Hello, my name is [INTERVIEWER NAME] from [FOCUS GROUP FIRM], a local research company. We are not selling anything. We are recruiting people to participate in a group discussion about a current public policy issue, and we would like to ask you four quick questions to see if you qualify. Each participant in the group discussion will receive $75 for their time.
Also, so you are aware, this group will be related to a survey being conducted by the federal government. The Paperwork Reduction Act requires approval of all federal government surveys by the Office of Management and Budget. This survey has been approved under this Act. The Office of Management and Budget control number and expiration date is available at your request.
All of your answers are voluntary.
[NOTE TO INTERVIEWER: IT IS IMPORTANT THAT NO INFORMATION ABOUT THE PURPOSE OF THE STUDY BE PROVIDED TO RESPONDENTS. IF A RESPONDENT INQUIRES ABOUT THE FOCUS GROUP TOPIC, THE INTERVIEWER SHOULD SIMPLY REPEAT THAT IT IS ABOUT A CURRENT PUBLIC POLICY ISSUE.]
1. Have you participated in a focus group discussion within the last two years?
___ Yes TERMINATE
___ No
2. Could you please tell me which of the following categories best describes your age?
___ Under 20 TERMINATE
___ 20 - 34
___ 35 - 49
___50 or older
3. Which of the following categories best describes the highest level of education you have achieved?
___ High school or less
___ Some college or associate degree
___ Bachelors degree or higher
4. Which of the following categories best describes your total household income in 2006?
___ $0 to $30,000
___ $30,000 to $65,000
___ $65,000 or greater
5. [NOTE GENDER]
___ Male
___ Female
6. On [INSERT DATE], we are holding focus group discussions to gather opinions about a public
policy issue. The discussions will last for two hours, starting at 5:30 pm and 8:00 pm, and each participant
will receive $75 as a thank you gesture. We will also serve light refreshments. These groups will take
place at [LOCATION]. Would you be interested in attending? Most people really enjoy these discussions.
____ Yes
_ ___ No TERMINATE
7. Which session would you be able to attend?
___ Group 1 (5:30pm - 7:30pm)
___ Group 2 (8:00pm - 10:00pm)
8. May I please have your name and address so that I can send you a reminder and driving directions?
_ ____No TERMINATE
_____Yes
We are only inviting a few people to participate and we are counting on your attendance. If you should have an emergency, be sure to call us because we will need to find a replacement. Our phone number is [PHONE NUMBER]. Thank you very much. We look forward to seeing you on [DATE] at [TIME].
File Type | application/msword |
File Title | Hello, my name is [INTERVIEWER NAME] from [FOCUS GROUP FIRM], a local research company |
Author | mmcbride |
Last Modified By | mmcbride |
File Modified | 2007-06-25 |
File Created | 2007-06-25 |