0920-0840 Interview Scheduling Script

Form Approved

OMB No. 0920-0840

Expiration Date: 01/31/2019

Pathways: Qualitative Interviews with Post-Partum Women Associated with Congenital Syphilis Cases (Case Mothers)

Generic Information Collection Request under OMB #0920-0840

Attachment #3c

Interview Scheduling Script

Public reporting burden of this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: OMB-PRA (0920-0840)

INTERVIEW SCHEDULING SCRIPT

Good morning/afternoon,

My name is [INTERVIEWER name], I recently received your information from [CITY/STATE] Health Department about your willingness to be interviewed about your experiences.

I’d like to schedule a time to have an interview with you.

I am currently scheduling interviews for dates between: DATE to DATE

Would you be available to meet during this time?

If yes:

Schedule meeting Date_________________________ Time___________

Location:______________________________________________________

I would like to send you a confirmation for our interview; can I send this confirmation via email or text?

___ Yes

[Get preferred email or phone number to send interview confirmation to]:

Phone number or email address: ________________________

If no:

Is there another time that would work better for you?

___ Yes

Future Date_________________________ Time___________

Location:______________________________________________________

___ No

If participant is no longer interested, thank them for their time and end call.

Thank you very much for your time.

If interview scheduled:

If you need to cancel or reschedule our meeting, my contact information is [NAME] and [PHONE NUMBER]. I look forward to talking with you.

Good-bye.

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