Survey 1 (non-respondents)

SSA Work Disability Functional Assessment Battery (WD-FAB) Data Collection

Attachment B1. Survey 1 Web Nonresponders Follow-up Script

Survey 1 (non-respondents)

OMB: 0960-0823

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ATTACHMENT B1. SURVEY 1 WEB NONRESPONDERS FOLLOW-UP SCRIPT
Web Survey Non-Responders Follow-up Telephone Contact (Survey 1)
Script for interviewers calling web survey 1 non-responders– beneficiaries, who elect the web survey and
have not completed the survey after 8 days of the initial email being generated, will be rolled over to the
TRC. The TRC will attempt to conduct these interviews over the phone.
S1.

Hello, may I speak with [BENEFICIARY]? [IF NEEDED: I am trying to reach the person who
recently received a letter from the SSA about a research study]
[IF ASKED, “WHO’S CALLING?”]:
My name is (DATA COLLECTOR) and I am calling from Westat about a Social Security
Administration research study.





YES/SPEAKING  (GO TO SURVEY 1 INTRO)
ANSWERING MACHINE  (GO TO ANSWERING MACHINE MESSAGE)
ENTER NEW PHONE NUMBER  (GO TO RECORD NEW NUMBER)
CLICK FREDK TAB, CODE RESULT CODE  (GO TO START SCREENER)

ANSWERING MACHINE MESSAGE
(DISPLAY ANSWERING MACHINE MESSAGE ONLY IF ONE HAS NOT BEEN LEFT PREVIOUSLY)
Hello, I’m calling from Westat about a Social Security Administration research study. The study is
voluntary and will not affect your benefits in any way. If you complete the survey, you will receive a Visa
pre-paid debit card in the amount of $50. We will call back within the next few days, or you can call our
toll-free number: [INSERT TOLL-FREE NUMBER]. Thank you.
RECORD A NEW PHONE NUMBER:
(e.g., 301-444-4444)
TELEPHONE NUMBER:
SURVEY 1 INTRO:
Hello, this is (INTERVIEWER) and I’m calling back from Westat about a Social Security Administration
research study. We spoke to you a few weeks ago. You said that you wanted to do the survey on the
internet. We noticed that you did not complete the survey yet. We cannot send you the $50 Visa prepaid debit card until you complete the survey.

Q1. We can do the survey over the phone now. Would that be ok with you?




YES  (GO TO INTRO2)
CALLBACK/APPOINTMENT  (GO TO START SCREENER)
REFUSE  (GO TO THANK 1)
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ATTACHMENT B1. SURVEY 1 WEB NONRESPONDERS FOLLOW-UP SCRIPT


WISH TO DO SURVEY ONLINE/NEVER RECEIVED EMAIL  (GO TO Q2)

Q2. We will send you another email with details and instructions for accessing the web survey. May I
please have your email address?
E-MAIL ADDRESS ____________________________
CONFIRM E-MAIL ADDRESS ____________________ (GO TO THANK3)
THANK3.You should receive an email with a link for the web survey soon. We look forward to your
participation in our study. (ADD “NEXT CASE” BUTTON TO TAKE INTERVIEWER TO THE NEXT
BENEFICIARY.)
[INTRO2]
The purpose of the study is to see if a newly developed set of questions about functioning can improve
the continuing disability review (CDR) process that SSA uses to determine continued eligibility of
program benefits. SSA is working with the survey research company, Westat, to conduct this study. You
can decide if you want to take part in this study or not. The study takes about 50 minutes. When you
have completed all of the questions, you will receive a Visa pre-paid debit card in the amount of $50.
Do you wish to continue?




THANK1.

YES  (GO TO SURVEY 1)
CALLBACK/APPOINTMENT  (GO TO THANK1)
REFUSE  (GO TO THANK1)
DON’T KNOW  (GO TO THANK1)

Thank you, but those are all the questions I have for you. Good-bye. (ADD “NEXT CASE”
BUTTON TO TAKE INTERVIEWER TO THE NEXT BENEFICIARY.)

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