National Survey of Children's Health

Appendix E: 2019 NSCH Production Sample Letters

NSCH11pa _REVISED_01/25/2019
Dear Resident:
Your address has been selected to participate in the National Survey of Children’s Health. This
survey collects information that is used to improve the health of children and families throughout the
United States. The U.S. Census Bureau conducts this survey on behalf of the U.S. Department of
Health and Human Services. Even if there are no children age 0 to 17 in your household, it is
important that you complete this survey.
Responding to this survey online is easy:
1. Go to: https://respond.census.gov/nsch
2. Enter your Login ID:

If you need assistance with the survey or have questions, please call 1–800–845–8241 or email us at
[email protected]. If you are unable to complete the survey online, we have enclosed a
paper questionnaire. If you decide to complete the paper questionnaire instead of the online survey,
please mail it back in the postage-paid envelope provided.
Your household was randomly selected as part of this voluntary survey. We cannot replace your
household with another one. The survey takes less than 5 minutes if there are no children in your
household, and an average of 33 minutes for households with children.
The U.S. Census Bureau is required by law to protect your information. We are not permitted to
publicly release your responses in a way that could identify your household. The U.S. Census Bureau
is conducting this survey under the authority of Title 13, United States Code (U.S.C.), Section 8(b)
and Section 501(a)(2) of the Social Security Act (42 U.S.C. §701). Federal law protects your privacy
and keeps your answers confidential under Title 13, U.S.C., Section 9. Per the Federal Cybersecurity
Enhancement Act of 2015, your data are protected from cybersecurity risks through screening of the
systems that transmit your data.
This survey has been approved by the Office of Management and Budget (OMB). The eight-digit
OMB approval number 0607-0990 appears in the bottom left corner of the survey web page and in the
upper right corner of the paper questionnaire. If this number were not displayed, we could not conduct
this survey.
The success of this survey depends on your participation. The results will help our nation better
understand and respond to the health care needs of children and families.
Thank you for your help.
Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure

NSCH11pb _REVISED_01/25/2019
Dear Resident:
Your address has been selected to participate in the National Survey on Children’s Health. This
survey collects information that is used to improve the health of children and families throughout the
United States. The U.S. Census Bureau conducts this survey on behalf of the U.S. Department of
Health and Human Services. Even if there are no children age 0 to 17 in your household, it is
important that you complete this survey.
Responding to this survey online is easy:
1. Go to: https://respond.census.gov/nsch
2. Enter your Login ID:

If you need assistance with the survey or have questions, please call 1–800–845–8241 or email us at
[email protected]. If you are unable to complete the survey online, we have enclosed a
paper questionnaire. If you decide to complete the paper questionnaire instead of the online survey,
please mail it back in the postage-paid envelope provided.
Your household was randomly selected as part of this voluntary survey. We cannot replace your
household with another one. The survey takes less than 5 minutes if there are no children in your
household and an average of 33 minutes for households with children.
The U.S. Census Bureau is required by law to protect your information. We are not permitted to
publicly release your responses in a way that could identify your household. The Census Bureau is
conducting this survey under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and
Section 501(a)(2) of the Social Security Act (42 U.S.C. §701). Federal law protects your privacy and
keeps your answers confidential under Title 13, U.S.C., Section 9. Per the Federal Cybersecurity
Enhancement Act of 2015, your data are protected from cybersecurity risks through screening of the
systems that transmit your data.
This survey has been approved by the Office of Management and Budget (OMB). The eight-digit
OMB approval number 0607-0990 appears in the bottom left corner of the survey web page and in the
upper right corner of the paper questionnaire. If this number were not displayed, we could not conduct
this survey.
The success of this survey depends on your participation. The results will help our nation better
understand and respond to the health care needs of children and families.
Thank you for your help.
Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure

NSCH11wa _REVISED_01/25/2019
Dear Resident:
Your address has been selected to participate in the National Survey of Children’s Health. This
survey collects information that is used to improve the health of children and families throughout the
United States. The U.S. Census Bureau conducts this survey on behalf of the U.S. Department of
Health and Human Services. Even if there are no children age 0 to 17 in your household, it is
important that you complete this survey.
Responding to this survey online is easy:
1. Go to: https://respond.census.gov/nsch
2. Enter your Login ID:

