Form

Call for Registration Forms and Other Data Collection Tools

Jun 11, 2021 | Shanlynn Bias

The Centers for Disease Control and Prevention Radiation Studies Section is looking to sample registration and other data collection forms that may be used at Community Reception Centers or other locations such as:

  • Shelters
  • Mass evacuation sites
  • Vaccination sites
  • Point of Dispensing sites
  • Testing or screening sites
  • Assembly centers

Please send form examples to SIMPLER@cdc.gov. If you would like to submit multiple forms, please do so. For electronic data collection tools, please send a pdf or a viewable link to the questionnaire.

For additional background, click here.


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