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pdfXXXVIII. NWOS Cognitive Interviewer Screener Guide
Interviewer’s name: _____________________________
Interview date: __________
Respondent’s Name: ______________________________________________
Address: ________________________________________________________
City, State Zip: __________________________________________________
Phone: Home ____________________Work:____________________
Mobile: ________________
E-mail: ________________________
Indicate respondent is recruited for interview on  and 
| File Type | application/pdf | 
| File Title | SSFI Screener Outline v1 | 
| Author | user | 
| File Modified | 2015-08-04 | 
| File Created | 2015-01-29 |