Attachment S

PDF 9 - Attachment S .pdf

2012 National Survey on Drug Use and Health (NSDUH)

Attachment S

OMB: 0930-0110

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Attachment S
Refusal Letters

[DATE]

Resident
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]

Attention: [age] year old [gender] resident

Dear Resident:
Recently, a Field Interviewer from Research Triangle Institute came to your home and asked you to participate in the
National Survey on Drug Use and Health. At the time, you expressed some reluctance about spending the time necessary
to do the interview.
A limited number of people were randomly selected to represent the population of the U.S. You cannot be replaced. If you
choose not to participate, your experiences and views—as well as the thousands of people you represent—will not be
heard.
As you know, this nation is made up of all kinds of people, and so we are interviewing all kinds of people—including busy
people like you. If we only interviewed people who have a lot of free time, then active people like yourself would not be
fairly represented. Your participation is critical to the success of this study, and we are happy to make a special effort to
work around your schedule so that you can be included.
We appreciate that your time is a precious commodity. As a token of our appreciation, you will receive a cash payment
of $30 at the end of the interview.
We combine your answers with the answers of thousands of other people and report them only as overall numbers. The
survey is set up so that you record most of your own answers—the interviewer never sees or hears them. Also, the option
to refuse to answer any question is always available.
The results of this study help state and national policymakers learn about health issues—including information on alcohol,
tobacco, and drug use, non-use, and opinions—so that informed decisions about policies and programs can be made. By
participating in this study, you will make a direct impact on important health-related decisions.
Thank you for your time. I hope you’ll reconsider and choose to participate in this extremely beneficial study.
Sincerely,

[FS NAME], Field Supervisor
P.S. Please, if you have any questions or would like to set up an appointment, telephone me toll-free at [TOLL FREE
NUMBER].
Enclosure
________________________
*The National Survey on Drug Use and Health is conducted by Research Triangle Institute for the Substance Abuse and
Mental Health Services Administration, an agency of the U.S. Public Health Service in the Department of Health and
Human Services. [http://nsduhweb.rti.org] [http://www.samhsa.gov] [http://www.rti.org]
I1

[DATE]

Resident
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]

Attention: [age] year old [gender] resident

Dear Resident,
Recently, a Field Interviewer from Research Triangle Institute came to your home and asked you to participate in
the National Survey on Drug Use and Health. At the time, you expressed some concerns about participating in the
study.
We understand that your privacy is important—Research Triangle Institute protects your privacy by not providing
any individual answers to anyone. Your answers are combined with the answers of thousands of other people and
reported only as overall numbers. Also, we never ask for your name.
To further protect your privacy, the survey is set up so that you record most of your own answers—the interviewer
never sees or hears them. Also, the option to refuse to answer any question is always available.
A limited number of people were randomly selected to represent the population of the U.S. You cannot be
replaced. If you choose not to participate, your experiences and views—as well as the thousands of people you
represent—will not be heard.
We also appreciate that your time is a precious commodity. As a token of our appreciation, you will receive a
cash payment of $30 at the end of the interview.
The results of this study help state and national policymakers learn about health issues—including information on
alcohol, tobacco, and drug use, non-use, and opinions—so that informed decisions about policies and programs can
be made. By participating in this study, you will make a direct impact on important health-related decisions.
Thank you for your time. I hope you’ll reconsider and choose to participate in this extremely important and
beneficial study.

Sincerely,

[FS NAME], Field Supervisor
P.S. Please, if you have any questions, telephone me toll-free at [TOLL FREE NUMBER].
Enclosure
________________________
*The National Survey on Drug Use and Health is conducted by Research Triangle Institute for the Substance Abuse and Mental Health
Services Administration, an agency of the U.S. Public Health Service in the Department of Health and Human Services.
[http://nsduhweb.rti.org] [http://www.samhsa.gov] [http://www.rti.org]
I2

[DATE]
Resident
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]

Attention: [age] year old [gender] resident

Dear Resident,
Recently, a Field Interviewer from Research Triangle Institute came to your home and asked you to participate in
the National Survey on Drug Use and Health. At the time, you expressed some concerns about the study.
A limited number of people were randomly selected to represent the population of the U.S. You cannot be
replaced. If you choose not to participate, your experiences and views—as well as the thousands of people you
represent—will not be heard.
Your answers to the survey questions are combined with the answers of thousands of other people and reported
only as overall numbers. To further protect your privacy, the survey is set up so that you record most of your own
answers—the interviewer never sees or hears them. Also, the option to refuse to answer any question is always
available.
The results of this study help state and national policymakers learn about health issues—including information on
alcohol, tobacco, and drug use, non-use, and opinions—so that informed decisions about policies and programs can
be made. By participating in this study, you will make a direct impact on important health-related decisions.
Your participation is critical to the success of this study, and we are happy to make a special effort to work around
your schedule so that you can be included.
We appreciate that your time is a precious commodity. As a token of our appreciation, you will receive a cash
payment of $30 at the end of the interview.
Thank you for your time. I hope you’ll reconsider and choose to participate in this extremely important and
beneficial study.

