GenIC Clearance for CDC/ATSDR
Formative Research and Tool Development
Food Safety Communication Evaluation: Assessing Food Safety Messages, Knowledge, and Attitudes
Contact: Sara Bresee, MPH
Office of the Director
Division of Foodborne, Waterborne, and Environmental Diseases
Centers for Disease Control and Prevention
1600 Clifton Road, NE
Atlanta, Georgia 30333
Phone: (404) 639.3371
Email: [email protected]
BANYAN COMMUNICATIONS CONSENT FORM
Please read and sign this sheet before you attend the focus group
We’re pleased you have accepted our invitation to participate.
You will be responding to topics of interest to the Centers for Disease Control and Prevention (CDC). CDC engaged us to recruit for their discussion. The entire focus group will be:
Observed (sight and sound) virtually via Zoom. Observers may include CDC staff and our staff.
Recorded (audio and video). This recording will be the property of CDC. They will not use your voice or image in any public media without your written consent.
In return for your voluntary participation in this project, we will provide a $75 gift card to you for your time spent during the focus group.
Since
your opinions, observations, reactions, and other expressions are the
reason for conducting this focus group, we hope you will participate
fully in the process. You do not have to respond to all questions.
We will not sell, distribute, or otherwise release personally identifiable information we collect to CDC unless it is a necessary part of this project.
By signing this document, you acknowledge that you understand, agree to, and consent to the above and that you waive and release any claim you may have against Banyan Communications and its clients, owners, agents, affiliates, employees and managers arising out of your voluntary participation in the focus group.
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | serecept |
| File Modified | 0000-00-00 |
| File Created | 2025-05-18 |