Form Approved
OMB No. 0920-0572
Expiration Date 03/31/2018
Submission under
0920-0572 Health Message Testing System
Attachment 20: Intercept Interview Receipt Form
Attachment 20 Intercept Interview Receipt Form
High Impact Prevention Message Testing
I acknowledge receiving $10 as a token of appreciation for participating in an interview for the [INSERT TITLE] project conducted by RTI.
_____________________________________________________________
Participant Initials Date
_____________________________________________________________
Interviewer Signature Date
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Social Marketing Websites Project |
Author | Jennifer Uhrig |
File Modified | 0000-00-00 |
File Created | 2021-01-25 |