Sincerely,

[FS NAME], Field Supervisor
P.S. Please, if you have any questions or would like to set up an appointment, telephone me toll-free at [TOLL
FREE NUMBER].
Enclosure
________________________
*The National Survey on Drug Use and Health is conducted by Research Triangle Institute for the Substance Abuse and Mental Health
Services Administration, an agency of the U.S. Public Health Service in the Department of Health and Human Services.
[http://nsduhweb.rti.org] [http://www.samhsa.gov] [http://www.rti.org]
I3

[DATE]

Resident
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]

Attention: [age] year old [gender] resident

Dear Resident,
Recently, a Field Interviewer from Research Triangle Institute came to your home and asked you to participate in
the National Survey on Drug Use and Health. At the time, you were not interested in participating. We are writing
this letter to ask you to reconsider.
The results of this study help state and national policymakers learn about health issues—including information on
alcohol, tobacco, and drug use, non-use, and opinions—so that informed decisions about policies and programs can
be made. By participating in this study, you will make a direct impact on important health-related decisions.
Without adequate levels of participation, these health-related decisions might not be as informed, and money for
programs that might be needed in your state or community could be directed elsewhere.
A limited number of people were randomly selected to represent the population of the U.S.—and you were one of
them! You cannot be replaced. If you choose not to participate, your experiences and views—as well as the
thousands of people you represent—will not be heard.
We appreciate that your time is a precious commodity. As a token of our appreciation, you will receive a cash
payment of $30 at the end of the interview.
Thank you for your time. I hope you’ll reconsider and choose to participate in this extremely important and
beneficial study.
Sincerely,

[DATE]

Resident
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]

Attention: [age] year old [gender] resident

Dear Resident,
Recently, a Field Interviewer from Research Triangle Institute came to your home and asked you to participate in
the National Survey on Drug Use and Health. At the time, you expressed some concerns about participating in the
study.
We understand that your privacy is important—Research Triangle Institute protects your privacy by not providing
any individual answers to anyone. Your answers are combined with the answers of thousands of other people and
reported only as overall numbers. Also, we never ask for your name.
To further protect your privacy, the survey is set up so that you record most of your own answers—the interviewer
never sees or hears them. Also, the option to refuse to answer any question is always available.
A limited number of people were randomly selected to represent the population of the U.S. You cannot be
replaced. If you choose not to participate, your experiences and views—as well as the thousands of people you
represent—will not be heard.
Your participation is critical to the success of this study, and we are happy to make a special effort to work around
your schedule so that you can be included. Please feel free to call me to set up an appointment at a time that would
be convenient for you.
We also appreciate that your time is a precious commodity. As a token of our appreciation, you will receive a
cash payment of $30 at the end of the interview.
Thank you for your time. I hope you’ll reconsider and choose to participate in this extremely important and
beneficial study.

Sincerely,

[DATE]
Resident
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]

Attention: [age] year old [gender] resident

Dear Resident,
Recently, a Field Interviewer from Research Triangle Institute came to your home and asked you to participate in
the National Survey on Drug Use and Health. At the time, you expressed some reluctance about spending the time
necessary to do the interview.
A limited number of teenagers were randomly selected to represent the teenage population of the U.S. You cannot
be replaced. If you choose not to participate, your experiences and views—as well as a thousand other teenagers
you represent—will not be heard.
We understand that you have many demands on your time. However, if we only interviewed teenagers who had
lots of free time, then active teenagers like yourself would not be fairly represented. Your participation is critical
to the success of this study, and we are happy to make a special effort to work around your schedule so that you
can be included.
We appreciate that your time is precious to you. As a token of our appreciation, you will receive a cash
payment of $30 at the end of the interview.
Please know that your privacy will be protected. Your answers cannot be looked at by anyone—including your
parents. We combine your answers with the answers of thousands of other teenagers and report them only as
overall numbers. Also, the survey is set up so that you record most of your own answers—the interviewer never
sees or hears them. The option to refuse to answer any question is always available.
Thank you for your time. I hope you’ll reconsider and choose to participate in this extremely important and
beneficial survey.
Sincerely,

