Jurisdictional MCH Pretest Appendix A- Recruitment Flyer FINAL

Jurisdictional MCH Pretest Appendix A- Recruitment Flyer FINAL.doc

Questionnaire and Data Collection Testing, Evaluation, and Research for the Health Resources and Services Administration (HRSA)

Jurisdictional MCH Pretest Appendix A- Recruitment Flyer FINAL

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Appendix A: RECRUITMENT FLYER

VOLUNTEERS Wanted

for a Research Study


Title V Maternal and Child Health (MCH) Block Grant

Jurisdictional MCH Survey Instrument


Are you the mother of a child under 18 years old?


We are testing a survey to help better understand the health of mothers and children in [American Samoa, Federated States of Micronesia, Marshall Islands, Northern Mariana Islands, Palau]. You may qualify for this study if you are over the age of 18 and a mother of at least one child aged 0-17 years living in the same household.


Participation includes one in-person interview about your and your children’s health. It will take about 40 minutes. Participation is voluntary. There are few risks or benefits to you.


To learn more about this research call [Research Team Member].


This research is conducted under the direction of the United States Maternal and Child Health Bureau at the United States Department of Health and Human Services and

Caitlin Oppenheimer, Senior Vice President at NORC at the University of Chicago.



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