ABS advance letter for screener

AttH.1_ABS Advance Letter for Screener.docx

The National Intimate Partner and Sexual Violence Survey (NISVS)

ABS advance letter for screener

OMB: 0920-0822

Document [docx]
Download: docx | pdf


Attachment H.1

ABS Advance Letter for Screener



1a.ABS_Initial Letter_Screener_Non-Probability

«Barcode» «ID#»«SEQ#»

«City »RESIDENT

«Address»

«City», «state» «zip_char»-«zip_4char»

«Month, Year»

Dear «City» Resident,


Your household is being asked to help with an important national survey sponsored by the Centers for Disease Control and Prevention (CDC). 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.

We are asking that one adult, 18 or older living at this address to fill out the survey using the link provided below. To ensure that the study represents different types of people, please ask the «youngest/oldest» adult «male/female» living here to complete the survey in the next two weeks. If there are no adult «males/females» that live here, please ask the «youngest/oldest» adult «female/male» to complete the survey.

We have enclosed «$2/$5» as a token of our appreciation for your participation. [FOR THOSE SELECTED TO RECEIVE AN ADDITONAL PROMISED INCENTIVE: If someone in your household goes online and fill out a brief survey about your household, you will receive an additional $10 Amazon gift code.]

To complete the survey, please visit the website below and use the access code:


Survey Website: www.healthinjurysurvey.com

Your Access Code: «PIN»


Being part of this study is voluntary, and you may choose not to answer any question. The information you provide will be kept private and will not be linked to your name. No information that could personally identify you will be given to CDC or anyone else. Your answers will be combined with responses from others who are in the study when the results are presented.

If you have any questions about this study, please contact Westat, a social science research firm contracted by CDC, at 1-8XX-XXX-XXXX or email [email protected]. If you have additional questions, you can also contact CDC-Info at 1-800-CDC-INFO (232-4636) or [email protected]. Please mention that you are calling about the Health and Injury Survey.


Thank you for your participation.


Sincerely,


«Insert signature»

«Insert title»

«Insert agency name»



1b.ABS_Initial Letter_Screener_Probability


Barcode» «ID#»«SEQ#»

«City »RESIDENT

«Address»

«City», «state» «zip_char»-«zip_4char»

«Month, Year»

Dear «City» Resident,


Your household is being asked to help with an important national survey sponsored by the Centers for Disease Control and Prevention (CDC). 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.

  • To begin, have an adult age 18 or older living at this address complete a short survey about your household by visiting the website below and entering the unique access code.


  • This survey will take less than 5 minutes to complete online. You will also learn more about this study and the next steps.


  • We know your time is valuable and have enclosed «$2/$5» as a token of appreciation. [FOR THOSE RECEIVING AN ADDITIONAL PROMISED INCENTIVE: If someone in your household completes the 5-minute survey, they will receive an additional $10 Amazon Gift card code.


Survey Website: www.healthinjurysurvey.com

Your Access Code: «PIN»


Being part of this study is voluntary, and you may choose not to participate or answer any question on the survey. There is no penalty for not participating. The information you provide will be kept private and will not be linked to your name. No information that could personally identify you will be given to CDC or anyone else. Your answers will be combined with responses from others who are in the study when the results are presented.

If you have any questions about this study, please contact Westat, a social science research firm contracted by CDC, at 1-8XX-XXX-XXXX or email [email protected]. If you have additional questions, you can also contact CDC-Info at 1-800-CDC-INFO (232-4636) or [email protected]. Please mention that you are calling about the Health and Injury Study.


Thank you for your participation.


Sincerely,


«Insert signature»

«Insert title»

«Insert agency name»


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorDouglas Williams
File Modified0000-00-00
File Created2021-01-14

© 2024 OMB.report | Privacy Policy