[FS NAME], Field Supervisor
P.S. Please, if you have any questions or would like to set up an appointment, telephone me toll-free at [TOLL
FREE NUMBER].
Enclosure
________________________
*The National Survey on Drug Use and Health is conducted by Research Triangle Institute for the Substance Abuse and Mental Health
Services Administration, an agency of the U.S. Public Health Service in the Department of Health and Human Services.
[http://nsduhweb.rti.org] [http://www.samhsa.gov] [http://www.rti.org]
M1

[DATE]

Resident
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]

Attention: Parent/Guardian of [age] year old [gender] resident

Dear Resident,
Recently, a Field Interviewer from Research Triangle Institute asked permission for a young person in your home
to participate in the National Survey on Drug Use and Health. At the time, you expressed some reluctance about
exposing your teen to questions related to substance use.
We understand your concern. Please know that if you allow your teen to participate, the option is always available
for him or her to answer “I don’t know” to any question.
The survey also includes other questions related to school and community topics, such as participation in different
types of school-based activities.
A limited number of teens were randomly selected to represent the teenage population of the U.S. Your teenager
cannot be replaced. We need responses from everyone selected to get an accurate picture of teenage health issues.
For example, in order to know how many teens are using various substances, we need to hear from the thousands
of teens who are not using any substances.
We also appreciate that your teen’s time is a precious commodity. As a token of our appreciation, your teen
will receive a cash payment of $30 at the end of the interview. Also, the interviewer can give your teen a
Certificate of Participation—some participants have been able to go to their schools with this certificate and get
class or community service credit for participating in the survey.
Thank you for your time. I hope you’ll reconsider and choose to let your teenager participate in this extremely
important and beneficial study.
Sincerely,

[FS NAME], Field Supervisor
P.S. Please, if you have any questions or would like to set up an appointment, telephone me toll-free at [TOLL
FREE NUMBER].
Enclosure
________________________
*The National Survey on Drug Use and Health is conducted by Research Triangle Institute for the Substance Abuse and Mental Health
Services Administration, an agency of the U.S. Public Health Service in the Department of Health and Human Services.
[http://nsduhweb.rti.org] [http://www.samhsa.gov] [http://www.rti.org]
M2

[DATE]

Resident
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]

Attention: [age] year old [gender] resident

Dear Resident,
Recently, a Field Interviewer from Research Triangle Institute came to your home and asked you to participate in
the National Survey on Drug Use and Health. At the time, you expressed some concerns about the study.
The results of this study help state and national policymakers learn about health issues—including information on
alcohol, tobacco, and drug use, non-use, and opinions—so that informed decisions about policies and programs
can be made. By participating in this study, you will make a direct impact on important health-related decisions.
A limited number of teenagers were randomly selected to represent the teenage population of the U.S. You cannot
be replaced. If you choose not to participate, your experiences and views—as well as a thousand other teenagers
you represent—will not be heard.
Please know that your privacy will be protected. Your answers cannot be looked at by anyone—including your
parents. We combine your answers with the answers of thousands of other teenagers and report them only as
overall numbers. Also, the survey is set up so that you record most of your own answers—the interviewer never
sees or hears them. The option to refuse to answer any question is always available.
Your participation is critical to the success of this study, and we are happy to make a special effort to work around
your schedule so that you can be included.
We appreciate that your time is a precious commodity. As a token of our appreciation, you will receive a cash
payment of $30 at the end of the interview.
Thank you for your time. I hope you’ll reconsider and choose to participate in this extremely important and
beneficial study.
Sincerely,

[FS NAME], Field Supervisor
P.S. Please, if you have any questions or would like to set up an appointment, telephone me toll-free at [TOLL
FREE NUMBER].
Enclosure
________________________
*The National Survey on Drug Use and Health is conducted by Research Triangle Institute for the Substance Abuse and Mental Health
Services Administration, an agency of the U.S. Public Health Service in the Department of Health and Human Services.
[http://nsduhweb.rti.org] [http://www.samhsa.gov] [http://www.rti.org]
M3

[DATE]
Resident
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]

Attention: [age] year old [gender] resident

Dear Resident,
Recently, a Field Interviewer from Research Triangle Institute came to your home and asked you to participate in
the National Survey on Drug Use and Health. At the time, you were not interested in participating. We are
writing this letter to ask you to reconsider.
A limited number of teenagers were randomly selected to represent the teenage population of the U.S.—and you
were one of them! You cannot be replaced. If you choose not to participate, your experiences and views—as well
as a thousand other teenagers you represent—will not be heard.
The results of this study help state and national policymakers learn about health issues—including information on
alcohol, tobacco, and drug use, non-use, and opinions—so that informed decisions about policies and programs
can be made. By participating in this study, you will make a direct impact on important health-related decisions.
We appreciate that your time is a precious commodity. As a token of our appreciation, you will receive a cash
payment of $30 at the end of the interview. Also, your interviewer can give you a Certificate of Participation—
some participants have been able to go to their schools with this certificate and get class or community service
credit for participating in the survey.
Thank you for your time. I hope you’ll reconsider and choose to participate in this extremely important and
beneficial study.
Sincerely,

