Zika Reproductive Health Call-Back Survey (ZRHCS), 2017

Zika Reproductive Health Call-Back Survey (ZRHCS), PUERTO RICO 2017

Att 2 ZRHCS Recruitment Script

Zika Reproductive Health Call-Back Survey (ZRHCS) - Puerto Rico, 2017 Recruitment Script

OMB: 0920-1188

Document [docx]
Download: docx | pdf


Attachment 3

Emergency Zika Package: Zika Reproductive Health

Call-Back Survey (ZRHCS), 2017



Recruitment Script

“We would like to call to you again to talk in more detail about reproductive issues related to the Zika virus.

The information will be used to help develop and improve the response to the Zika virus in <STATE>. The information you gave us today and any you give us in the future will be kept confidential.

If you agree to this, we will keep your first name or initials and phone number on file, separate from the answers collected today.

Even if you agree now, you may refuse to participate in the future. Would it be okay if we called you back to ask additional questions at a later time?”



1 Yes

2 No




File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorPierannunzi, Carol (CDC/ONDIEH/NCCDPHP)
File Modified0000-00-00
File Created2021-01-22

© 2024 OMB.report | Privacy Policy