Follow Up Question for Online Participants (English)

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

Att 27_FollowUp Question English_May23

CH STRONG KIDS (Congenital Heart Survey To Recognize Outcomes, Needs, and wellbeinG of KIDS)

OMB: 0920-1382

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October 20, 2023



«firstname» «lastname»

«address1»

«address2»

«city», «state» «zip»



Dear Participant,


Thank you for completing the CHSTRONG-KIDS survey.

If you would like to receive periodic updates on the progress and results of this survey, please provide your email address below and mail this form back in the postage paid envelope.



Email address: _______________________________





Sincerely,


[PI Signature]


[Site PI]

[Site name]



[Participant ID]

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorFarr, Sherry (CDC/DDNID/NCBDDD/DBDID)
File Modified0000-00-00
File Created2023-10-20

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