Evaluation of the TravAlert Electronic Messaging System

Data Collection for Evaluation of Education, Communication, and Training Activities

Attachment 5 - TravAlert Evaluation Participant Information Sheet

Evaluation of the TravAlert Electronic Messaging System

OMB: 0920-0932

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U.S. Department of Health and Human Services (HHS)                        OMB Control # 0920-0932

Centers for Disease Control and Prevention (CDC)                               Expiration Date 05/31/2015


Participant Information Sheet

Evaluation of CDC’s Electronic Messaging System for Travelers

Purpose

You are invited to share your thoughts today on health and disease messages in the airport during a brief interview. This interview is being conducted by CIC Research Inc., and is sponsored by the Centers for Disease Control and Prevention (CDC) with the assistance of the Oak Ridge Institute for Science and Education. Your answers can help CDC’s efforts to provide clear and accurate health and disease information to international travelers.

Participation is voluntary


While we would like to hear from you, it is up to you whether you want to participate and you can decide to stop the interview at any time. You can also skip any questions you do not want to answer.

Time needed to participate
The interview is expected to take five minutes.

If you agree to participate

You will be asked a few questions about a specific health message in the airport. You will also be asked about certain health behaviors related to the message. Interview participants will receive a small token of appreciation for their time.

Privacy and confidentiality

We will not collect your name or any other information that would identify you personally. The information we collect on the interview form will have a number on it that cannot be used to identify you. It is possible that other people in the airport could overhear the information you tell us, but the questions we ask will not be sensitive.

Anything you say today will be kept private. CDC and it’s contractors will follow U.S. laws in protecting the information from the interview. Your individual responses will not be used in any reports.

How this information will be used

We will use the information from this interview to improve how CDC provides health and disease information to international travelers.

Person to contact for more information

If you have any questions about the interview, you may call:

Julie Crumly, Oak Ridge Institute for Science and Education (ORISE), Oak Ridge, TN, Phone: 865-576-8889.




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