Form 3 Follow-Up Phone script

The Sister Study: PHASE 3 Environmental and Generic Risk Factors for Breast Cancer

SISOMB2016ATTACHMENT2cFOLLOWUPscript20160219REVISED

Follow-up III Telephone Prompting Script

OMB: 0925-0522

Document [pdf]
Download: pdf | pdf
SISOMB2016 Attachment 2C: FOLLOW-UP III SCRIPT

Follow-Up I I I
Telephone Prompting Script
Call placed to non-responders eight weeks after mailing of paper questionnaires.

1. Hello, my name is… and I am calling about the Sister Study. May I please speak with
[PARTICPANT NAME]?
[IF ASKED PURPOSE OF CALL, THEN SAY: "We're calling about a health study being
conducted for the National Institute of Environmental Health Sciences. Is she available?"]

1 YES
2 NOT AVAILABLE
3 WRONG NUMBER
4 REFUSAL






GO TO 3
CLICK ON APPOINTMENT TAB
GO TO 2
CLICK ON REFUSALS TAB

2. Is this [PHONE NUMBER]?

1
2

YES
NO




GO TO 2c
GO TO 2a

2a Phone number: [PHONE NUMBER]
I apologize for the inconvenience. I do need to redial this number in order to determine the
source of the problem. If your phone should ring, please answer it. Thank you.
[HANG UP AND REDIAL NUMBER.]

1
2

SAME PERSON
DIFFERENT PERSON




GO TO 2b
GO TO 2

2b. I'm sorry to have disturbed you. Thanks (again) for your help. Goodbye.
[WHAT IS WRONG WITH THIS NUMBER?]

1 DOUBLE WRONG NUMBER
2 R NOT KNOWN AT THIS NUMBER
3 NEW CONTACT INFO FOR R OBTAINED

Public reporting burden for this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, searching
existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor,
and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden
estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: NIH, Project Clearance Branch, 6705 Rockledge Drive,
MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0522). Do not return the completed form to this address.

2c. Our records show that [PARTICPANT NAME] lives at this number. Is this correct?

1
2

YES

NO, BUT KNOWS HOW TO CONTACT R 

3

NO, DON'T KNOW R



GO TO 1
GO TO 2b - UPDATE NUMBER
AND ATTEMPT CONTACT AT
NEW NUMBER
GO TO 2b

3. I am calling on behalf of the Sister Study. We recently sent you a package containing
questionnaires about your Health and Medical History, Lifestyle, and Quality of Life and
Special Topics. Do you remember receiving this?




YES
NO




GO TO 4
GO TO 6

4. We are calling because we have not yet received your completed 2012 Follow-Up
questionnaires. While your participation is voluntary, it is important that women in the Sister
Study complete these forms so we can learn how the environmental and lifestyle factors you
already told us about affect changes in health, including why some women develop breast
cancer. We hope you will complete these forms soon. You can complete them over the
phone now or at a more convenient time or you can complete them yourselves and return
them by mail. Will you be able to complete the questionnaires now or some time soon?






NEEDS A REMAIL
ALREADY RETURNED
WILL DO OR NOT SURE
WILL DO INTERVIEW NOW






GO TO 7
GO TO 8
GO TO 5
GO TO INVITATION FOR
TELEPHONE INTERVIEW, #4




GO TO 6
GO TO 7

5. Do you still have the questionnaires we sent?




YES
NO

6. We would appreciate if you could complete the questionnaires and return them as soon as
possible in the postage-paid envelope that was provided. We'll hope to receive your
questionnaires in the next few weeks. We may call you in a few weeks if they haven't
arrived. ANSWER QUESTIONS AS NEEDED. GO TO 8
[IF FORMS ARE NOT RECEIVED, CALLBACK WILL BE MADE 14 DAYS LATER]

7. We can send you a new package.
CONFIRM OR CORRECT MAILING ADDRESS
We will send a new package to you in the next few days. We would appreciate if you could
take some time to complete the questionnaires and return them in the postage-paid
envelope that is provided. GO TO 8

8. Thank you for your help. Next year, we will need only a brief update on your contact
information and health, similar to what you received last year. If anything changes in the
meantime, you can update your contact information by sending an email to
[email protected] or by calling the Sister Study helpdesk toll-free at 1-877-4SISTER
(1-877-474-7837). When you call or email us, it will be helpful to give your Sister Study ID
number, which is …
You can always visit our website at www.sisterstudy.org for more news about the Sister
Study. Thank you again for contributing to this important research.

