Attachment D: OADC Message and Material Feedback Surveys — Consent (text)
OADC Message and Material Feedback Surveys — Consent (text)
Form Approved
OMB No. 0920-0572
Consent
Who
is working on this project?
This
project is being coordinated by CommunicateHealth, a health
communication consulting firm, on behalf of the Office of the
Associate Director for Communication (OADC), which is part of CDC.
What
is the goal of this project?
We
are interested in your feedback on a health material. We will compare
your feedback to
other
people’s feedback on the same material.
Do
I have to participate in this project?
No.
It is your choice whether to participate or not. You can stop at any
time. If you don’t want to participate or decide to stop,
that’s okay.
You will be compensated for this study in accordance with your panel membership.
How
will you protect my privacy?
We
will not collect or store your identity or any personal information.
Also, your responses will not be linked with your name.
How
long will this take?
This
survey should take about 15 minutes. You
can also save your answers after you begin and come back later to
complete the survey.
For
more information:
If
you have questions about the project, contact Health Communication
Manager, Katrina Lanahan, MPH, at katrina@communicatehealth.com or
(413) 387-1483.
I have read the above information and agree to participate. By clicking Yes, you consent that you are willing to answer the questions in this survey.
Yes
No [If No, end survey]
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Kelsey Jordan |
File Modified | 0000-00-00 |
File Created | 2021-01-25 |