Dear Student,
the Birmingham Youth Council wants you to be in this new research study. The information that you provide will help us to get a better picture of what children need to stay healthy. It is important to us that we know what you really think and do, so be sure to tell us the truth. You can fill this form out with a pen or pencil, your answers are private and we don't want your name. We will not tell anyone your answers; they will be kept private.
Just for completing this survey and sending it back in the mail, you might win a $50.00 gift card at a local mall.