SEED - Questionaire Packets

Study to Explore Early Development

Date

Name

Address

City, State, Zip

Dear:

Thank you for your interest in the Study to Explore Early Development (SEED). This packet has information to get you started in the study. The package has three folders that will guide you through the study. Someone from the study will call you in the next week to make sure you received the packet, help you complete materials if needed, schedule the next part of the study, and answer your questions. The folders contained in this packet are:

Yellow Folder: Things You Should Keep Information about the study. Checklists to help you complete the study. Copy of the study consent form and bill of rights for research subjects. Preparatory Guides

Green Folder: Forms to Fill Out and Return HIPAA (Health Insurance Portability and Accountability Act) /Medical Records Release Forms to complete & sign.

Blue Folder: Cheek Swab Kit Instructions and information on how to collect a cheek swab. Two copies of each cheek swab consent form.

Please read over all of the materials in all three folders.

If you feel that you can complete the materials in the green and blue folders on your own, go ahead and fill them out. Please follow the instructions given and send the materials back to us. If you have any questions about completing these forms (or want help before you begin), please call <site specific name and number>. <She or he> can help you over the phone or set up a meeting with study staff.

There is a $25 <site specific…money order, certificate> enclosed. If you complete the entire study, you will receive a total of $315.00.

We thank you for your willingness to participate in this important research study. If you would like to speak to anyone at any point during the study, please call <site specific name and number>. You may also call me directly at <number>.

Sincerely yours,

<Site specific… principal investigator name>

Version 9-07 C