Attachment G
Cognitive Interview Receipt for Participation
April 23, 2010
Receipt for Participation
Form 1
The participant has voluntarily taken part in a study to improve the materials used in a national survey on alcohol and drug use, and physical and psychological health. This study is being conducted by RTI International for the Substance Abuse and Mental Health Services Administration (SAMHSA). By my signature below, I confirm that I have given the participant a $75.00 Visa gift card in appreciation for his/her participation in this project.
RTI Staff Signature
Date
Receipt for Participation
Form 2
The participant has voluntarily taken part in a study to improve the materials used in a national survey on alcohol and drug use, and physical and psychological health. This study is being conducted by RTI International for the Substance Abuse and Mental Health Services Administration (SAMHSA). By my signature below, I confirm that I have given the participant a $50.00 Visa gift card in appreciation for his/her participation in this project.
RTI Staff Signature
Date
[NOTE: Form 2 is the receipt form for adolescents.]
April 23, 2010
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Modified | 0000-00-00 |
| File Created | 0000-00-00 |