Food Safety Education Campaign--Tracking Survey Nonrespondents

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0583-00xx. The time required to complete this information collection 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.

Food Safety Education Tracking Survey Questionnaires

June 2011

SCREENING QUESTIONNAIRE

1. Record Gender

   1. Male

   2. Female

2. What is your age?

   1. _________

3. Are you a parent or do you care for any children 4-12 years of age in your household?

   1. Yes

   2. No [TERMINATE]

4. In which capacity do you care for a child aged 4-12

   1. Mom

   2. Dad

   3. Legal Guardian

   4. Grandparent

   5. Other _________

5. We want to make sure that we include a good mix of people in this study – which of the following best describes your race/ethnicity? Are you

   1. Hispanic or Latino

   2. Not Hispanic or Latino

6. IF HISPANIC ASK: Which of the following best describes your family’s situation?

   1. Spanish is the only language spoken by members of this household (TERMINATE)

   2. Spanish is the language spoken most often by members of this household but English is spoken as well (TERMINATE)

   3. Spanish and English are spoken about equally by members of this household

   4. English is the language spoken most often by members of this household but Spanish is spoken as well

   5. English is the only language spoken by members of this household

7. Are you (READ OPTIONS a-e, and let participant know that they may choose more than one category)

   1. American Indian or Alaska Native

   2. Asian

   3. Black or African-American

   4. Native Hawaiian or Other Pacific Islander

   5. White

IF RESPONDENT PROVIDES ANOTHER OPTION, WRITE IT IN (but do not read this option to the participant)

6. Other _______________

8. Do you consider yourself to be the primary meal preparer or co-preparer in your household?

   1. Yes

   2. No [TERMINATE]

9. How often would you say you prepare meal for your family?

   1. Once or less a week (TERMINATE)

   2. twice to three times a week

   3. Four to five times a week

   4. More than five times a week

10. How often would you say you cook with raw meat, poultry, or fish?

    1. Once or less a week

    2. twice to three times a week

    3. Four to five times a week

    4. More than five times a week

MAIN QUESTIONNAIRE

We’re going to ask a few questions about food preparation practices

11. When thinking about the food you prepare for your family what potential risks to their health come to mind as things you worry about? Please list as many as you can.

1. _________________[OPEN ENDED]

12. How concerned are you about the following potential risks to your family’s health?

[Randomize List]	Not too/ at all concerned	Somewhat concerned	Very concerned	Extremely concerned	Not sure
Food Poisoning
Obesity
Chemicals in foods
Amount of salt in food

13. For each action described below, please indicate which statement best describes you.

[Randomize List]	I take this step every time I prepare a meal	I take this step most of the time, but not always	I take this step sometimes	I rarely/never take this step	DK/Not Sure
Use a food thermometer to make sure that meat, poultry and fish have been cooked to a safe temp (e.g. 160 degrees for ground meat)
Use different cutting boards to separate meat/poultry/fish from vegetables while preparing food.
Keep raw foods chilled before cooking
Refrigerate cooked foods within 2 hours after cooking
Wash cooking surfaces, utensils and hands often while cooking
Defrost meat or chicken in the refrigerator

14. There are some steps that are important to take when preparing food at home to help prevent food poisoning and others that are not necessary. Please indicate, in your opinion, how important or unimportant the following steps are with regard to preventing food poisoning in your home.”

[Randomize List]	Extremely Important	Very Important	Somewhat Important	Not too/at all important	DK/Not Sure
Use a food thermometer to make sure that meat, poultry and fish have been cooked to a safe temp (e.g. 160 degrees for ground meat)
Use different cutting boards to separate meat/poultry/fish from vegetables while preparing food.
Keep raw foods chilled before cooking
Refrigerate cooked foods within 2 hours after cooking
Wash cooking surfaces, utensils and hands often while cooking
Separate meat and dairy while cooking
Boil milk before drinking
Wash meat or chicken before cooking
Defrost meat or chicken in the refrigerator

15. How common do you think it is for people in the United States to get food poisoning because of the way food is prepared in their home? Would you say that it is 

2. Very Common

3. Somewhat Common

4. Not Very Common

5. Don’t Know

16. How common do you think it is for people in the United States to get food poisoning from restaurant food? Would you say that it is

    1. More common than food prepared at home?

    2. Less common than food prepared at home?

    3. About as common as food prepared at home?

    4. Don’t Know

17. How much control do you believe you have in preventing your child from getting sick from the food you prepare at home?

