About this template
Conducting public health and sociological research requires careful data collection, particularly when investigating sensitive health disparities. This Academic Research Google Form Template is designed for researchers, public health professionals, and university faculty examining the social and behavioral factors influencing HIV and STD vulnerability within specific demographics.
The template streamlines the data-gathering process by capturing crucial demographic details, medical histories, and behavioral risk factors in a secure, structured format. Researchers can easily deploy this form to study participants to gather insights on testing habits, barrier method usage, and socio-economic variables without compromising the participant experience.
Built with Doc2Form, this template can be customized to fit your specific institutional review board (IRB) requirements or study parameters in seconds. Ensure reliable data collection for your next academic study while maintaining a professional and respondent-friendly interface.
Key features
- Collect sensitive health and demographic data securely
- Includes standard behavioral and frequency metrics
- Pre-structured options for income, age, and medical history
- Fully customizable to meet IRB and institutional guidelines
- Deploy instantly via link or email to study participants
Use cases
- University public health studies and academic theses
- Nonprofit health advocacy and community assessments
- Epidemiological research on health disparities
- Clinical and behavioral science surveys
What this form collects
- What is your gender identity? (Multiple choice)Select the option that best describes how you identify.
- What is your age range? (Dropdown)Select your current age bracket.
- Do you have children or dependents? (Multiple choice)Indicate your current parental status.
- What is your estimated annual household income? (Dropdown)Select the range that best reflects your total household income before taxes.
- Do you have a history of chronic medical conditions? (Multiple choice)This includes any diagnosed long-term health conditions.
- If yes, please list any relevant medical conditions (Paragraph)Provide brief details if you answered yes to the previous question.
- Have you ever engaged in sexual intercourse? (Multiple choice)Your honest response helps ensure the accuracy of this research.
- How many sexual partners have you had in the last 60 days? (Short answer)Enter an approximate number.
- How often do you use condoms with a main partner? (Multiple choice)Select the frequency that best applies.
- How often do you use condoms with casual partners? (Multiple choice)Select the frequency that best applies.
- Have you ever been diagnosed with or exposed to an STI? (Checkboxes)Select all that apply or indicate none.
- Have you ever traded sex for material support, housing, or money? (Multiple choice)Your response is strictly confidential and used solely for research purposes.
- How frequently do you get tested for HIV/STDs? (Linear scale)1 = Never tested, 5 = Tested regularly every 3–6 months.
- What are your primary reasons for not testing more frequently? (Checkboxes)Select all factors that apply to your situation.
FAQ
How do I use this academic research template?
Simply click to convert it into your own Google Form using Doc2Form. You can then customize questions, add your institution's branding or IRB disclosures, and share the link with participants.
Can I customize the questions to fit my specific study?
Yes, once the form is generated in your Google Drive, you have full control to add, remove, or modify any questions to align with your research methodology.
Is participant anonymity protected?
Google Forms allows you to collect responses anonymously by disabling the collection of email addresses in your form settings, helping you protect participant privacy.
How are responses stored?
All submitted responses go directly into a connected Google Sheet, making it easy to export and analyze your data using statistical software.
Get this form in your Google Drive
Save a copy to your Google Drive with one click (uses 1 credit). Or build from a PDF or description in the app.