DGA 2010 Formative Research to Inform Public

OMB No. 0584-0523
Expiration Date: 12/31/2012
Public reporting burden for this collection of information is estimated to average 15 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: U.S. Department of Agriculture, Food and
Nutrition Services, Office of Research and Analysis, Room 1014, Alexandria, VA 22302 ATTN: PRA (0584-0523). Do not return the
completed form to this address.

ATTACHMENT E  

Survey for USDA
Food Choices and Nutrition
Children, Age 10 – 13 Years Survey
Section 1:
Graphic Image Testing
A group of images has been developed by the United States Department of Agriculture (USDA) to
encourage all Americans to eat a healthy diet. The images are intended for kids like you, and will
be available on the Internet, in your classroom, and in magazines and brochures. Please look at the
following images carefully and tell us what you think about them.
[Show the Thought Bubble w/ Plate Image, and have participants answer the following
questions.]
Please indicate whether you agree or disagree with each of the following statements.
Agree
1
2
3

4
5
6

Disagree

Not
sure

This image grabbed my attention.
I know what this image is telling
me to do.
The image is telling me that half
of what I eat should be fruits and
vegetables.
There is enough information in
this image to help me eat better.
This image makes me think about
what I eat.
I will probably do what the image
suggests.

Section 2:
Graphic Images Comparison
[Show TWO sets of Thought Bubble w/ Plate Images, two images at a time. Images within each
set will differ on one variable only – the variable being tested. For each set, have participants
answer the following question.]
Please select the single best answer.

OMB No. 0584-0523
Expiration Date: 12/31/2012
Public reporting burden for this collection of information is estimated to average 15 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: U.S. Department of Agriculture, Food and
Nutrition Services, Office of Research and Analysis, Room 1014, Alexandria, VA 22302 ATTN: PRA (0584-0523). Do not return the
completed form to this address.

ATTACHMENT E  

Graphic Image 1A:
[TB Image w/ F&V on LEFT]

Graphic Image 1B:
[TB Image w/ F&V on TOP]
Graphic Graphic
No
Image
Image Difference
A
B

1 Which image is better at saying half
of what you eat should be fruits and
vegetables?
Which one of the following is the best way of saying half of what you eat should be fruits and
vegetables?
• Make half your plate fruits and vegetables.
• Save half your plate for fruits and vegetables.

OMB No. 0584-0523
Expiration Date: 12/31/2012
Public reporting burden for this collection of information is estimated to average 15 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: U.S. Department of Agriculture, Food and
Nutrition Services, Office of Research and Analysis, Room 1014, Alexandria, VA 22302 ATTN: PRA (0584-0523). Do not return the
completed form to this address.

ATTACHMENT E  

Graphic Image 1C:
[TB Image w/ split F&V, TOP]

Graphic Image 1D:
[TB Image w/ combined F&V, TOP]
Graphic Graphic
No
Image
Image Difference
A
B

1 The image that most effectively
conveys the idea that half of what
you eat should be fruits and
vegetables.

OMB No. 0584-0523
Expiration Date: 12/31/2012
Public reporting burden for this collection of information is estimated to average 15 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: U.S. Department of Agriculture, Food and
Nutrition Services, Office of Research and Analysis, Room 1014, Alexandria, VA 22302 ATTN: PRA (0584-0523). Do not return the
completed form to this address.

ATTACHMENT E  

Graphic Image 1E:
[TB Image w/ DAIRY CUP will be inserted
on 11/19/10]

Graphic Image 1F:
[TB Image w/ DAIRY CIRCLE will be
inserted on 11/19/10]
Graphic Graphic
No
Image
Image Difference
C
D

2 Which image is better at suggesting
you should include fat-free or low-fat
dairy products in your meals?