Follow-Up I I I
Telephone Script for Invitation for Telephone Interview
Call placed to non-responders twelve weeks after mailing of paper questionnaires.

1. Hello, my name is… and I am calling about the Sister Study. May I please speak with
[PARTICPANT NAME]?
[IF ASKED PURPOSE OF CALL, THEN SAY: "We're calling about a health study being
conducted for the National Institute of Environmental Health Sciences. Is she available?"]

1 YES
2 NOT AVAILABLE
3 WRONG NUMBER
4 REFUSAL






GO TO 3
CLICK ON APPOINTMENT TAB
GO TO 2
CLICK ON REFUSALS TAB

2. Is this [PHONE NUMBER]?

1
2

YES
NO




GO TO 2c
GO TO 2a

2a Phone number: [PHONE NUMBER]
I apologize for the inconvenience. I do need to redial this number in order to determine the
source of the problem. If your phone should ring, please answer it. Thank you.
[HANG UP AND REDIAL NUMBER.]

1
2

SAME PERSON
DIFFERENT PERSON




GO TO 2b
GO TO 2

2b. I'm sorry to have disturbed you. Thanks (again) for your help. Goodbye.
[WHAT IS WRONG WITH THIS NUMBER?]

1 DOUBLE WRONG NUMBER
2 R NOT KNOWN AT THIS NUMBER
3 NEW CONTACT INFO FOR R OBTAINED

2c. Our records show that [PARTICPANT NAME] lives at this number. Is this correct?

1
2

YES

NO, BUT KNOWS HOW TO CONTACT R 

3

NO, DON'T KNOW R



GO TO 1
GO TO 2b - UPDATE NUMBER
AND ATTEMPT CONTACT AT
NEW NUMBER
GO TO 2b

3. I am calling on behalf of the Sister Study. We recently sent you a package containing
questionnaires about your Health and Medical History, Lifestyle, and Quality of Life and
Special Topics. We have not yet received your completed questionnaires so we are calling
to ask if you would help by taking some time to answer these questions with us now over the
phone.




YES
ALREADY RETURNED




GO TO 4
Thank you for your help. We'll hope to receive your
questionnaires in the next week or so. We may call
you in a couple of weeks if they still haven’t arrived.
Good-bye. [IF FORMS ARE NOT RECEIVED,
CALLBACK WILL BE MADE 14 DAYS LATER]

4. Before we get started, I want to remind you that your participation in the study is voluntary
and all of the information we collect will be kept strictly confidential. If, for any reason, you
would rather not answer a question, just tell me and we can go on to the next one.
WHEN ALL QUESTIONNAIRES COMPLETE, GO TO 5
5. At this time, we would like to update your (other) contact information.
Have there been any changes to your:
• Name
• Street address
• Mailing address
• Home telephone number
• Work telephone number
• Cell telephone number

6. Do you have an email address that we can use to reach you?

7. The following is information for the contact people you provided.
Have there been any changes to the first contact person you gave us?
Have there been any changes to the second contact person you gave us?

PROMPT FOR NAME, RELATIONSHIP, ADDRESS, PHONE NUMBER, REASON FOR
CHANGE

8. Thank you for your help. Next year, we will need only a brief update on your contact
information and health, similar to what you received last year.
You can update us with your contact information at any time by sending an email to
[email protected] or by calling the Sister Study helpdesk toll-free at 1-877-4SISTER

(1-877-474-7837). When you call or email us, it will be helpful to give your Sister Study ID
number, which is (REFER TO ID ON PAGE 1).
You can always visit our website at www.sisterstudy.org for more news about the Sister
Study. Thank you again for contributing to this important research.


File Typeapplication/pdf
File Modified2016-02-24
File Created2016-02-10

© 2024 OMB.report | Privacy Policy