Participant Advance Letter

Att 20_Initial Letter_May23.docx

[NCBDDD] Population-based Surveillance of Outcomes, Needs, and Well-being of Children and Adolescents with Congenital Heart Defects

Participant Advance Letter

OMB: 0920-1382

Document [docx]
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October 20, 2023



Parent or Guardian of «firstname» «lastname»

«address1»

«address2»

«city», «state» «zip»



Dear Parent or Guardian of «firstname»,


Soon you will receive a packet in the mail containing information about the Congenital Heart Survey To Recognize Outcomes, Needs, and well-beinG of KIDS (CHSTRONG-KIDS), as well as a survey and gift card. Because your child was identified by the state where they were born as a person born with a heart condition, we would like you to complete the short survey about your child, their quality of life, and access to healthcare. Your information will help us identify unmet needs of children born with heart conditions. CHSTRONG-KIDS is being conducted by the Metropolitan Atlanta Congenital Defects Program and Centers for Disease Control and Prevention (CDC). To learn more about this project, you can visit <website address>.

The survey will take about 20 minutes. It can be completed online or by mail. None of your answers will be linked to your name or your child’s name. Your name and you child’s name will never be released as having a heart condition, having completed the survey, or having been asked to participate. We know your time is valuable. As a thank you, we will include a $5.00 gift card for you to keep whether or not you complete the survey. If you choose to return your completed survey via mail, we will send you another gift card worth $20.00 to thank you for the additional time and effort spent.

Please return the included postcard if you prefer to not be contacted again and we will remove you from the survey.  

Across the country, thousands of parents and caregivers of children born with heart conditions are taking part in this survey. Everyone’s answers are important to us and will add to what we learn about how heart conditions affect children. The findings from the survey may help identify unmet needs of children born with heart conditions and their caregivers and help families of children with heart conditions plan for the future. 

If we have contacted you in error and your child was not born with a heart condition, please contact the CHSTRONG-KIDS Project Manager at [email] or [phone number] so that we can update our records.

Thank you for completing this important survey.

[PI Signature]


[Site PI]

[Site name]




Si desea llenar la encuesta en Español, favor de enviar un correo electrónico a [site email] o llamar al [site phone number].

Haddii aad rabto in aad sahanka ku qaadato Af-Soomaali, fadlan u soo dir email [site email] ama wac [site phone number].


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleCH STRONG Letterhead
AuthorFinn, Karrie (CDC/CGH/DGHA) (CTR)
File Modified0000-00-00
File Created2023-10-20

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