[DATE]
Resident
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]

Attention: Parent/Guardian of [age] year old [gender] resident

Dear Resident,
Recently, a Field Interviewer from Research Triangle Institute asked permission for a young person in your home
to participate in the National Survey on Drug Use and Health. At the time, you expressed some reluctance about
allowing your teen to participate in the study. We are writing this letter to ask you to reconsider.
A limited number of teens were randomly selected to represent the teenage population of the U.S. Your teenager
cannot be replaced. It is not necessary that he or she know anything about drugs, alcohol, or tobacco to participate
in the study. In fact, in order to know how many teens are using various substances, we need to hear from the
thousands of teens who are not.
If you allow your teen to participate, the option is always available for him or her to answer “I don’t know” or to
refuse any question.
We understand that the privacy of your family is important—Research Triangle Institute protects participants’
privacy by not providing any individual answers to anyone. Your teen’s answers would be combined with the
answers of thousands of other teens and reported only as overall totals.
We also appreciate that your teen’s time is a precious commodity. As a token of our appreciation, your teen
will receive a cash payment of $30 at the end of the interview. Also, the interviewer can give your teen a
Certificate of Participation—some participants have been able to go to their schools with this certificate and get
class or community service credit for participating in the survey.
Thank you for your time. I hope you’ll reconsider and choose to let your teenager participate in this extremely
important and beneficial study.
Sincerely,

[FS NAME], Field Supervisor
P.S. Please, if you have any questions or would like to set up an appointment, telephone me toll-free at [TOLL
FREE NUMBER].
Enclosure
________________________
*The National Survey on Drug Use and Health is conducted by Research Triangle Institute for the Substance Abuse and Mental Health
Services Administration, an agency of the U.S. Public Health Service in the Department of Health and Human Services.
[http://nsduhweb.rti.org] [http://www.samhsa.gov] [http://www.rti.org]
M5

[DATE]

Resident
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]
Dear Resident,
Recently, a Field Interviewer from Research Triangle Institute contacted someone in your household about
participating in the National Survey on Drug Use and Health. We are sorry we called on your household at an
inconvenient time.
The initial questions for the study only take about five minutes and ask for very general information. After these
initial questions, someone in your household may or may not be randomly selected to participate in the full
interview.
If anyone is selected for the full interview, that person will receive a cash payment of $30 at the end of the
interview as a token of appreciation for participating.
A limited number of households were randomly selected to represent the population of the U.S. Your household
cannot be replaced. If you choose not to participate, your experiences and views—as well as the thousands of
people you represent—will not have a chance to be heard.
As you know, this nation is made up of all kinds of people, and so we are talking to all kinds of people—including
busy people like you. If we only interviewed people who have a lot of free time, then active people like yourself
would not be fairly represented. Your participation is critical to the success of this study, and we are happy to
make a special effort to work around your schedule so that you can be included.
Thank you for your time. I hope you’ll reconsider and choose to participate in this extremely important and
beneficial study.
Sincerely,

[FS NAME], Field Supervisor
P.S. Please, if you have any questions or would like to set up an appointment, telephone me toll-free at [TOLL
FREE NUMBER].
Enclosure
________________________
*The National Survey on Drug Use and Health is conducted by Research Triangle Institute for the Substance Abuse and Mental Health
Services Administration, an agency of the U.S. Public Health Service in the Department of Health and Human Services.
[http://nsduhweb.rti.org] [http://www.samhsa.gov] [http://www.rti.org]
S1

[DATE]

Resident
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]
Dear Resident,
Recently, a Field Interviewer from Research Triangle Institute contacted someone in your household about
participating in the National Survey on Drug Use and Health. We understand that at the time, some concerns were
expressed about participating in the study.
Your privacy is important—Research Triangle Institute protects your privacy by not providing any individual
answers to anyone. Your answers are combined with the answers of thousands of other people and reported only
as overall numbers. Also, we never ask for your full name. To further protect your privacy, the interview is set up
so that you record most of your own answers—the interviewer never sees or hears them.
A limited number of households were randomly selected to represent the population of the U.S. Your household
cannot be replaced. If you choose not to participate, your experiences and views—as well as the thousands of
people you represent—will not have a chance to be heard.
If you agree to participate, the option to refuse to answer any question is always available. The initial questions
for the study only take about five minutes and ask for very general information. After these initial questions,
someone in your household may or may not be randomly selected to participate in the full interview.
If anyone is selected for the full interview, that person will receive a cash payment of $30 at the end of the
interview as a token of appreciation for participating.
Thank you for your time. I hope you’ll reconsider and choose to participate in this extremely important and
beneficial study.
Sincerely,

