Cognitive Interviews for Risk and Benefit Perception Scale Development Study

Request for Generic Clearance of FDA, Testing Communications On Drugs

Appendix A -- Screener

Cognitive Interviews for Risk and Benefit Perception Scale Development Study

OMB: 0910-0695

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Appendix A— Screener


S1. Are you at least 18 years old?

  • Yes continue

  • No terminate [Closing for Ineligible Participants]


S2. Do you currently have any of the following health problems?


a) Asthma

  • Yes

  • No


b) High cholesterol

  • Yes

  • No


c) You need to lose more than 30 pounds

  • Yes continue

  • No terminate [Closing for Ineligible Participants]


S3. Are you trained or employed as a health care professional?

  • Yes terminate [Closing for Ineligible Participants]

  • No continue


S4. Do you work for a pharmaceutical company, an advertising agency, or a market research company?

  • Yes terminate [Closing for Ineligible Participants]

  • No continue





(Closing for Ineligible Participants)


I’m sorry, but you are not eligible for this study. There are many possible reasons why people are not eligible. These reasons were decided earlier by the researchers. However, thank you for your interest in this study and for taking the time to answer our questions today.


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OMB Control #0910-0695 Expiration Date 10/31/14

File Typeapplication/msword
File TitleOverall reaction
Authorsullivanh
Last Modified ByGittleson, Daniel
File Modified2013-02-07
File Created2012-12-17

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