Text / Graphic." This is where you will type or copy/paste your consent statement.

5. After this question:

1. Select "Add new Question."

2. Make it multiple choice with options “I consent” and “I do not consent” or similar.

6. Select the Survey Flow button on the left-hand side of the screen. The page should list “Show Block: Block 1” and “Show Block: Default Question Block” or similar.

8. Select "Add a New Element Here."

9. Select "Branch."

10. Select "Add a Condition."

11. Create the logic following the screenshot below:

1. Question, Which Question, Choice, Is Selected.

2. Select "OK."

12. On the "Default Question Block":

1. Select "Move."

2. Drag it into the "Add a New Element Here" underneath the Branch.

Default Question Block Move Button" width="932" height="290" />

13. At the bottom, select "Add a New Element Here."

14. Select "End of Survey."

15. Select "Apply" in the bottom right-hand corner.