POP - POST ENROLLMENT_F/U Phone Call Script and Pregnancy Ref Form (Mother)

Attachment 20.d.

Study to Explore Early Development

SEED Follow-up 1 Call

Checklist of items to be covered during call

1. Introduce self

2. Explain purpose of call

3. Ask if it is ok to tape call for quality assurance purposes

4. Verify that participant received enrollment packet

5. Ask if participant had a chance to review materials in enrollment packet

6. Inquire if participant had any questions regarding the information provided in the enrollment packet (copy of written consent form to review, Study Bill of Rights, Study Flow Sheet)

7. Complete the Pregnancy Reference Form

8. Confirm appointment to complete the Maternal Interview

9. Inform participant that the pregnancy calendar, the Maternal Interview Preparatory Guide and a $20 incentive for completing this call will be mailed in advance of the interview. The guide includes reference lists of select medical conditions, medications, and other medical treatments for the biological mother and child.

Version 9-2015