Ethnicity & Race: Messaging to Improve Patient-Provider Communication and Engagement on Risks of Alcohol Use During Pregnancy

CDC/ATSDR Formative Research and Tool Development

Attachment E_ Provider Online Survey Screenshots

Ethnicity & Race: Messaging to Improve Patient-Provider Communication and Engagement on Risks of Alcohol Use During Pregnancy

OMB: 0920-1154

Document [pdf]
Download: pdf | pdf
[One (1) of the following three (3) options for Question 16 is shown randomly:]

[All survey COMPLETES will see the following page:]

[For required questions 1-5 and the consent form, all respondents directed to TERMINATE will
see the following page:]


File Typeapplication/pdf
File Modified0000-00-00
File Created0000-00-00

© 2024 OMB.report | Privacy Policy