PEAPOD AnyFLip

Pregnancy
EAting
&
POstpartum
Diapers

PEAPOD

Study Design

Contents

Section 1: Overview of PEAPOD
Section 2: Recruitment
Section 3: Enrollment
Section 4:

Section 1: Overview of PEAPOD

Section 2: Recruitment

• Clinic Flier
• Contact Card

Recruitment

Clinic Flier

Recruitment

Contact Me Card

Section 3: Enrollment

• Enrollment Packet
• Enrollment Binder
• Documents included with stool kit

Enrollment Packet

Exclusion Criteria

Enrollment Packet

Consent Form: Page1

Enrollment Packet

Consent Form: Page 2

Enrollment Packet

Consent Form: Page 3

Enrollment Packet

Consent Form: Page 4

Enrollment Packet

Health Information Authorization
Grand Traverse Women’s Clinic: Front

Enrollment Packet

Health Information Authorization
Grand Traverse Women’s Clinic: Back

Enrollment Packet

Health Information Authorization:
Munson Medical Center - Front

Enrollment Packet

Health Information Authorization:
Munson Medical Center - Back

Enrollment Packet

Enrollment Questionnaire: Page 1

Enrollment Packet

Enrollment Questionnaire: Page 2

Enrollment Packet

Enrollment Questionnaire: Page 3

Enrollment Packet

Enrollment Questionnaire: Page 4

Enrollment Packet

PhenX Fiber Intake Questionnaire: Page 1

Enrollment Packet

PhenX Fiber Intake Questionnaire: Page 2

Enrollment Packet

PhenX Fiber Intake Questionnaire: Page 3

Enrollment Packet

PhenX Fiber Intake Questionnaire: Page 4

Enrollment Packet

PhenX Fiber Intake Questionnaire: Page 5

Enrollment Packet

PhenX Fiber Intake Questionnaire: Page 6

Enrollment Packet

PhenX Fiber Intake Questionnaire: Page 7

Enrollment Packet

PhenX Fiber Intake Questionnaire: Page 8

Enrollment Packet

PhenX Fiber Intake Questionnaire: Page 9

Enrollment Packet

PhenX Fat Intake Questionnaire: Page 1

Enrollment Packet

PhenX Fat Intake Questionnaire: Page 2

Enrollment Packet

Breast Feeding Intention Questionnaire

Enrollment Packet

Breast Feeding Intention Questionnaire

Enrollment Binder

Gift Card Log

Enrollment Binder

Interview Log

Enrollment Binder

Enrollment Log

Enrollment Binder

Complaints/Feedback

Forms with Stool Kit
Sample Collection Instructions

Forms with Stool Kit
Sample Collection Instructions

Forms with Stool Kit
Adult Baseline Survey

Forms with Stool Kit
Adult Baseline Survey

Forms with Stool Kit
Adult Baseline Survey

Forms with Stool Kit
Adult Baseline Survey

Section 4: Process Surveys and
Forms

Post Enrollment Stool Kit
Questionnaire

Forms with Stool Kit
Blah blah

Infant Sample Collection
Instructions and Questionnaire

Infant Sample Collection
Instructions and Questionnaire

Infant Sample Collection
Instructions and Questionnaire

Infant Sample Collection
Instructions and Questionnaire