Recruitment Screener

Attachment V - Recruitment Eligibility Screeners.docx

Generic Clearance for Questionnaire Pretesting Research

Recruitment Screener

OMB: 0607-0725

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1


Section 1: CSM Universal Telephone Screener (OMB #0607-0725)


Section 2: Privacy Risk Tolerance Additional Screener Questions



  1. Do you currently live with anyone who is not related to you (for example, with a roommate or renter)?

    • Yes

    • No

  2. Is the place where you currently live…

    • Owned by you or someone in your household with a mortgage or loan?

    • Owned by you or someone in your household free and clear (that is, without a mortgage or loan)?

    • Rented?

    • Occupied without payment or rent?






File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJenna A Fulton (CENSUS/CSM FED)
File Modified0000-00-00
File Created2021-01-20

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