The Survey Consent Form is a crucial document required for any research or survey activity in Malaysia where personal data is collected from participants. This document ensures compliance with the Personal Data Protection Act 2010 and Malaysian research ethics guidelines. It is typically used before conducting surveys, research studies, or data collection exercises, providing participants with clear information about the study's purpose, their rights, and how their data will be protected. The form must be obtained prior to any data collection and should be maintained as part of the research records. Organizations must ensure their Survey Consent Forms meet all local regulatory requirements and provide adequate protection for participant rights.

1. Title and Introduction: Clear identification of the document as a Survey Consent Form and brief introduction to the research/survey project

2. Parties: Identification of the research organization/surveyor and the participant

3. Background: Brief explanation of the survey's purpose, context, and the organizing institution

4. Definitions: Clear definitions of key terms used in the consent form

5. Survey Information: Detailed description of the survey process, expected duration, and type of questions

6. Participant Rights: Clear statement of participant rights including right to withdraw, skip questions, and terminate participation

7. Data Protection: Explanation of how personal data will be collected, stored, and protected in compliance with PDPA 2010

8. Risks and Benefits: Description of any potential risks and benefits of participation

9. Declaration of Consent: Formal statement of consent to be signed by the participant

10. Contact Information: Details of who to contact for questions or concerns about the survey