Data Collection Form Template – Canada

The Data Collection Form Template – Canada is provided in multiple formats, including PDF, Word, and Google Docs. These formats are both modifiable and ready for printing, ensuring they cater to your requirements effortlessly.

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Sample

Data Collection Form Template – Canada

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1. Data Collection Purpose

2. Contact Information


3. Participant Information


4. Data Collection Methods

5. Data Types Collected

6. Data Storage and Security

7. Consent and Confidentiality

8. Duration of Data Collection

9. Rights of Participants

10. Signatures and Acceptance



PDF

WORD

Examples

Data Collection Form Template – Canada (1)
Purpose:
This Data Collection Form is designed to gather necessary information from participants for [specify purpose, e.g., surveys, studies, marketing research].
Participant Information:
Name: [Participant’s Name]
Age: [Participant’s Age]
Gender: [Participant’s Gender]
Address: [Participant’s Address]
Email: [Participant’s Email]
Phone: [Participant’s Phone]
Survey Questions:
1. How did you hear about our organization? [Response Options]
2. What products/services are you interested in? [Response Options]
3. How often do you utilize [related services]? [Response Options]
4. What improvements would you suggest for our services? [Open-ended Response]
Consent:
By signing this form, I provide my consent for the collection and use of my personal data for the purposes described above.
Signature: _______________________ Date: __________
Data Collection Form Template – Canada (2)
Introduction:
This Data Collection Form is intended for [specify the study or project], providing a structured method for gathering relevant data from participants.
Contact Information:
Participant Name: [Participant’s Name]
Contact Number: [Participant’s Phone]
Email Address: [Participant’s Email]
Demographic Information:
Age Group: [Options, e.g., 18-24, 25-34]
Residence: [City, Province]
Education Level: [Options, e.g., High School, Bachelor’s, etc.]
Feedback Questions:
1. How satisfied are you with [specific service/product]? [Rating Scale]
2. What additional services would you like to see offered? [Open-ended Response]
3. Please provide any comments or suggestions regarding your experience with us. [Open-ended Response]
Declaration:
I confirm that the information provided is accurate and reflects my views. I consent to the processing of my data in accordance with [applicable privacy laws].
Signature: _______________________ Date: __________

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Data Collection Form Template - Canada