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pdfREACH U.S.
Racial and Ethnic Approaches to Community Health Across the U.S.
If you have questions, please call 1-877-732-8194
The Centers for Disease Control and Prevention (CDC), with the help of the National Opinion Research
Center at the University of Chicago (NORC), is conducting an important study on health in your
community.
Please have an adult (18 years or older) who lives in this household complete the following questions
so we may call you to complete the interview. Your information will remain private to the extent permitted
by law.
If you have questions or would prefer to answer these questions by phone, please call NORC toll-free
1-877-732-8194.
1. Please provide us with your phone
number, so that we may contact you by
phone to complete this important study.
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2. When is the best time to call you?
Weekdays:
1
9am-5pm
2
5pm-7pm
3
7pm-9pm
Weekends
4
9am-5pm
5
5pm-7pm
6
7pm-9pm
3. What language would you like to use to
conduct the interview?
1
2
3
4
5
6
English
Spanish
Vietnamese
Khmer
Mandarin
Haitian Creole
Please return this completed questionnaire
using the enclosed envelope. Thank you
for your participation!
File Type | application/pdf |
File Modified | 2009-02-03 |
File Created | 2008-12-16 |