Dietary Interview Materials

Attachment_11g_Dietary_Interview_Materials_2024JULY16.pdf

[NCHS] National Health and Nutrition Examination Survey (NHANES)

Dietary Interview Materials

OMB: 0920-0950

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Attachment 11g
Dietary Interview Materials

A.Dietary Interview Appointment Slip ................................................................................... 11g-2
B.Dietary Interview Day 1 Thank You Letter ........................................................................ 11g-3

11g-1

11g-A

The Nation’s Mobile Health Survey

Don’t Forget!
Your NHANES Dietary
Interview Appointments

Name:

Day 1 Dietary Phone Interview
Date:

Time:

Day 2 Dietary Phone Interview
Date:

Time:

IMPORTANT
•

Please have your Food Model Booklet and dietary
supplements ready for your appointments.

•

If you do not receive a call from us on your appointment
day and time, please call 800-344-1386.
▪

We will call from a toll-free number. Please make sure
we are not blocked by your phone provider.

11g-2

11g-B

{DATE}

MEC EXAM NOT COMPLETED
{ADDRESSEE NAME}
{STREET MAILING ADDRESS}
{CITY, STATE ZIP}

IMPORTANT NOTICE: Please Read
Dear {SP FIRST NAME/PARENT OR GUARDIAN OF SP FIRST NAME}:
Thank you for completing {your/ {SP NAME}’s} first Dietary phone interview! Your answers about {your/
your family’s} health and eating habits are helping doctors and researchers better understand—and
improve— {people/children}’s health in the United States. That is why your second interview is so
important.
After completing your second Dietary phone interview, you will receive {$DI INCENTIVE}.

Initial
Screener

In-Home
Interview

Free Health Exam

Dietary Phone
Interview 1

Dietary Phone
Interview 2
Complete!

{$MEC Incentive Range}
Token of Thanks

{$DI Incentive} Token of Thanks

Please refer to your reminder sheet or the NHANES online portal for your appointment date and
time. You may also call us at 800-344-1386 to get information about your appointment.
As part of the study, {you/{SP NAME}/your family} also get{s} a free health exam and the results to
share with {your/their} doctor. If you have already completed this step, then THANK YOU. We will give
{you/{SP NAME}/each selected family member} {$MEC Incentive range} depending on {your/their}
age as a thank you for taking part in the NHANES exam.
If you have questions, please call us toll free at 800-344-1386 or visit www.cdc.gov/NHANES.
Thank you for your time and consideration!

Peggy Collins,
National Field Manager

407	

{LETTER CONTROL ID}

11g-3

{DATE}

MEC EXAM COMPLETED

{ADDRESSEE NAME}
{STREET MAILING ADDRESS}
{CITY, STATE ZIP}

IMPORTANT NOTICE: Please Read
Dear {SP FIRST NAME/PARENT OR GUARDIAN OF SP FIRST NAME}:
Thank you for completing {your/ {SP NAME}’s} first Dietary phone interview! Your answers about {your/
your family’s} health and eating habits are helping doctors and researchers better understand—and
improve— {people/children}’s health in the United States. That is why your second interview is so
important.
After completing your second Dietary phone interview, you will receive {$DI INCENTIVE}.

Initial
Screener

In-Home
Interview

Free
Health Exam

Dietary Phone
Interview 1

Dietary Phone
Interview 2
Complete!

{$DI Incentive} Token of Thanks

Please refer to your reminder sheet or the NHANES online portal for your appointment date and
time. You may also call us at 800-344-1386 to get information about your appointment.
If you have questions, please call us toll free at 800-344-1386 or visit www.cdc.gov/NHANES.
Thank you for your time and consideration!

Peggy Collins,
National Field Manager

407	

{LETTER CONTROL ID}

11g-4


File Typeapplication/pdf
File TitleMicrosoft Word - Attachment_Template.docx
Authormmyers
File Modified2024-06-17
File Created2024-06-17

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