Cognitive Receipt for Participation

Attachment F - Cognitive Receipt for Participation.doc

National Survey on Drug Use and Health: Methodological Field Tests

Cognitive Receipt for Participation

OMB: 0930-0290

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Attachment F

Cognitive Interview Receipt for Participation

Receipt for Participation

Adult




The participant has voluntarily taken part in a study to improve the questions asked in a national survey on alcohol and drug use. 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 $40.00 Visa gift card in appreciation for his/her participation in this project.


RTI Staff Signature



Date

Receipt for Participation

Adolescent




The participant has voluntarily taken part in a study to improve the questions asked in a national survey on alcohol and drug use. 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 $30.00 Visa gift card in appreciation for his/her participation in this project.


RTI Staff Signature



Date



File Typeapplication/msword
File TitleAppendix D
AuthorInformation Technology Services
Last Modified Byplebaron
File Modified2011-09-07
File Created2010-04-21

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