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ATTACHMENT E BENEFICIARY INTERVIEW PROTOCOL, CONSENT FORM, AND RECRUITMENT SCRIPTED Beneficiary Interview Guide (Approximate length: 3060 minutes) Round of Site Visit: Site Visit Dates: Facility Name:

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What is beneficiary interview protocol consent?

Beneficiary interview protocol consent is a form that allows a beneficiary to give permission for an interview to take place.

Who is required to file beneficiary interview protocol consent?

The beneficiary or their authorized representative is required to file beneficiary interview protocol consent.

How to fill out beneficiary interview protocol consent?

Beneficiary interview protocol consent can be filled out by providing personal information and signing the form.

What is the purpose of beneficiary interview protocol consent?

The purpose of beneficiary interview protocol consent is to ensure that the beneficiary is aware of and consents to the interview process.

What information must be reported on beneficiary interview protocol consent?

Information such as the beneficiary's name, contact information, and consent to participate in the interview must be reported on beneficiary interview protocol consent.

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