We are conducting this survey online to help us reduce costs and report results quickly. If you are
unable to complete the survey online, need assistance, or have questions, please call 1–800–845–8241
or email us at [email protected].
Your household was randomly selected as part of this voluntary survey. We cannot replace your
household with another one. The survey takes less than 5 minutes if there are no children in your
household and an average of 33 minutes for households with children.
The U.S. Census Bureau is required by law to protect your information. We are not permitted to
publicly release your responses in a way that could identify your household. The Census Bureau is
conducting this survey under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and
Section 501(a)(2) of the Social Security Act (42 U.S.C. §701). Federal law protects your privacy and
keeps your answers confidential under Title 13, U.S.C., Section 9. Per the Federal Cybersecurity
Enhancement Act of 2015, your data are protected from cybersecurity risks through screening of the
systems that transmit your data.
This survey has been approved by the Office of Management and Budget (OMB). The eight-digit
OMB approval number 0607-0990 appears in the bottom left corner of the survey web page. If this
number were not displayed, we could not conduct this survey.
The success of this survey depends on your participation. The results will help our nation better
understand and respond to the health care needs of children and families.
Thank you for your help.

Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

NSCH11wb _REVISED_01/25/2019
Dear Resident:
Your address has been selected to participate in the National Survey on Children’s Health. This
survey collects information that is used to improve the health of children and families throughout the
United States. The U.S. Census Bureau conducts this survey on behalf of the U.S. Department of
Health and Human Services. Even if there are no children age 0 to 17 in your household, it is
important that you complete this survey.
Responding to this survey online is easy:
1. Go to: https://respond.census.gov/nsch
2. Enter your Login ID:

We are conducting this survey online to help us reduce costs and report results quickly. If you are
unable to complete the survey online, need assistance, or have questions, please call 1–800–845–8241
or email us at [email protected].
Your household was randomly selected as part of this voluntary survey. We cannot replace your
household with another one. The survey takes less than 5 minutes if there are no children in your
household and an average of 33 minutes for households with children.
The Census Bureau is required by law to protect your information. We are not permitted to publicly
release your responses in a way that could identify your household. The Census Bureau is conducting
this survey under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and Section
501(a)(2) of the Social Security Act (42 U.S.C. §701). Federal law protects your privacy and keeps
your answers confidential under Title 13, U.S.C., Section 9. Per the Federal Cybersecurity
Enhancement Act of 2015, your data are protected from cybersecurity risks through screening of the
systems that transmit your data.
This survey has been approved by the Office of Management and Budget (OMB). The eight-digit
OMB approval number 0607-0990 appears in the bottom left corner of the survey web page. If this
number were not displayed, we could not conduct this survey.
The success of this survey depends on your participation. The results will help our nation better
understand and respond to the health care needs of children and families. We have enclosed a small
token of appreciation for your participation.
Thank you for your help.
Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure

NSCH12pb - REVISED_01/25/2019

Dear Resident:
Recently, we requested your participation in the National Survey of Children’s Health (NSCH).
If you have completed the NSCH prior to receiving this mailing, please accept our thanks. If you
have not yet responded, we encourage you to complete the survey online or return the enclosed
paper questionnaire today. This survey collects important information used to improve the health
of children and families throughout the United States.
Responding to this survey online is easy:
1. Go to: https://respond.census.gov/nsch
2. Enter your Login ID:
If you need assistance with the survey or have questions, please call 1–800–845–8241 or email us
at [email protected].
Even if there are no children 0 to 17 years old in your household, it is important that you respond.
The survey takes less than 5 minutes to respond if there are no children in your household and an
average of 33 minutes for households with children.
The information gathered in this survey is critical to understanding children’s health care needs in your
state and across the country. Your household was scientifically selected from all of the households in
the country and your response represents thousands of other households. The U.S. Census Bureau is
not permitted to publicly release your responses in a way that could identify your household. By law,
the Census Bureau can only use your responses for statistical research.
Your response is vital to the success of this survey. Thank you again for your participation. We
hope to hear from you soon.

Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure

NSCH12wa - REVISED_01/25/2019
Dear Resident:
Recently, we requested your participation in the National Survey of Children’s Health (NSCH).
If you have completed the NSCH prior to receiving this mailing, please accept our thanks. If you
have not yet responded, we encourage you to complete the survey online. This survey collects
important information used to improve the health of children and families throughout the United
States.
Responding to this survey online is easy:
1. Go to: https://respond.census.gov/nsch
2. Enter your Login ID:
If you would prefer a paper version of the survey, need assistance or have questions, please call
1–800–845–8241 or email us at [email protected].
Even if there are no children 0 to 17 years old in your household, it is important that you respond.
The survey takes less than 5 minutes to respond if there are no children in your household and an
average of 33 minutes for households with children.
The information gathered in this survey is critical to understanding children’s health care needs in your
state and across the country. Your household was scientifically selected from all of the households in
the country and your response represents thousands of other households. The U.S. Census Bureau is
not permitted to publicly release your responses in a way that could identify your household. By law,
the Census Bureau can only use your responses for statistical research.
Your response is vital to the success of this survey. Thank you again for your participation. We hope
to hear from you soon.
Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

NSCH13 _REVISED_01/25/2019

Dear Resident:
Recently, we wrote asking for your help with the National Survey of Children’s Health. If you have
already responded, thank you. If you have not, we are asking you to complete this survey because your
participation is vital to its success. The survey period is ending soon.
There are two ways you can respond:

1. Go to https://respond.census.gov/nsch and enter your Login ID:
OR
2. Complete the enclosed paper questionnaire and mail it back in the postagepaid envelope provided
If you need assistance with the survey or have questions, please call 1–800–845–8241 or email us at
[email protected]. It is important that we hear from you, even if there are no children age 0
to 17 living in your household.
The results of the survey will help us better understand the health and health care needs of children in
the United States. Your household was scientifically selected from all of the households in the country
and will represent thousands of other households. The U.S. Census Bureau is not permitted to publicly
release your responses in a way that could identify your household. By law, the Census Bureau can
only use your responses for statistical research.
Thank you again for your participation. We hope to hear from you soon.

Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure

NSCH14_REVISED_01/25/2019

Dear Resident:
In July, we requested your participation in the National Survey of Children’s Health. We are
contacting you today one final time to ask for your help with this very important survey.
If you have already responded to the survey, please accept our sincere thanks. If you have not yet
responded, please respond today. The information gathered in this survey is critical to understanding
children’s health care needs in your state and across the country. It provides key insights about the
health and welfare of the youngest members of our society and what they need to thrive.
There are two ways you can respond:
1. Go to https://respond.census.gov/nsch and enter your Login ID:
OR
2. Complete the enclosed paper questionnaire and mail it back in the postagepaid envelope provided
This is your last opportunity to ensure that the survey results reflect the characteristics of households
like yours. It is important that we hear from you, even if there are no children age 0 to 17 living
in your household.
If you have any questions about participating, please contact us at 1–800–845–8241 or by email at
[email protected].
Thank you for your help.

Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure

NSCHpcp _REVISED_01/25/2019
Dear Resident:
Recently we mailed you a letter requesting your participation in the National Survey of Children’s
Health. If you have already responded to the survey, please accept our sincere thanks. If you have not
yet completed your survey online or returned the paper questionnaire we sent you, please do so right
away.
Responding to this survey online is easy:

1. Go to: https://respond.census.gov/nsch
2. Enter your Login ID:

If you need assistance with the survey or have questions, please call 1–800–845–8241 or email us at
[email protected].
Thank you for your help.

Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

NSCH-pc2 _PROPOSED_01/25/2019
Dear Resident:
We’ve attempted to reach you to ask for your help with the National Survey of Children’s Health.
Your response will help us better understand the health care needs of children in the United States.
If you have already responded to the survey, please accept our sincere thanks. If you have not yet
completed the survey, please do so right away.
Responding to this survey online is easy:
1. Go to: https://respond.census.gov/nsch
2. Enter your Login ID:

If you need a paper version of the survey or have questions, please call 1–800–845–8241 or email us at
[email protected].
Thank you for your help.
Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

NSCHpcw_REVISED_01/25/2019
Dear Resident:
Recently we mailed you a letter requesting your participation in the National Survey of Children’s
Health. If you have already responded to the survey, please accept our sincere thanks. If you have not
yet completed your survey, please do so right away.
Responding to this survey online is easy:

1. Go to: https://respond.census.gov/nsch
2. Enter your Login ID:

If you are unable to complete the survey online, need assistance, or have questions, please
call 1–800–845–8241 or email us at [email protected].
Thank you for your help.
Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

NSCH21a_REVISED_01/25/2019

Dear Resident:
A few weeks ago you responded to the National Survey of Children’s Health. We greatly appreciate
your participation.
The second and final step of this survey is to answer some follow-up questions about:
[NAME]
This voluntary survey should be filled out by an adult who is familiar with this child’s health and
health care. For most households, it usually takes an average of 33 minutes to complete. Please return
your completed questionnaire in the postage-paid envelope provided.
The U.S. Census Bureau is required by law to protect your information. We are not permitted to
publicly release your responses in a way that could identify your household. The U.S. Census Bureau
is conducting this survey under the authority of Title 13, United States Code (U.S.C.), Section 8(b) and
Section 501(a)(2) of the Social Security Act (42 U.S.C. §701). Federal law protects your privacy and
keeps your answers confidential under Title 13, U.S.C., Section 9. Per the Federal Cybersecurity
Enhancement Act of 2015, your data are protected from cybersecurity risks through screening of the
systems that transmit your data.
This survey has been approved by the Office of Management and Budget (OMB). The
eight-digit OMB approval number 0607-0990 appears in the upper right corner of the paper
questionnaire. If this number were not displayed, we could not conduct this survey.
If you need assistance with the survey or have questions, please call 1–800–845–8241 or email
[email protected].
The success of this survey depends on your participation. The results will help our nation better
understand and respond to the health care needs of children and families.
Thank you once again for your help.

Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure

NSCH21b_REVISED_01/25/2019

Dear Resident:

A few weeks ago you responded to the National Survey of Children’s Health. We greatly
appreciate your participation.
The second and final step of this survey is to answer some follow-up questions about:
[NAME]
This voluntary survey should be filled out by an adult who is familiar with this child’s health and
health care. We have selected only one child in your household to minimize the amount of time
you will need to complete the survey. This child was selected at random to ensure the survey
results represent every type of child and health situation across the country. For most households,
it usually takes an average of 33 minutes to complete. Please return your completed questionnaire
in the postage-paid envelope provided.
The U.S. Census Bureau is required by law to protect your information. We are not permitted to
publicly release your responses in a way that could identify your household. The U.S. Census
Bureau is conducting this survey under the authority of Title 13, United States Code (U.S.C.),
Section 8(b) and Section 501(a)(2) of the Social Security Act (42 U.S.C. §701). Federal law
protects your privacy and keeps your answers confidential under Title 13, U.S.C., Section 9. Per
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity
risks through screening of the systems that transmit your data.
This survey has been approved by the Office of Management and Budget (OMB). The
eight-digit OMB approval number 0607-0990 appears in the upper right corner of the paper
questionnaire. If this number were not displayed, we could not conduct this survey.
If you need assistance with the survey or have questions, please call 1–800–845–8241 or email
[email protected].
The success of this survey depends on your participation. The results will help our nation better
understand and respond to the health care needs of children and families.
Thank you once again for your help.
Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure

NSCH21c_Revised_01/25/2019
Dear Resident:

