Telephonic script to contact Zika virus disease cases to obtain additional clinical information - Neurological Symptoms

Att. 6A - Script - Neurologic.docx

Zika Virus Enhanced Surveillance of Selected Populations

Telephonic script to contact Zika virus disease cases to obtain additional clinical information - Neurological Symptoms

OMB: 0920-1192

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Attachment 6A. Telephonic script to contact Zika virus disease cases to obtain additional clinical information


Hello, my name is___________ and I work for the __________ health department. May I please speak to ______________/the parent or guardian of ____________?


I am contacting you as you were/your child was diagnosed with Zika virus disease in the last year. We are currently trying to learn more about Zika. We want to know more about what neurologic symptoms patients have, what kinds of treatment they received, and if they got better. This information will be used in the future to provide patients and doctors with better information about what to expect.


If you agree, we would like to ask you some questions about your/your child’s illness. We have some information already so it will just be a few additional questions. Do you have 5-10 minutes now to talk to me? If not, is there a better time to reach you?


Thank you for your time today.




File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSamuel, Lee (CDC/OID/NCEZID)
File Modified0000-00-00
File Created2021-01-22

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