Att 5 Behavioral Survey Instruction Card

Att 5 Behavioral Survey Instruction Card.docx

HIV Outpatient Study (HOPS)

Att 5 Behavioral Survey Instruction Card

OMB: 0920-1080

Document [docx]
Download: docx | pdf



Attachment 5 Behavioral Survey Instruction Card



Each HOPS study site provides a similar information card for study participants to complete the

TACASI or web-based CASI assessment.



Patient Information Card



My ID number is : ___ ___ ___ ___



Please dial 1-888-270-7809 to begin.



Responses:


1=yes

2= no


* = repeat question

# = skip to next question



To access the internet version of the survey go to:


http://hops.brightoutcome.com


Please use your ID number for both the Username and Password


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorCDC User
File Modified0000-00-00
File Created2021-01-12

© 2024 OMB.report | Privacy Policy