Attachment L_ Household Survey for General Public_ Postcard to Indicate Interest

Attachment L_ Household Survey for General Public_ Postcard to Indicate Interest.docx

Public Health Systems, Mental Health and Community Recovery Project

Attachment L_ Household Survey for General Public_ Postcard to Indicate Interest

OMB: 0920-0993

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Attachment L: Household Survey for General Public_ Postcard to Indicate Interest

Thank you for your interest in this important research project. Your participation will help us understand whether and how residents’ health and well-being were affected by tornados that hit the area in April, 2011. Please complete the following information and return this postcard. You will receive a call in a week or so. After completing the telephone survey, we will send you a gift of $10.


First name or initials: ____________________________


Best phone number to reach you:

(___ ___ ___ ­) ___ ___ ___ - ___ ___ ___ ___



Best times to reach you (check all that apply):

Monday: Morning Afternoon Evening

Tuesday: Morning Afternoon Evening

Wednesday: Morning Afternoon Evening

Thursday: Morning Afternoon Evening

Friday: Morning Afternoon Evening

Saturday: Morning Afternoon Evening

Sunday: Morning Afternoon Evening

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