Document
Strategies To Respond to Intimate Violence Effectively (STRIVE)
ICR 202611-0970-004 · OMB 0970-0531 · Object 174617000.
Document Viewer [docx]
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Strategies To Respond to Intimate Violence Effectively (STRIVE) |
| Author | Lisa Kim (She/Her/Hers) |
| Last Modified By | Writer |
| File Modified | 2025-02-17 |
| File Created | 2026-11-05 |
| Conversion State | complete |
Extracted Text
Contact Information Form
Thank you for taking the STRIVE survey! Please fill out the information below so we can send you a $10 gift card to thank you for your participation.
You can choose to get the gift card link by text or email:
Text: The link will come from [PHONE NUMBER].
Email: The link will come from [EMAIL ADDRESS].
Your Information:
First Name:
Last Name:
Phone Number:
Email:
How would you like to get your gift card link?
• Phone
• Email
[Ask at pre-intervention only] Is it ok for the STRIVE study team to reach out to you using the contact information you provided to remind you about your next survey?
• Yes
• No
You will get your gift card link within 5 days of finishing the survey. If you don’t receive it or have any trouble using it, please contact the study team at [PHONE NUMBER] or [EMAIL ADDRESS].
Thank you for being a part of the STRIVE study!