Appendix H Onsite Re-screen

Appendix H Onsite Re-screen.doc

Qualitative Assessment of Mothers' Attitudes Toward Collecting Biological Specimens to Study Risk Factors for Birth Defects and Preterm Delivery in the National Birth Defects Prevention Study

Appendix H Onsite Re-screen

OMB: 0920-0737

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Appendix H


Questions to confirm correct placement of participant:


1.  Name (First and Last)

 

2.  Name and Age of Child (enrolled in the National Birth Defects Prevention Study)

 

3.  Did you turn in a cheek cell sample kit for this study?   Yes     No   

 


File Typeapplication/msword
File TitleQuestions to confirm correct placement of participant
Authormqj2
Last Modified Bysrr9
File Modified2005-12-21
File Created2005-12-21

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