Destination of Released Patients Following Treatment with Iodine-131 and Estimation of Doses to Members of the Public at Locations Other Than Conventional Residences Receiving Such Patients

Survey Reminder Telephone Script:

Questionnaire On Where Patients

Reside Immediately Following I-131 Radioiodine Treatment

Section 1: Initial Call

Hello, this is INTERVIEWER NAME, with SC&A, a contractor for the Nuclear Regulatory Commission.

Are you PATIENT NAME?

A. Yes [Go to Section 2]

B. No

Is PATIENT NAME available now?

A. Yes [Go to Section 2 when patient is on the line]

B. No

I’d like to call back to talk to PATIENT NAME. Do you know when might be a good time? ________

Thanks for your help. [END]

Section 2: Patient Contact

I’m calling about a survey that was sent to you regarding your recent I-131 treatment. This survey will provide important information to the NRC about how well the patient release practices are working to protect others from radiation exposures. We would greatly appreciate your answering the survey, to the best of your ability. All the responses from the survey will be held confidential by the NRC and SC&A and that any results that are made public will not identify any individuals or facilities.

Our records show that we sent the survey to you by email on DATE. I just want to confirm that you received the survey.

A. Yes : We’d appreciate your completing and returning the survey as soon as possible.

B. No: I’m sorry you didn’t receive the survey. I can re-send it to you. I’d like to confirm your email address so that we can ensure you receive it._____________

Thanks for your time. [END]