    1. Complete Control

    2. A lot of control

    3. Some control

    4. A little control

    5. No control

18. Which of the following items do you currently have in your kitchen? [check all that apply]

    1. Food thermometer to check when meat, poultry, and fish are safe to eat

    2. Separate cutting boards for vegetables and meat/poultry/fish

    3. A fridge thermometer (either a thermometer that’s built in to your fridge or a thermometer that you place in your fridge) to ensure that foods are chilled to safe temperatures

    4. Running water

19. Please think about all of the different places you have seen, heard, or read about WAYS TO PREVENT FOOD POISONING IN THE HOME, including all the different kinds of advertising, publicity and other activities that talk about it. Have you seen, heard or read anything about this recently?

1. Yes [ If yes, proceed to Q19]

2. No [If no, proceed to Q20]

3. [VOL] DK/REF

20. Have you heard of a website called FOODSAFETY.GOV? Have you heard of a website FOODSAFETY.GOV?

1. Yes

2. No

3. [VOL] DK/REF

21. Have you seen any advertisements about preventing food poisoning containing the message “Cook, Clean, Chill, and Separate, and that direct you to foodsafety.gov to learn more?

	Yes	No	Not sure
A. An online ad on a website
B. In a magazine or newspaper
C. On TV
D. On the radio
C. A poster in your school
D. A ad around your neighborhood, such as on a bus stop, in a mall or on a billboard
E. On a food package or label
F. In a supermarket

22. If Yes, and If TV commercial – can you describe the ad? (write verbatim response)

    1. _______________________

Now I’m going to read you some descriptions of a few different television and radio ads about protecting your family from food poisoning in your home. Please tell me whether you have seen or heard the ad once I have finished describing it.

[SPLIT SAMPLE – EACH RESPONDENTS HEARS 2 DESCRIPTIONS (Q22-25)]

23. One ad shows a mother in a living room sending a live chicken to stand in the corner while keeping a bunch of carrots in the other corner. At the end of the ad, the announcer tells viewers to separate raw meat from vegetables to keep your family safer and to visit FOOD-SAFETY-DOT-GOV to learn more. Have you seen this ad on TV or some other place?

24. One ad shows a man chopping vegetables in his kitchen while a lawn sprinkler sprays water over all the surfaces and utensils.. At the end of the ad, the announcer tells viewers to wash dishes and utensils thoroughly throughout the cooking process to keep your family safer and to visit FOOD-SAFETY-DOT-GOV to learn more. Have you seen this ad on TV or some other place?

25. One ad shows a pig sitting in a sauna, enjoying the heat with a buddy. At the end of the ad, the announcer tells viewers to always make sure to cook food to the right temperature to keep your family safer and to visit FOOD-SAFETY-DOT-GOV to learn more. Have you seen this ad on TV or some other place?

26. One ad shows a lobster sitting on a couch next to a man surrounded by fans, air conditioners and bowls of ice. At the end of the ad, the announcer tells viewers to always chill raw and prepared food promptly to keep your family safer and to visit FOOD-SAFETY-DOT-GOV to learn more. Have you seen this ad on TV or some other place?

Ok. We have just a few more questions on a completely different subject.

27. What was the last year of school you completed? [DO NOT READ LIST]

1. Less than high school

2. High school degree

3. Some college/Associate’s Degree

4. 4-year college degree

5. Some Graduate training or Graduate degree

6. [VOL] DK/REF

28. Which of the following best describes your living situation? Do you:

1. Live with a spouse or partner

2. Live without a spouse or partner

3. Other (SPECIFY__________)

4. [VOL] DK/REF

CODE INCOME

29. Which classification best describes your total pre-tax household income? [*Add popup option: “Why do we ask this question?”]

1. Under $10,000 [0]

2. $10,000-$19,999 [1]

3. $20,000-$29,999 [2]

4. $30,000-$39,999 [3]

5. $40,000-$49,999 [4]

6. $50,000-$74,999 [5]

7. $75,000-$99,999 [6]

8. More than $100,000

9. Prefer not to state

CODE EMPLOYMENT STATUS

30. What is your current working status?

    1. Working full time outside the home

    2. Working part time outside the home

    3. Retired

    4. Student

    5. Looking for work or otherwise not currently working

31. Do you live in the city, the suburbs, or a rural area?

    1. City

    2. Suburbs

    3. Rural Area

32. What state do you live in?

    1. __________________

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