A few weeks ago you responded to the National Survey of Children’s Health. We greatly
appreciate your participation.
The second and final step of this survey is to answer some follow up questions about:
[NAME]
This voluntary survey should be filled out by an adult who is familiar with [NAME’s] health and
health care. For most households, it usually takes an average of 33 minutes to complete. Please
return your completed questionnaire in the postage-paid envelope provided.
The U.S. Census Bureau is required by law to protect your information. We are not permitted to
publicly release your responses in a way that could identify your household. The U.S. Census
Bureau is conducting this survey under the authority of Title 13, United States Code (U.S.C.),
Section 8(b) and Section 501(a)(2) of the Social Security Act (42 U.S.C. §701). Federal law
protects your privacy and keeps your answers confidential under Title 13, U.S.C., Section 9. Per
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity
risks through screening of the systems that transmit your data.
This survey has been approved by the Office of Management and Budget (OMB). The
eight-digit OMB approval number 0607-0990 appears in the upper right corner of the paper
questionnaire. If this number were not displayed, we could not conduct this survey.
If you need assistance with the survey or have questions, please call 1–800–845–8241 or email
[email protected].
Since the survey is ending soon, this is your last opportunity to help. We hope that you will complete
the questionnaire and mail it back. The success of this survey depends on your participation.
The results will help our nation better understand and respond to the health care needs of children
and families.
Thank you once again for your help.
Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure

NSCH21d_Revised_01/25/2019

Dear Resident:
A few weeks ago you responded to the National Survey of Children’s Health. We greatly
appreciate your participation.
The second and final step of this survey is to answer some follow-up questions about:
[NAME]
This voluntary survey should be filled out by an adult who is familiar with this child’s health and
health care. We have selected only one child in your household to minimize the amount of time
you will need to complete the survey. This child was selected at random to ensure the survey
results represent every type of child and health situation across the country. For most households,
it usually takes an average of 33 minutes to complete. Please return your completed questionnaire
in the postage-paid envelope provided.
The U.S. Census Bureau is required by law to protect your information. We are not permitted to
publicly release your responses in a way that could identify your household. The U.S. Census
Bureau is conducting this survey under the authority of Title 13, United States Code (U.S.C.),
Section 8(b) and Section 501(a)(2) of the Social Security Act (42 U.S.C. §701). Federal law
protects your privacy and keeps your answers confidential under Title 13, U.S.C., Section 9. Per
the Federal Cybersecurity Enhancement Act of 2015, your data are protected from cybersecurity
risks through screening of the systems that transmit your data.
This survey has been approved by the Office of Management and Budget (OMB). The
eight-digit OMB approval number 0607-0990 appears in the upper right corner of the paper
questionnaire. If this number were not displayed, we could not conduct this survey.
If you need assistance with the survey or have questions, please call 1–800–845–8241 or email
[email protected].
Since the survey is ending soon, this is your last opportunity to help. We hope that you will complete
the questionnaire and mail it back. The success of this survey depends on your participation.
The results will help our nation better understand and respond to the health care needs of children
and families.
Thank you once again for your help.
Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure

NSCH-PC3 (Topical) _PROPOSED

Dear Resident:
We recently sent you a questionnaire for the National Survey of Children’s Health. The questionnaire asks
questions about the health and health care for a child in your household. Your response is important and will help us
better understand the health care needs of children in the U.S.
If you have already completed the questionnaire, please accept our sincere thanks. If you have not, please do so right
away.
If you need a new questionnaire or have questions, please call 1–800–845–8241 or email us at:
[email protected].
Thank you for your help.

Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

NSCH22a_Revised_01/25/2019

Dear Resident:

We recently contacted you to ask for your participation in the final step of the National Survey of
Children’s Health. The final step is to answer some follow-up questions about:
[NAME]
To the best of our knowledge, we have not yet received your response. If you have already responded,
please accept our thanks. If you have not, we encourage you to complete and return the enclosed paper
questionnaire today. For most households, it usually takes an average of 33 minutes to complete the survey.
Please contact us at 1–800–845–8241 or [email protected] if you have any questions or need any
assistance completing this survey.
The information collected in this survey will help our nation better understand and respond to the health care
needs of children and families. We ask for your response because this survey is the only way we have to
gather this important information. Your household was scientifically selected from all of the households in
the country and will represent thousands of other households.
We want to assure you that your responses to this questionnaire are confidential as explained on the front
page of the survey. The U.S. Census Bureau and the U.S. Department of Health and Human Services are
required by law to protect the confidentiality of your responses.
Your response is vital to the success of this survey. Thank you in advance for your participation. We
hope to hear from you soon.

Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure

NSCH22b_Revised_01/25/2019
Dear Resident:

We recently contacted you to ask for your participation in the final step of the National Survey of
Children’s Health. The final step is to answer some follow-up questions about:
[NAME]
To the best of our knowledge, we have not yet received your response. If you have already responded,
please accept our thanks. If you have not, we encourage you to complete and return the enclosed paper
questionnaire today. To reduce the time you will need to respond to the questions, we have selected only
one child from your household. For most households, it usually takes an average of 33 minutes to complete
the survey.
Please contact us at 1–800–845–8241 or [email protected] if you have any questions or need any
assistance completing this survey.
The information collected in this survey will help our nation better understand and respond to the health care
needs of children and families. We ask for your response because this survey is the only way we have to
gather this important information. Your household was scientifically selected from all of the households in
the country and will represent thousands of other households.
We want to assure you that your responses to this questionnaire are confidential as explained on the front
page of the survey. The U.S. Census Bureau and the U.S. Department of Health and Human Services are
required by law to protect the confidentiality of your responses.
Your response is vital to the success of this survey. Thank you in advance for your participation. We
hope to hear from you soon.

Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure

NSCH22c_Revised_01/25/2019

Dear Resident:

We recently contacted you to ask for your participation in the final step of the National Survey of
Children’s Health. Since the survey is ending soon, this is your last opportunity to help. The final step is
to answer some follow-up questions about:
[NAME]
To the best of our knowledge, we have not yet received your response. If you have already responded,
please accept our thanks. If you have not, we encourage you to complete and return the enclosed paper
questionnaire today. For most households, it usually takes an average of 33 minutes to complete the survey.
Please contact us at 1–800–845–8241 or [email protected] if you have any questions or need any
assistance completing this survey.
The information collected in this survey will help our nation better understand and respond to the health care
needs of children and families. We ask for your response because this survey is the only way we have to
gather this important information. Your household was scientifically selected from all of the households in
the country and will represent thousands of other households.
We want to assure you that your responses to this questionnaire are confidential as explained on the front
page of the survey. The U.S. Census Bureau and the U.S. Department of Health and Human Services are
required by law to protect the confidentiality of your responses.
Your response is vital to the success of this survey. Thank you in advance for your participation. We
hope to hear from you soon.
Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure

NSCH22d_Revised_01/25/2019

Dear Resident:

We recently contacted you to ask for your participation in the final step of the National Survey of
Children’s Health. Since the survey is ending soon, this is your last opportunity to help. The final step is
to answer some follow-up questions about:
[NAME]
To the best of our knowledge, we have not yet received your response. If you have already responded,
please accept our thanks. If you have not, we encourage you to complete and return the enclosed paper
questionnaire today. To reduce the time you will need to respond to the questions, we have selected only
one child from your household. For most households, it usually takes an average of 33 minutes to complete
the survey.
Please contact us at 1–800–845–8241 or [email protected] if you have any questions or need any
assistance completing this survey.
The information collected in this survey will help our nation better understand and respond to the health care
needs of children and families. We ask for your response because this survey is the only way we have to
gather this important information. Your household was scientifically selected from all of the households in
the country and will represent thousands of other households.
We want to assure you that your responses to this questionnaire are confidential as explained on the front
page of the survey. The U.S. Census Bureau and the U.S. Department of Health and Human Services are
required by law to protect the confidentiality of your responses.
Your response is vital to the success of this survey. Thank you in advance for your participation. We
hope to hear from you soon.

Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure

NSCH23a_Revised_01/25/2019

Dear Resident:

Over the past few months, we have contacted you to ask you to complete the final part of the National
Survey of Children’s Health. We conduct this important survey for the U.S. Department of Health and
Human Services.
The survey provides vital information about the health status and needs of our nation’s children. This
information gives the public insights into how the youngest members of our society are doing and what they
need to thrive.
We know there are competing demands for your time. We ask for your response because this survey is the
only way we have to gather this important information. Your household was scientifically selected from all
of the households in the country and cannot be replaced with another household.
To the best of our knowledge, we have not yet received your response. If you have completed the survey
prior to receiving this mailing, please accept our thanks. If you have not yet responded, please complete and
return the enclosed paper questionnaire as soon as possible.
Contact us at 1–800–845–8241 or [email protected] if you have any questions or need any
assistance completing this survey.
Thank you in advance for your continued participation in this important survey.

Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure

NSCH23b_REVISED_01/25/2019

Dear Resident:

Over the past few months, we have contacted you to ask you to complete the final part of the National
Survey of Children’s Health. We conduct this important survey for the U.S. Department of Health and
Human Services.
The survey provides vital information about the health status and needs of our nation’s children. This
information gives the public insights into how the youngest members of our society are doing and what they
need to thrive.
We know there are competing demands for your time. We ask for your response because this survey is the
only way we have to gather this important information. Your household was scientifically selected from all
of the households in the country and cannot be replaced with another household.
To the best of our knowledge, we have not yet received your response to follow up questions about:
[NAME]
If you have completed the survey prior to receiving this mailing, please accept our thanks. If you have not
yet responded, please complete and return the enclosed paper questionnaire as soon as possible.
Contact us at 1–800–845–8241 or [email protected] if you have any questions or need any
assistance completing this survey.
Thank you in advance for your continued participation in this important survey.

Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure

NSCH23c_Revised_01/25/2019

Dear Resident:

Over the past few months, we have contacted you to ask you to complete the final part of the National
Survey of Children’s Health. We conduct this important survey for the U.S. Department of Health and
Human Services. Since the survey will soon end, this is your last opportunity to help.
The survey provides vital information about the health status and needs of our nation’s children. This
information gives the public insights into how the youngest members of our society are doing and what they
need to thrive.
We know there are competing demands for your time. We ask for your response because this survey is the
only way we have to gather this important information. Your household was scientifically selected from all
of the households in the country and cannot be replaced with another household.
To the best of our knowledge, we have not yet received your response. If you have completed the survey
prior to receiving this mailing, please accept our thanks. If you have not yet responded, please complete and
return the enclosed paper questionnaire as soon as possible.
Contact us at 1–800–845–8241 or [email protected] if you have any questions or need any
assistance completing this survey.
Thank you in advance for your continued participation in this important survey.

Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure

NSCH23d_Revised_01/25/2019

Dear Resident:

Over the past few months, we have contacted you to ask you to complete the final part of the National
Survey of Children’s Health. We conduct this important survey for the U.S. Department of Health and
Human Services. Since the survey will soon end, this is your last opportunity to help.
The survey provides vital information about the health status and needs of our nation’s children. This
information gives the public insights into how the youngest members of our society are doing and what they
need to thrive.
We know there are competing demands for your time. We ask for your response because this survey is the
only way we have to gather this important information. Your household was scientifically selected from all
of the households in the country and cannot be replaced with another household.
To the best of our knowledge, we have not yet received your response to follow up questions about:
[NAME]
If you have completed the survey prior to receiving this mailing, please accept our thanks. If you have not
yet responded, please complete and return the enclosed paper questionnaire as soon as possible.
Contact us at 1–800–845–8241 or [email protected] if you have any questions or need any
assistance completing this survey.
Thank you in advance for your continued participation in this important survey.

Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure

NSCH24_REVISED_04/25/2019

Dear Resident:
In recent months we have contacted you regarding the final part of the National Survey of Children’s
Health.
If you have responded to our request to participate in the final part of the survey, we thank you. By
participating, you ensure that we gather accurate and complete information.
If you have not responded, please complete and return the enclosed survey as soon as possible. The survey
is ending soon. This is your last opportunity to help us collect information that is critical to understanding
children’s health care needs, in your state and across the country.
Thousands of families have already returned their surveys. We understand that your time is valuable. For
most households, the survey takes an average of 33 minutes to complete. Respond today to ensure that the
survey results reflect the characteristics of households like yours.
If you have questions or need assistance, please contact us at 1–800–845–8241 or
[email protected].
We greatly appreciate your help.

Sincerely,
Dr. Steven D. Dillingham
Director of the U.S. Census Bureau

Enclosure