Atmt YYY Follow-up Parent Survey Reminder_11-10-11

Atmt YYY Follow-up Parent Survey Reminder_11-10-11.docx

Evaluation of Dating Matters: Strategies to Promote Healthy Teen Relationships

Atmt YYY Follow-up Parent Survey Reminder_11-10-11

OMB: 0920-0941

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Follow-up Parent Survey Reminder

Dating Matters: Strategies to Promote Healthy Teen Relationships™ Initiative



Division of Violence Prevention

National Center for Injury Prevention and Control

Centers for Disease Control and Prevention






Date, via email or hard copy letter>

Dear <Parent/Guardian>:


We are contacting you again about the Centers for Disease Control and Prevention (CDC) research project called “Evaluation of CDC’s Dating Matters: Strategies to Promote Healthy Teen Relationships™ Initiative.” Your child’s middle school has partnered with the local health department and is conducting one of two teen dating violence prevention programs. The purpose of this study is to help us learn more about teenagers’ relationships with other people, including people they date or hang out with, and how parents/guardians manage their own relationships. This will help us know how different programs in your school and your community are working. You may have seen information about this study in your school newsletter or a flyer in your child’s backpack.


Some parents at each school have been randomly selected to fill out surveys. You were selected to participate in this study because your child is currently enrolled at <insert middle school name> and in the teen dating violence prevention evaluation study. Some parents have more than one child at this school. If that is the case, we are contacting you regarding your oldest middle school child.


On behalf of CDC, NORC at the University of Chicago is inviting you or another parent or guardian in your home to fill out a survey in the fall and the spring each year that your child is in middle school. You do not have to participate, but your participation will be a contribution to research that may benefit students in the future.


Attached for your convenience is the survey for you to complete and mail back to us, in the enclosed postage-paid envelope. If you prefer, you can complete the survey online. The survey will take about 30-40 minutes to complete. At any time, you can choose to stop answering the questions online. The secure link below will connect you to a web page with more information about the survey and the survey itself.


<web link>


A hard copy of the survey is also enclosed if you prefer to write your answers rather than answer online. We understand you have many competing demands for your time. We would appreciate it if you would please take a moment to complete the survey on paper or on the web by <DATE>.

If you have any questions about this study, you may contact <contact person and phone and email>. For additional information regarding the rights of human participants in research, you may contact NORC’s Institutional Review Board Office (Michael Kuby, the NORC IRB Manager, toll-free at 1-866-309-0542).


Sincerely,




Bruce G. Taylor, Ph.D.

Principal Investigator, NORC Evaluation Contract

CDC’s Dating Matters: Strategies to Promote Healthy Teen Relationships™ Initiative

Parent name:

Parent ID number:

School ID number:

Date:



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorWendy LiKamWa
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