Youth Baseline Questionnaire (Male Rural Smokeless)

Evaluation of the Food and Drug Administration's General Market Youth Tobacco Prevention Campaign

Attachment 20_R. Email_reminder2_(male rural smokeless)

Youth Baseline Questionnaire (Male Rural Smokeless)

OMB: 0910-0753

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ATTACHMENT 20_R: EMAIL REMINDER 2 (RuSTEC FOLLOW-UP 1)

Form Approved

OMB No. 0910-0753

Exp. Date xx/xx/xxxx


Subject Line: FDA Health and Media Study Second Reminder


Dear [PARENT FNAME] [PARENT LNAME]:


Recently, we emailed you about the FDA Health and Media Study first follow-up survey, but our records show your child has not completed the survey. Your child, [ChildFname], is one of approximately 2,000 youth taking part in this study and their continued participation is critical to the success of this important research.


Please consider having your child complete the on-line survey as soon as possible. We will offer your child an incentive of $20 if they complete the survey by [date].

To complete the on-line survey on a personal computer, laptop, or tablet (the questionnaire cannot be accessed on a phone):

  1. Open your interview browser and type in the study website address: [RUSTEC survey site]

  2. Once you have reached the study website, type in the username and password exactly as shown below:

Username: [Username]

Password: [Password]

  1. Once you’ve typed in your username and password, you will see instructions for completing this round of the study. A parent or legal guardian must follow the steps to provide permission for the child to complete the survey.


Your help with this round of the study is voluntary. All information provided by your child will be kept private to the fullest extent allowable by law and used only for statistical purposes. You or your household will never be identified in any analysis, reports, or publications, and no one will try to sell you anything.


For more information about the study, you can call our project assistance line toll-free at (866) 214-2039, or email us at mediastudy@rti.org. If you have a question about your rights as a study participant, you can call RTI’s Office of Research Protection toll-free at (866) 214-2043.

Thank you in advance for your help.


I hope you choose to help with this important study. Thank you.


Sincerely,




Matthew Farrelly, PhD

RTI International



OMB No: 0910-0753 Expiration Date: xx/xx/xxxx

Paperwork Reduction Act Statement: The public reporting burden for this collection of information has been estimated to average 3 minutes per response. Send comments regarding this burden estimate or any other aspects of this collection of information, including suggestions for reducing burden to PRAStaff@fda.hhs.gov

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File Modified2016-06-01
File Created2016-06-01

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