Appendix C1- Script for In Person Mode 5.14.18 - Palauan

Appendix C1: SCRIPT FOR IN-PERSON MODE, Palauan

Alii, a ngklek a _________. A mengedecheduch ra rechad el omtechei ra Health Resources and Services Administration, Maternal and Child Health Bureau ra U.S. Department of Health and Human Services.

Tial research study a olngesu er kemam el omtab a ukeruul er a chedil ma rengalk ra beluu er a [American Samoa/Federated States of Micronesia/Marshall Islands/Northern Mariana Islands/Belau]. A rechad el sorir el ngar tial study a kirrir onger a bebil ra ker el kirrel a ukeruulem, kau ma rengelekem.

1. Sebechek el oker ra kau a bebil ra ker el mesal kmo ke eligible el ngar tial study?

1 Yes [go to 2]
2 No [Thank individual for their time and end call]

99. Refused to Answer [Thank individual for their time and end call]

2. Kau ke teruich me a eai a rekim el mor bab?

1 Yes [go to 3]
2 No [Thank individual for their time and end call]

99. Refused to Answer [Thank individual for their time and end call]

3. Kau ke delal a ngalk el tolechoi el mo teruich me a euid a rekil em kei ra imol blai?

1 Yes [go to screener]
2 No [Thank individual for their time and end call]

99 Refused to Answer

[WRITTEN INFORMED CONSENT OBTAINED AFTER DETERMINING ELIGIBLE CHILD(REN) IN THE HOUSEHOLD AND PRIOR TO LAUNCHING CORE QUESTIONNAIRE- SEE SEPARATE FORM]

[IF RESPONDENT DOES NOT CONSENT, THANK HER FOR HER TIME AND END INTERVIEW, IF RESPONDENT DOES CONSENT, LAUNCH CORE QUESIONNAIRE]

[ADDITIONAL INFORMATION PROVIDED AT END OF SURVEY]

A U.S. Department of Health and Human Services, a sorir oureng a sulem, kau ma rengelekem ma rechad er a blim, el olngesu er kemam er tial survey.

A onger ra kau a klou a tutelel e mo olngesu er a rechad el oungerachel er tial research, a rechad ra llach, ma cheraro el omtab a ukeruulir ma lousbech a rengalk el kei er a ngeldengodech el beluu.

[FOR ALL IN-PERSON RESPONDENTS]

Ng sebechem el omkedong er a Clare Davidson er a [toll free number pending] malechub e ke email er a [email protected] al ngar ngii a kerim el kirel tial ureor. Al ngar gii a kerim el kirel a llemeltem, ng sebechem el omkedong er a NORC Institutional Review Board Manager el dengua re tir a (866) 309-0542. Ke kmal mesulang.