ࡱ> LQK] bjbj\\ :46i6iUV  8TC$.9"gg(8888888$P;>88L8gggp8g8ggY2I4X!IK2880.936>>,I4>I4Pg88.9> Y i: Telephone Screening Script <> PI Name: Study Title: IRB No.: PI Version No._Date: <> Hello, my name is ______________ from the department of ____________at Johns ѻý. I am contacting you because: <<(Choose one)>> -you participated in a previous research study and agreed to be contacted about future research -you are a patient of Dr. _______ and you gave permission to be contacted -you called and left a message in response to one of our ads -you signed an authorization for future research contact -other [If none of the above apply, please include a brief statement outlining why the individual is being contacted]. <> We are working on a Johns Hopkins-approved research study about ______________________. <> Your taking part in this phone call is completely voluntary. <> Example: May I ask you a few questions to help determine if you may qualify for the study? <> <> I will be collecting information about you during this phone call. Before I ask you the screening questions, I would like to tell you about what we will be doing with the information you give us. Whether you join the study or not, the information collected today may be seen by researchers at Johns Hopkins, any sponsor of the study, and those responsible for oversight of the study. We try to make sure that the information we collect from you is kept private and used only for the research study we are discussing. If you do not agree to continue the phone call that is okay and <> <> <<(Choose one)>> Your personal information will not be kept if you choose not to enroll in the study or if you do not qualify to be in the study. Or Your personal information will be kept if you choose not to enroll in the study or if you do not qualify to be in the study. <> <> <> <> We have completed the telephone screening portion of our call. Do you have any questions? Do you think you would like to take part in this research? If you are interested in participating, I would like to <<[describe next steps]>>: <<(Choose which of the following may apply for your study or explain other next steps)>> Examples: Set up a time to have you come in person for a screening visit Set up a time to have you come in person for your first study visit Proceed with the oral consent process <>     Page  PAGE 2 of  NUMPAGES 2 Telephone Screening Script 22Apr2024  ABCLQXYZcxy  ( ) + ˫xphhhhV#hTfhZ(56B*CJaJphDrhJCJaJhz CJaJhu4CJaJh'CJaJhwCJaJhF?hF?CJaJhZ(hZ(56B*CJphDrhyCJaJ hu?5CJ hQ5CJha:h k5CJ h05CJh khSdthnd56B*phDrhTfhZ(56B*phDr hZ(5hndhZ(5BCLZcxy ( ) : " [ l ^gd,agdZ(gd0r$a$gdZ(gd##gda:gdSdtgdZ(+ , - 7 9 : ! 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