[DATE]
Resident
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]
Dear Resident,
Recently, a Field Interviewer from Research Triangle Institute contacted someone in your household about
participating in the National Survey on Drug Use and Health. We understand that at the time, some concerns were
expressed about participating in the study.
A limited number of households were randomly selected to represent the population of the U.S. Your household
cannot be replaced. If you choose not to participate, your experiences and views—as well as the thousands of
people you represent—will not have a chance to be heard.
If you agree to participate, the option to refuse to answer any question is always available. The initial questions
for the study only take about five minutes and ask for very general information. After these initial questions,
someone in your household may or may not be randomly selected to participate in the full interview.
Your answers are combined with the answers of thousands of other people and reported only as overall numbers.
Also, we never ask for your full name. To further protect privacy, the interview is set up so that the participant
records most answers—the interviewer never sees or hears them.
If anyone is selected for the full interview, that person will receive a cash payment of $30 at the end of the
interview as a token of appreciation for participating.
Thank you for your time. I hope you’ll reconsider and choose to participate in this extremely important and
beneficial study.
Sincerely,

[FS NAME], Field Supervisor
P.S. Please, if you have any questions or would like to set up an appointment, telephone me toll-free at [TOLL
FREE NUMBER].
Enclosure
________________________
*The National Survey on Drug Use and Health is conducted by Research Triangle Institute for the Substance Abuse and Mental Health
Services Administration, an agency of the U.S. Public Health Service in the Department of Health and Human Services.
[http://nsduhweb.rti.org] [http://www.samhsa.gov] [http://www.rti.org]
S3

[DATE]

Resident
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]
Dear Resident,
Recently, a Field Interviewer from Research Triangle Institute contacted someone in your household about
participating in the National Survey on Drug Use and Health. We understand that at the time, there was no interest
in participating. We are writing to ask you to reconsider.
The initial questions for the study only take about five minutes and ask for very general information. After these
initial questions, someone in your household may or may not be randomly selected to participate in the full
interview.
If anyone is selected for the full interview, that person will receive a cash payment of $30 at the end of the
interview as a token of appreciation for participating.
A limited number of households were randomly selected to represent the population of the U.S. Your household
cannot be replaced. If you choose not to participate, your experiences and views—as well as the thousands of
people you represent—will not have a chance to be heard.
The results of this study help state and national policymakers learn about health issues—including information on
alcohol, tobacco, and drug use, non-use, and opinions—so that informed decisions about policies and programs
can be made. By participating in this study, you can make a direct impact on important health-related decisions.
Thank you for your time. I hope you’ll reconsider and choose to participate in this extremely important and
beneficial study.
Sincerely,

[DATE]

Resident
[STREET ADDRESS]
[CITY], [STATE] [ZIPCODE]
Dear Resident,
Recently, a Field Interviewer from Research Triangle Institute contacted someone in your household about
participating in the National Survey on Drug Use and Health. We understand that at the time, some concerns were
expressed about participating in the study.
Your privacy is important—Research Triangle Institute protects your privacy by not providing any individual
answers to anyone. Your answers are combined with the answers of thousands of other people and reported only
as overall numbers. Also, we never ask for anyone’s full name. To further protect privacy, the interview is set up
so that the participant records most answers—the interviewer never sees or hears them.
If you agree to participate, the option to refuse to answer any question is always available. The initial questions
for the study only take about five minutes and ask for very general information. After these initial questions,
someone in your household may or may not be randomly selected to participate in the full interview.
If anyone is selected for the full interview, that person will receive a cash payment of $30 at the end of the
interview as a token of appreciation for participating.
A limited number of households were randomly selected to represent the population of the U.S. Your household
cannot be replaced. If you choose not to participate, your experiences and views—as well as the thousands of
people you represent—will not have a chance to be heard.
Your participation is critical to the success of this study, and we are happy to make a special effort to work around
your schedule so that you can be included. Please feel free to call me to set up an appointment at a time that would
be convenient for you.
Thank you for your time. I hope you’ll reconsider and choose to participate in this extremely important and
beneficial study.
Sincerely,

File Type	application/pdf
File Title	[DATE]
Author	thomley
File Modified	2011-06-14
File Created	2011-06-07