Form 6 Preference Survey

24-hour Dietary Recall Comparison Study and National Cancer Institute Validation and Observational Feeding Study (NCI)

Attach7 - 24HR comparison preference qx

Preference Survey - 24HR Dietary Recall Comparison Study

OMB: 0925-0605

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Attachment 7: Preference Questionnaire for the 24HR Recall Comparison Study


OMB #: 0925-xxxx

Expiry Date: xx/xx/20xx


Public reporting burden for this collection of information is estimated to average 3 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-xxxx). Do not return the completed form to this address.

Hello. May I speak with: ______________________________?


[IF NOT AVAILABLE, ASK]: When would be a good time to reach [RESPONDENT]? RECORD BEST DAY AND TIME ON CALL RECORD.


IF SOMEONE OTHER THAN RESPONDENT ASKS REASON FOR CALL: My name is [INTERVIEWER NAME]. I'm calling from Westat, a survey research company in Rockville, Maryland. I am calling to follow-up about the diet methods study that __________________ has been doing.


IF RESPONDENT IS AVAILABLE: Hello, my name is [INTERVIEWER NAME]. I'm calling from Westat, the survey research company in Maryland that has been helping with the diet methods study you’ve been doing. Thank you for providing us with information about the foods you ate. The purpose of this follow-up call is to ask you about your experience in providing us this information.




Questions

Phone only

Computer

only

Both

  1. I understand that you have completed two questionnaires asking about the foods you ate over the past 24 hours – one on the phone, and one on the computer. Is this correct?

Interviewer: If both completed, go to question 2. If only one questionnaire completed, thank respondent for their time and end call.


Phone only

Computer only

Both the same

  1. Did you prefer to report your food intake on the computer, on the phone, or were they both the same?

  1. Was it easier for you to report your food intake on the computer, on the phone, or were they both the same?

  1. Do you think you gave more accurate information about your food intake on the phone, on the computer, or were they both the same?

  1. For which approach did you feel like you had more control over the time of day you reported your food intake? On the phone, on the computer, or were they both the same?

  1. When providing information about your food intake, was it easier for you to get help with your questions on the phone, on the computer, or they were both the same?

  1. If you had a choice in terms of how to provide information about your food intake, would you choose the phone or the computer?


THANK RESPONDENT AND END CALL. [Thank you for answering this final study survey. We will mail you $30.00 as a token of our appreciation for completing this very important study. ]


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File Typeapplication/msword
AuthorBosire, Claire (NIH/NCI)
Last Modified ByVivian Horovitch-Kelley
File Modified2009-08-03
File Created2009-05-14

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