diff --git a/spec/controllers/public/medical_releases_controller_spec.rb b/spec/controllers/public/medical_releases_controller_spec.rb
index 794bdb2..d80325e 100644
--- a/spec/controllers/public/medical_releases_controller_spec.rb
+++ b/spec/controllers/public/medical_releases_controller_spec.rb
@@ -19,14 +19,29 @@ RSpec.describe Public::MedicalReleasesController, type: :controller do
     end
 
     it "displays validation errors" do
-      contract_template = create(:contract_template, project: project)
+      contract_template = create(:contract_template,
+                                 project: project,
+                                 question_1_text: "Question 1",
+                                 question_2_text: "Question 2"
+      )
       sign_in(user)
 
-      post :create, params: { account_id: user.primary_account.to_param, project_id: project, contract_template_id: contract_template, medical_release: { person_address_city: "Albuquerque" } }
+      post :create, params: {
+        account_id: user.primary_account.to_param,
+        project_id: project,
+        contract_template_id: contract_template,
+        medical_release: {
+          person_address_city: "Albuquerque",
+          question_2_answer: "Answer 2"
+        }
+      }
+
       body = CGI.unescape_html(response.body)
       expect(body).to match /Person first name can't be blank/
       expect(body).to match /Person last name can't be blank/
       expect(body).to match />can't be blank</
+      expect(body).to match /Question 1 #{question_answer_validation_error}/
+      expect(body).not_to match /Question 2 #{question_answer_validation_error}/
     end
 
     it "responds with success " do
@@ -68,4 +83,8 @@ RSpec.describe Public::MedicalReleasesController, type: :controller do
 
     { signature_base64: data_uri }
   end
+
+  def question_answer_validation_error
+    t 'medical_releases.custom_validation_errors.question_answer_is_required'
+  end
 end
diff --git a/spec/features/user_managing_medical_releases_spec.rb b/spec/features/user_managing_medical_releases_spec.rb
index 59510fb..fd619c5 100644
--- a/spec/features/user_managing_medical_releases_spec.rb
+++ b/spec/features/user_managing_medical_releases_spec.rb
@@ -121,6 +121,43 @@ feature "User managing medical releases" do
       expect(page).to have_content(successful_submission_message)
       expect(MedicalRelease.last.guardian_2_first_name).to eq 'Second'
     end
+
+    scenario 'when signing release, question answers are required', js: true do
+      project = create(:project, members: current_user, account: current_user.primary_account)
+      contract_template = create(:contract_template,
+                                 project: project,
+                                 question_1_text: 'Question 1',
+                                 question_2_text: 'Question 2'
+      )
+
+      visit new_account_project_contract_template_medical_release_path(project.account, project, contract_template)
+
+      fill_in person_first_name_field, with: 'Jane'
+      fill_in person_last_name_field, with: 'Doe'
+      draw_signature file_fixture("signature.png"), "medical_release_signature_base64"
+
+      expect do
+        click_button submit_release_button
+      end.to change(MedicalRelease, :count).by(0)
+      expect(page).not_to have_content(successful_submission_message)
+
+      fill_in answer_field_for_question(1), with: 'Answer 1'
+      draw_signature file_fixture("signature.png"), "medical_release_signature_base64"
+
+      expect do
+        click_button submit_release_button
+      end.to change(MedicalRelease, :count).by(0)
+      expect(page).not_to have_content(successful_submission_message)
+
+      fill_in answer_field_for_question(2), with: 'Answer 2'
+      draw_signature file_fixture("signature.png"), "medical_release_signature_base64"
+
+      expect do
+        click_button submit_release_button
+      end.to change(MedicalRelease, :count).by(1)
+      expect(page).to have_content(successful_submission_message)
+
+    end
   end
 
   context "when signed in as account manager" do
@@ -396,4 +433,8 @@ feature "User managing medical releases" do
   def guardian_2_information_heading
     t 'public.medical_releases.new.guardian_2_info.heading'
   end
+
+  def answer_field_for_question(number)
+    "medical_release[question_#{number}_answer]"
+  end
 end
diff --git a/spec/models/medical_release_spec.rb b/spec/models/medical_release_spec.rb
index 917c3ef..53860fb 100644
--- a/spec/models/medical_release_spec.rb
+++ b/spec/models/medical_release_spec.rb
@@ -22,6 +22,23 @@ RSpec.describe MedicalRelease do
     context "for non-native releases" do
       it { is_expected.to validate_attachment_of(:contract).on(:non_native) }
     end
+
+    context "question answers" do
+      let(:project) { create(:project) }
+      let(:contract_template) { create(:contract_template, project: project, question_1_text: 'Question 1') }
+
+      it "returns validation errors if answers are missing" do
+        expect do
+          create(:medical_release, contract_template: contract_template)
+        end.to raise_exception ActiveRecord::RecordInvalid
+      end
+
+      it "creates release if answers are present" do
+        expect do
+          create(:medical_release, contract_template: contract_template, question_1_answer: 'Answer 1')
+        end.to change(MedicalRelease, :count).by(1)
+      end
+    end
   end
 
   describe "attachments" do