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pdf+Change Sailors - Payment Contact
Information
Start of Block: Contact Information
Q3
Thank you for participating in this survey about Sailors' Health! The responses you provided on
the survey are completely anonymous and are in no way connected to your email address.
Therefore, we ask that you provide us with the email address where you would like to receive
your $30 Amazon gift card code, as well as the military email address where you initially
received the link to the survey. We will cross-reference military emails to ensure that each
participant is paid only once. You will not receive payment if the military email address that you
provide on this form does not match our records or is repeated. Once we have received your
submission, we will email your gift card to you within two weeks. We appreciate your
cooperation! If you have questions or concerns about payment for your participation, please
contact our study email address at [email protected]
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Page 1 of 2
Q4 Please enter your first name
________________________________________________________________
Q5 Please enter your DMDC email address (Note: This needs to be the SAME email in which
you received the invite to the survey):
________________________________________________________________
Q6 Please enter the email address you would like your payment sent to :
________________________________________________________________
Q7 Please confirm the email address you would like your payment sent to :
________________________________________________________________
End of Block: Contact Information
Page 2 of 2
| File Type | application/pdf |
| File Title | +Change Sailors - Payment Contact Information |
| Author | Qualtrics |
| File Modified | 2022-06-24 |
| File Created | 2022-06-24 |