FAQs for paper survey

Appendix E.6

FAQs for Full Paper Survey

FAQs for Extended Paper Survey Mailing (will be printed in the back of the letter)

Who is sponsoring the study?

The study is sponsored by the Centers for Disease Control and Prevention (CDC). CDC is the nation’s leading public health agency and is part of the U.S. federal government. If you have additional questions, you can contact CDC-Info at 1-800-232 4636 or [email protected]. Please mention that you are calling about the Health and Injury Survey.

What is the goal of the study?

The goal of the survey is to learn more about health and injuries among adults in the U.S. Results from this study will be used to inform and guide national prevention efforts.Since some of the questions are personal, we suggest you complete the survey in a private setting.

Will you keep my answers confidential and safe?

The information you provide will be kept private and will not be linked to your name. This research is covered by a Certificate of Confidentiality from the Centers for Disease Control and Prevention. The researchers with this Certificate cannot disclose the information or documents to anyone else who is not connected with the research. It may not be disclosed in any federal, state, or local civil, criminal, administrative, legislative, or other action, suit, or proceeding. The only exception is if there is a federal, state, or local law that requires disclosure (such as to report child abuse) or if you report plans to harm yourself or others.

Will I ever be identified?

Your name and contact information will not be linked to the answers to the survey. No information that could personally identify you will be given to the CDC or anyone else. Your answers will be combined with responses from others who are in the study when the results are presented.

What do I do if filling out the survey brought up upsetting feelings or emotions?

Sometimes when people have participated in a study like this, they realized that they are interested in following up on some of the issues that they have been asked about in the study with someone who is professionally trained to deal with these kind of issues. Provided below are toll-free numbers of resources that you can use now or in the future if you want to speak further with someone.

• The National Domestic Violence Hotline at 1-800-799-SAFE (7233).

• The National Sexual Assault Hotline at 1-800-656-HOPE (4673).

• The National Child Abuse Hotline at 1-800-4-A-Child (1-800-422-4453).

• The National Suicide Prevention Lifeline at 1-800-273-TALK (8255).

Public reporting burden of this collection of information is estimated at 25 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, NW, MS D-74, Atlanta, GA 30333; Attn: PRA (0920-0822) EXPIRATION DATE: