OMB #: 0925-0593
OMB Expiration Date: 08/31/2014
Neuro-Psychosocial BITSEA™ Instructions: In-Person and Mail, Phase 2g
The National Children’s Study
BITSEA™ Instructions
Questionnaire
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Thank you for agreeing to participate in the National Children’s Study (NCS) and completing the Brief Infant-Toddler Social and Emotional Assessment (BITSEA™). This questionnaire will take about 10 minutes to complete. It includes questions about children’s social and emotional behavior. If you have more than one child in the NCS, please fill out a separate questionnaire for each child. You may use a pencil or pen to record your answers.
Your answers are important to us. We will keep everything that you tell us confidential. |
Listed below are several points that you may find helpful in completing the questionnaire: |
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If you have any questions, please call the local contact number located on the last page. Thank you for taking the time to complete this questionnaire!
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For Office Use Only:
Instructions for returning the questionnaire to the Regional Operations Center (ROC):
{Local instructions inserted by ROC. Provide the parent/caregiver with ROC-specific instructions for returning the questionnaire to the ROC here, such as instructions about the data collector retrieving the questionnaire at the in-person visit.
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Insert ROC contact information label here.
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NEU
BITSEA™ Instructions: In-Person and Mail, MDES 4.0, V2.0
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 2021-01-27 |