Post Patient Survey-First Mailing [Flesch-Kincaid Reading Level 8.2]
MCO Letterhead
Date
Patient name
Address 1
City State Zip
Dear [Patient’s name]:
The Centers for Disease Control and Prevention (CDC), [MCO] and Battelle Centers for Public Health Research are doing research to find out more about colon cancer testing. Your doctor works in a clinic that is in this research study. The Centers for Disease Control and Prevention (CDC) are funding this study.
We are doing this survey to help CDC find out what people think about colon cancer tests. The information from this survey will help CDC to find out why people get tested, and to improve materials about colon cancer testing for doctors to use with patients.
We began this study several months ago. We may have sent a similar survey to you then and you may remember filling it out. Please complete this new survey even if you did fill out a similar one a few months ago. Your responses are very important to us. This survey will take about 30 minutes to complete. We have enclosed $10 as a reimbursement for your time and effort.
This survey has questions about your opinions about colon cancer. It also has questions about the experiences you might have had talking with your doctor about colon cancer. Some questions ask about colon cancer tests you might have had. We would also like to know how you feel about talking to your doctor about these things.
Your responses will be private. Please do not put your name on the survey. We will not identify any person who was in the study in any articles or reports. None of your responses will be shown to your doctor.
Your participation in this research study is voluntary. Your returning this survey lets us know that your have agreed to participate. You are free to choose to complete this survey or not. You may be uncomfortable answering some of the questions. You may refuse to answer any of the questions. If you do not want to complete the survey, it will not change the care you receive at [MCO]. The information from this survey will help CDC find out why people do or do not have colon cancer tests.
Please send your completed survey to Battelle. Please use the stamped and addressed envelope provided. If you have any questions about this research study, please call [Battelle contact] at Battelle, at (206) 528-xxxx or [MCO contact] at [MCO], at (xxx) xxx-xxxx. If you have questions about your rights as a research subject, you may call Battelle’s human subject’s supervisor, Margaret Pennybacker, PhD, at 1-877-810-9530, extension 500.
We hope you will help us with this important study. Thank you for taking this survey.
Sincerely,
[Clinic Mgr or Research Leader
Research staff member] Battelle Centers for Public Health Research and Evaluation
| File Type | application/msword |
| File Title | Post Patient Survey-First Mailing |
| Author | Dvv1 |
| Last Modified By | Dvv1 |
| File Modified | 2007-10-03 |
| File Created | 2007-10-03 |