Appendices
- Appendix A: Advance Letter to Potential Households, Telephone Survey (English)
(PDF–39 KB) - Appendix B: Advance Letter to Potential Households, Telephone Survey (Spanish)
(PDF–18 KB) - Appendix C: Advance Letter to Potential Households, In-person Survey (English)
(PDF–24 KB) - Appendix D: Advance Letter to Potential Households, In-person Survey (Spanish)
(PDF–19 KB) - Appendix E: Informed Consent Form, In-person Survey (English) (PDF–21 KB)
- Appendix F: Informed Consent Form, In-person Survey (Spanish) (PDF–22 KB)
- Appendix G: Informed Consent Text, Telephone Survey (English) (PDF–19 KB)
- Appendix H: Informed Consent Text, Telephone Survey (Spanish) (PDF–20 KB)
Previous Page Next Page: Survey Instruments
Pages in this Guide
File Formats: All viewers, players, and plug-ins used on this site can be downloaded from the file formats page. (For example: Adobe Acrobat Reader for pdf files, Windows Media Player for audio and video files, PowerPoint Viewer for presentation slides, etc.)
Get email updates
To receive email updates about Smoking & Tobacco Use, enter your email address:
Contact Us:
- CDC/Office on Smoking and Health
4770 Buford Highway
MS F-79
Atlanta, Georgia 30341-3717 - 800-CDC-INFO
(800-232-4636)
TTY: (888) 232-6348
8am–8pm ET
Monday–Friday
Closed Holidays - tobaccoinfo@cdc.gov






