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					FOR THE PREGNANT AND POSTPARTUM WOMEN QUESTIONNAIRE

[Contact Name]
[Contact Professional Title]
[Donation Organization]
[Address Line 1]
[Address Line 2]
[City], [State] [Zip Code]

                                                                                                         [Date]

Dear [Contact Name]:

The [Your Organization] is conducting a community health assessment to determine the extent to which
disasters affect maternal and child health. The goal of this project is to identify the unmet health needs of
pregnant women and new mothers in our community following disasters. These needs might include access to
prenatal care or other medical services, prescription drug refills, or infant formula and diapers.

As a small token of our appreciation for their time, we will provide incentive gifts purchased from [Donation
Organization] to all study participants. [Your Organization] is able to provide funds for the purchase of these
incentives. However, we would also like to offer women who are willing to participate in this survey the
chance to win a larger incentive item such as an infant car seat or other item from the [Donation Organization].
Would [Donation Organization] be willing to assist us by donating an infant car seat for this project?

The opportunity to conduct this assessment will help improve [Your Organization]’s ability to meet the health
needs of women and children in our community in the aftermath of future disasters. We certainly appreciate all
that [Donation Organization] does to help people who have suffered disasters in their communities and look
forward to the opportunity to partner with you on this important project.

Sincerely,


[Your Name]
[Your Professional Title]

[Your Organization]
[Address Line 1]
[Address Line 2]
[City], [State] [Zip Code]
T: [Phone]
F: [Fax]
[Email]
FOR THE WOMEN OF REPRODUCTIVE AGE QUESTIONNAIRE

[Contact Name]
[Contact Professional Title]
[Donation Organization]
[Address Line 1]
[Address Line 2]
[City], [State] [Zip Code]

                                                                                             [Date]

Dear [Contact Name]:

[Your Organization] is conducting a community health assessment to determine the extent to
which disasters affect women and children’s health. The goal of this project is to identify the
unmet health needs of women of reproductive age in our community following disasters. These
needs might include access to prenatal care or other medical services, prescription drug refills, or
infant formula and diapers.

As a small token of our appreciation for their time, we will provide incentive gifts purchased
from [Donation Organization] to all study participants. [Your Organization] is able to provide
funds for the purchase of these incentives. However, we would also like to offer women who are
willing to participate in this survey the chance to win a larger incentive item such as a $50 gift
card or other item from the [Donation Organization]. Would [Donation Organization] be willing
to assist us by donating a $50 gift card for this project?

The opportunity to conduct this assessment will help improve [Your Organization]’s ability to
meet the health needs of women and children in our community in the aftermath of future
disasters. We certainly appreciate all that [Donation Organization] does to help people who have
suffered disasters in their communities and look forward to the opportunity to partner with you
on this important project.

Sincerely,


[Your Name]
[Your Professional Title]

[Your Organization]
[Address Line 1]
[Address Line 2]
[City], [State] [Zip Code]
T: [Phone]
F: [Fax]
[Email]

				
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