Youth Baseline Questionnaire (Male Rural Smokeless)

ATTACHMENT 21_R: EMAIL REMINDER 3 (FOLLOW-UP 1)

Form Approved

OMB No. 0910-0753

Exp. Date 10/31/2016

Subject Line: FDA Health and Media Study Final Reminder

Dear [PARENT FNAME] [PARENT LNAME]:

The first follow-up survey for the FDA Health and Media Study will be ending soon and we want to give your child [child’s name] a chance to participate. Please consider having your child complete the on-line survey on or before [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]

3. 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.

We will offer your child an incentive of $20 if they complete the survey by [date].

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.

Thank you in advance for participating in this important research.

Sincerely,

Matthew Farrelly, PhD

RTI International

OMB No: 0910-0753 Expiration Date: 10/31/2016

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