Att 6: Intercept Interview Receipt Form

Development of CDC’s Act Against AIDS Social Marketing Campaigns Targeting Consumers

Attachment 6: Intercept Interview Receipt Form

Attachment 6: Intercept Interview Receipt Form

Act Against AIDS Project

I acknowledge receiving $10 as a token of appreciation for participating in an interview for the Act Against AIDS project conducted by RTI.

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Participant Initials Date

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Interviewer Signature Date