Address 1
Address 2
City, State, Zip
DATE
Dear [MEPS respondent],
Thank you for your participation in the Medical Expenditure Panel Survey (MEPS). Over the next 2-6 months, Westat is conducting a follow-up study to test new questions for the survey. We would like your permission to contact you again about taking part in that follow-up study.
Westat is conducting the MEPS follow-up study on behalf of the Agency for Health Research and Quality (AHRQ). The follow-up study will involve a one-time interview held at our offices in Rockville, MD, with someone other than your regular MEPS interviewer. We typically pay between $50 and $75 to those who are chosen to take part in such follow-up studies.
All of your answers will be kept private and we will not use your name in any reports we produce. Your participation is voluntary.
If you have any questions about the project please call the Task Manager, Amanda Wilmot at xxx-xxx-xxxx, or email XXXX. For questions about your rights as a research participant, please call the Westat Human Subjects Protection Office at 1-888-920-7631.
If you agree to be contacted, please check the box below and provide the best phone number and email address at which to reach you. Someone from Westat may follow-up with you in the future.
Sincerely,
Name
I agree to be contacted about participating in a future interview.
Phone number: _____________________________
Email: _________________________________
Print name: ________________________________
Signature: _________________________________
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Karen Stein |
| File Modified | 0000-00-00 |
| File Created | 2021-01-22 |