National Children's Study Visit Information Sheet: Pregnancy Visit 1

Pregnancy Visit 1 July Launch Visit Information Sheet 20100607.docx

Recruitment Strategy Substudy for the National Children's Study (NICHD)

National Children's Study Visit Information Sheet: Pregnancy Visit 1

OMB: 0925-0593

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OMB NUMBER 0925-0593

EXPIRATION DATE: XXXXX

Pregnancy Visit 1


National Children’s Study Visit Information Sheet: Pregnancy Visit 1


Thank you for participating in the National Children’s Study. When you joined the Study, we explained what it means to take part in this important research effort. This sheet gives more details about what we’d like to do during this visit.


What will happen during today’s visit?

  • This interview will take about 20 minutes to complete. We will ask you some questions about yourself, your health and pregnancy, your lifestyle, and where you live.

  • You can decide what questions you want to answer. If you feel uncomfortable about any question, you can skip it.

Will I need to do anything after today’s visit?

  • We will give you a survey to complete after we leave and instructions for returning it to us. Completing the questionnaire will take about 10 minutes.

  • We will contact you later in your pregnancy to arrange a second pregnancy visit.


Will I be paid for taking part in today’s visit?

  • To thank you for your time, we will give you $25 for today’s visit.

What if I have questions about this visit?

  • If you have any questions about this visit, you can ask the Study representative you are talking with today. If he or she can’t answer a question, we will give you the name and phone number of someone from our local office who can.

Please remember:

  • Whether or not you stay in the National Children’s Study is your choice.

  • If you leave the Study, you can rejoin it later.

  • You can decide whether or not you want to stay in the Study.

  • If you leave the Study, we will not ask you for any new information, but we will keep using the information you have already given us. We will keep everything that you tell us confidential.

  • If you decide you do not want us to keep the information we have collected from you, you can ask us to destroy it.

  • If we learn that you or someone else is harming you, your child, or others around you, we may be required by law to report this to the police or a social services agency in your community.

  • This is a research study and we cannot give you medical advice. None of the Study visits take the place of your regular doctor or clinic visits.

Public reporting burden for this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0593). Do not return the completed form to this address.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleNATIONAL CHILDREN’S STUDY
AuthorMITCHELL_M
File Modified0000-00-00
File Created2021-02-01

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