Contact Sheet for Potential Interviewees
Thank you for your suggestion and referral to The oH Project. We appreciate you taking the time for this recommendation and will take your suggestion under advisement. We cannot guarantee that all referrals will result in an interview for this project.
Interviewee Name
Your answer
Referral Source - name
Your answer
Referral Source - phone
Your answer
Referral source willing to contact interviewee?
Referral Source - email
Your answer
Interviewee - telephone
Your answer
Interveiwee - email address
Your answer
Why is this interviewee important?
Your answer
Timeframe of Interviewee involvement
check all categories that apply to the interviewee
Approximate Age of Interviewee
Race Ethnicity
using Federal gov't categories
Health status of Interviewee
Employment status of Interviewee
Where does the interviewee live
Other things to note about the interviewee
Your answer
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