Pilot Survey

10903 New Hampshire Avenue
Silver Spring, MD 20993

National Survey
of Prescription Drug Advertising

Month XX, 2016

12345*********RTN RW3686***********FC

To take the survey,
go to: www.website.com

1234 Main Street
Rockville, MD 20850

To begin, enter this
access code: (UserID)

Dear Rockville Resident,
I am writing to ask you to take part in an important study about prescription drug advertising.
The U.S. Food and Drug Administration (FDA) is conducting a survey to hear your views about prescription
drug advertising that you may have seen on TV, the Internet or in magazines.
Your address was randomly selected from a list of residential addresses so that everyone in the country
has the same chance of being chosen. Your participation is voluntary. However, it is important to the
success of the study that everyone chosen takes part. We expect it will take 20 minutes to complete
the survey online. As a way of saying thank you we enclose $2 with this letter.
This survey should be completed by the youngest adult male, age 18 or older, who lives in your
household. If there are no male adults in your household, please ask the youngest female, age 18
or older, to complete the survey.
For the best experience, we recommend taking the survey on your laptop or desktop computer.
We can assure you that your individual privacy will be maintained in all published and written data
resulting from the study. The information will be combined for all participants and reported only as
statistical summaries. You will not be individually identified and your personal information will not be
shared unless required by law.
If you have any questions or comments about this study, we are happy to talk with you. Please call
Westat, a research company conducting this survey on behalf of the FDA, at 111-111-1111
or email us at XXX@XXX.XXX.
Thank you very much for your contribution to this important study.
Sincerely,

Helen Sullivan
Project Director
Food and Drug Administration
¿Prefiere completar a encuesta en español?
Por favor llame al xxx-xxx-xxxx.
OMB 111-1111

Exp. xx/xx/xxxx
C3 HH1

10903 New Hampshire Avenue
Silver Spring, MD 20993

National Survey
of Prescription Drug Advertising

Month XX, 2016

12345*********RTN RW3686***********FC

To take the survey,
go to: www.website.com

1234 Main Street
Rockville, MD 20850

To begin, enter this
access code: (UserID)

Dear Rockville Resident,
I am writing to ask you to take part in an important study about prescription drug advertising.
The U.S. Food and Drug Administration (FDA) is conducting a survey to hear your views about prescription
drug advertising that you may have seen on TV, the Internet or in magazines.
Your address was randomly selected from a list of residential addresses so that everyone in the country
has the same chance of being chosen. Your participation is voluntary. However, it is important to the
success of the study that everyone chosen takes part. We expect it will take 20 minutes to complete
the survey online. As a way of saying thank you we enclose $2 with this letter.
This survey should be completed by the youngest adult female, age 18 or older, who lives in your
household. If there are no female adults in your household, please ask the youngest male, age 18
or older, to complete the survey.
For the best experience, we recommend taking the survey on your laptop or desktop computer.
We can assure you that your individual privacy will be maintained in all published and written data
resulting from the study. The information will be combined for all participants and reported only as
statistical summaries. You will not be individually identified and your personal information will not be
shared unless required by law.
If you have any questions or comments about this study, we are happy to talk with you. Please call
Westat, a research company conducting this survey on behalf of the FDA, at 111-111-1111
or email us at XXX@XXX.XXX.
Thank you very much for your contribution to this important study.
Sincerely,

Helen Sullivan
Project Director
Food and Drug Administration
¿Prefiere completar a encuesta en español?
Por favor llame al xxx-xxx-xxxx.
OMB 111-1111

Exp. xx/xx/xxxx
C3 HH1

10903 New Hampshire Avenue
Silver Spring, MD 20993

National Survey
of Prescription Drug Advertising

Month XX, 2016

12345*********RTN RW3686***********FC

To take the survey,
go to: www.website.com

1234 Main Street
Rockville, MD 20850

To begin, enter this
access code: (UserID)

Dear Rockville Resident,
I am writing to ask you to take part in an important study about prescription drug advertising.
The U.S. Food and Drug Administration (FDA) is conducting a survey to hear your views about prescription
drug advertising that you may have seen on TV, the Internet or in magazines.
Your address was randomly selected from a list of residential addresses so that everyone in the country
has the same chance of being chosen. Your participation is voluntary. However, it is important to the
success of the study that everyone chosen takes part. We expect it will take 20 minutes to complete
the survey online. As a way of saying thank you we enclose $2 with this letter.
This survey should be completed by the oldest adult male, age 18 or older, who lives in your household.
If there are no male adults in your household, please ask the oldest female to complete the survey.
For the best experience, we recommend taking the survey on your laptop or desktop computer.
We can assure you that your individual privacy will be maintained in all published and written data
resulting from the study. The information will be combined for all participants and reported only as
statistical summaries. You will not be individually identified and your personal information will not be
shared unless required by law.
If you have any questions or comments about this study, we are happy to talk with you. Please call
Westat, a research company conducting this survey on behalf of the FDA, at 111-111-1111
or email us at XXX@XXX.XXX.
Thank you very much for your contribution to this important study.
Sincerely,

Helen Sullivan
Project Director
Food and Drug Administration
¿Prefiere completar a encuesta en español?
Por favor llame al xxx-xxx-xxxx.
OMB 111-1111

Exp. xx/xx/xxxx
C3 HH1

10903 New Hampshire Avenue
Silver Spring, MD 20993

National Survey
of Prescription Drug Advertising

Month XX, 2016

12345*********RTN RW3686***********FC

To take the survey,
go to: www.website.com

1234 Main Street
Rockville, MD 20850

To begin, enter this
access code: (UserID)

Dear Rockville Resident,
I am writing to ask you to take part in an important study about prescription drug advertising.
The U.S. Food and Drug Administration (FDA) is conducting a survey to hear your views about prescription
drug advertising that you may have seen on TV, the Internet or in magazines.
Your address was randomly selected from a list of residential addresses so that everyone in the country
has the same chance of being chosen. Your participation is voluntary. However, it is important to the
success of the study that everyone chosen takes part. We expect it will take 20 minutes to complete
he survey online. As a way of saying thank you we enclose $2 with this letter.
This survey should be completed by the oldest adult female, age 18 or older, who lives in your household.
If there are no female adults in your household, please ask the oldest male to complete the survey.
For the best experience, we recommend taking the survey on your laptop or desktop computer.
We can assure you that your individual privacy will be maintained in all published and written data
resulting from the study. The information will be combined for all participants and reported only as
statistical summaries. You will not be individually identified and your personal information will not be
shared unless required by law.
If you have any questions or comments about this study, we are happy to talk with you. Please call
Westat, a research company conducting this survey on behalf of the FDA, at 111-111-1111
or email us at XXX@XXX.XXX.
Thank you very much for your contribution to this important study.
Sincerely,

Helen Sullivan
Project Director
Food and Drug Administration
¿Prefiere completar a encuesta en español?
Por favor llame al xxx-xxx-xxxx.
OMB 111-1111

Exp. xx/xx/xxxx
C3 HH1