Att 5b - Child Assent Brochure

Attachment 5b Child Assent Brochure 2013-14.docx

National Health and Nutrition Examination Survey

Att 5b - Child Assent Brochure

OMB: 0920-0950

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0950 can be found here:

Document [docx]

Download: docx | pdf

Attachment 5b

Shape2 Shape3 Shape4 Shape5 Shape6 Examination Assent Brochure

Shape7 Shape12 Shape13 Shape14

Shape15

^N^a^tⁱ^oⁿ^a^l^H^e^a^l^t^h^and^N^u^t^rⁱ^tⁱ^oⁿ^E^x^a^mⁱⁿ^a^tⁱ^oⁿ^S^u^r^v^e^y

^This^b^oo^k^l^e^t^c^oⁿ^t^aⁱⁿ^s^f^a^c^t^s

for you about the National Health and Nutrition Examination Survey

Shape16 Shape21 Shape22 Shape23

Shape24

^A^b^o^u^t^Y^our^E^x^a^m

The National Health and Nutrition

Examination Survey (NHANES) studies the

health and diet of people in this country.

Shape25 The survey will look at how young people grow

and develop. We will ask questions about what your body looks like. We will look at special health problems that may affect kids.

We go all over the United States in these vans.

Shape26 Shape27 Shape32 Shape33 Shape34

Shape35

^N^a^tⁱ^oⁿ^a^l^H^e^a^l^t^h^and^N^u^t^rⁱ^tⁱ^oⁿ^E^x^a^mⁱⁿ^a^tⁱ^oⁿ^S^u^r^v^e^y

Our survey wants you to come to this exam

center. The exam is like going to the doctor. Your exam will help us find out more about the health of children your age.

Shape36 We will ask questions about what you eat and drink.

You will change into

special exam clothes at the exam center.

Shape37 Shape38 Our doctor will take

your pulse.

We will take your blood

Shape39

^A^b^o^u^t^Y^our^E^x^a^m

pressure.

Shape40 ₅

₄

₃

₂

Shape41 Shape42 Shape47 Shape48 Shape49 We will see how much

you weigh and how tall you are.

We will look at your

teeth.

Shape50 Shape55 Shape56 Shape57

Shape58 Shape59 Shape60

^N^a^tⁱ^oⁿ^a^l^H^e^a^l^t^h^and^N^u^t^rⁱ^tⁱ^oⁿ^E^x^a^mⁱⁿ^a^tⁱ^oⁿ^S^u^r^v^e^y

We will test your

activity level.

We will check your blood

and urine in our lab.

Shape61 We will send you and

your parents a report on your exam.

Shape62 Shape67 Shape68 Shape69

Shape70 Shape71

^A^b^o^u^t^Y^our^E^x^a^m

We will give you money

to thank you for helping us with our survey.

Shape72 Our staff will answer

any questions you have.

We would like you to go to our mobile exam

center vans for an exam. You will help us learn

more about all children in the United States. ₇

Shape73 Shape78 Shape79 Shape80 Shape81

⁸

Notes

File Type	application/vnd.openxmlformats-officedocument.wordprocessingml.document
File Title	CS220522-A_layout.indd
Author	kfp1
File Modified	0000-00-00
File Created	2021-01-30