25_MIHOPE Family Tracking Postcard and Contact Script

OMB Control No: _____

Expiration Date: ______

ATTACHMENT 26: MIHOPE FAMILY TRACKING POSTCARD AND CONTACT SCRIPT

5/29/2012

Greetings from the MIHOPE study!

Thank you for your continued participation in the study.

We will be visiting you again soon. Please call our toll-free number

1-800-555-5555 to confirm your contact information.

Families who respond by calling this phone number to confirm their

contact information will receive $5.00.

We look forward to hearing from you!

all

DISPLAY SAMPLE INFO AS INTERVIEWER NOTES

M

AKEDIALPHONE

AUTO DIAL 1 HELLO

MANUAL DIAL 2 HELLO

QUICK EXIT 3

RESPONDENT CALLING IN 4 CALL-IN

makedialphone= 1,2,3

NAME; INTERVIEWER NAME

H

ELLO My name is __________________ at Mathematica Policy Research. May I speak with [NAME]?

SPEAKING TO[NAME] 1 GO TO SampMemb

[NAME] COMES TO THE PHONE 2 GO TO SampMemb

NEED TO CALL BACK 3 GO TO CALLBACK

[NAME] HAS MOVED 4 GO TO Knowwhere

[NAME] DOES NOT SPEAK ENGLISH 5 GO TO LANG

NEVER HEARD OF [NAME]/WRONG NUMBER/

DIFFERENT RESPONDENT 6 GO TO THANKS

HUNG UP DURING INTRODUCTION 7 GO TO TERMINATE

makedialphone=4

INTERVIEWER NAME

C

ALL-IN My name is __________________ at Mathematica Policy Research. Thank you for calling in to provide us with your contact information.

INTERVIEWER: enter 1 to continue

HELLO=1,2 or makedialphone=4

NAME; CHILD

S

Var

1 Thanks again for participating in the MIHOPE study. As you know, we will be contacting you again soon for a follow-up interview. I’d like to take a minute or so to confirm our records so we have the correct information.

INTERVIEWER: READ NAME TO RESPONDENT AND VERIFY SPELLING

NAME CORRECT 1 S3

NAME INCORRECT 2 S2

NAME=2

S

2. May I have the correct spelling of your name?

INTERVIEWER: READ NAME TO RESPONDENT AND VERIFY SPELLING

(STRING 20)

FIRST NAME

(STRING 20)

MIDDLE INITIAL/NAME

(STRING 30)

LAST NAME

DON’T KNOW d

REFUSED r

all

FIRSTNAME, MIDDLENAME, LASTNAME

S

3. Now, I would like to make sure we have (CHILD)’s name recorded correctly.

INTERVIEWER: READ NAME TO RESPONDENT AND VERIFY SPELLING

LAST NAME

NAME CORRECT 1 S5

NAME INCORRECT 2 S4

S3=2 or pregnant at time of baseline interview

CHILD= FIRSTNAME, MIDDLENAME, LASTNAME

S

4. May I have the correct spelling of (CHILD)’s name?

(STRING 20)

FIRST NAME

(STRING 20)

MIDDLE INITIAL/NAME

(STRING 30)

LAST NAME

DON’T KNOW d

REFUSED r

all

CHILD, CHILD DOB FROM SMS

S5VR I have [CHILD]’s birth date as [DOB]. Is this correct?

Var

YES 1 S6

NO 0 S5

DON’T KNOW d S5

REFUSED r S5

s5VR=0 or pregnant at time of baseline interview

CHILD=Child’s first name

S

5. What is (CHILD)’s birth date?

| | | / | | | / | | | | |

MONTH DAY YEAR

(1-12) (1-31 )

DON’T KNOW d

REFUSED r

all

ADDRESS FROM SMS

S6 I have your address as [ADDRESS]. Is this correct?

Var

YES 1 S8

NO 0 S7

DON’T KNOW d S7

REFUSED r S7

S6=0,D,R

S

7 What is your address?

(STRING 500)

new address

DON’T KNOW d

REFUSED r

all

PHONE NUMBER FROM SMS

S8 I have your phone number as [PHONE]. Is this correct?

YES 1 S9

NO 0 S10

DON’T KNOW d S10

REFUSED r S10

S8=0,D,R

S

Var

9 What is your phone number?

| | | | - | | | | - | | | | |

DON’T KNOW d

REFUSED r

International Phone (STRING)

HELLO=4

NAME

KNOWWHERE Do you or anyone there know how we can reach [NAME]?

YES 1 NEWPHONE

NO 0 THANKS

KnowWhere=1

NewPhone. May I please have (his/her) telephone number?

Y ES 1 GO TO pGETPHONE

N O 0 GO TO NewAddr

Hello=5 OR WhatAbout=3 AND KnowWhere=1

NewAddr. May I please have (his/her) address?

Y ES 1 GO TO pGETADDRESS

N O 0 GO TO Thanks

Thanks: Thank you for your time. TERMINATE INTERVIEW