A.1.1.a1 Survey

Appendix A A.1.1.a–1

INTRODUCTION AND CONSENT FOR ENUMERATION

IF SOMEONE WHO APPEARS TO BE UNDER 18 YEARS OLD ANSWERS THE DOOR, ASK TO SPEAK WITH AN ADULT BEFORE PROCEEDING WITH THE INTRODUCTION.

INTRODUCTION: Hello, I’m (DATA COLLECTOR NAME) from (LOCAL STUDY CENTER). [SHOW ID BADGE.] We are conducting a large study about children’s health for the National Institutes of Health. The study is called the National Children’s Study. Recently you may have received a letter introducing the study. Did you receive our letter?

[IF YES, R RECEIVED LETTER ASK: As mentioned in the letter, the purpose of the study is to improve the health and well being of children, and we want to see if any of the women in your household may be eligible to be in the study. Do you have any questions about the study? [ANSWER ANY QUESTIONS AND HAND COPY OF BROCHURE.]

[IF NO, R DID NOT RECEIVE THE LETTER OR DOES NOT REMEMBER, HAND R A COPY OF LETTER AND BROCHURE AND READ: Here is a copy of the letter and our brochure. As mentioned in the letter, the purpose of the study is to improve the health and well being of children, and we want to see if any of the women in your household may be eligible to be in the study. The study will provide information that will form the basis for improving child health care and policy for years to come. Your participation in the study is voluntary and any information you give us will be kept confidential as required by law. If you do not wish to participate or do not want to answer particular questions, this will not result in any penalty or loss of benefits to you or your family.]

Are you a member of this household (and at least 18 years of age)?

IF NO, ASK TO SPEAK WITH ADULT HOUSEHOLD MEMBER AND RE-READ INTRODUCTION.

IF NO ONE HOME 18 OR OLDER. Thank you for you time. When would be the best time to reach someone who lives here who is 18 or older? LEAVE COPY OF STUDY BROCHURE AND RECORD CONTACT INFORMATION IN EROC.

IF YES, START ENUMERATION INSTRUMENT.