Screener

Screener

Eligibility Criteria

• Participants must be age 18 and over.

• For Study 1, participants must have been diagnosed with insomnia or have experienced the symptoms of insomnia in the past month.

• For Study 2, participants must have been diagnosed with high blood pressure by a healthcare professional.

• Participants must be able to read, understand, and speak English.

• Participants must not be healthcare professionals.

• Participants must not work for a pharmaceutical company, an advertising agency, or a market research company.

• An attempt should be made to have an equal number of males and females.

• The sample should have some range of education and race/ethnicity represented.

• Each interview will last approximately 20 minutes.

• Obtain participant’s consent.

SCREENING QUESTIONS

S1. Are you at least 18 years old?

• Yes  continue

• No  eliminate [thank respondent politely]

S2. In what year were you born? ______

If Year is < or = 1994 continue

If Year is > 1994 eliminate [thank respondent politely]

DO NOT READ Don’t Know 8 eliminate [thank respondent politely]

DO NOT READ Refused 9 eliminate [thank respondent politely]

[INTERVIEWER: Recruit range of ages]

S3. Has a doctor or other healthcare provider ever said you have any of the following health problems?

a. Asthma _____Yes _____No [filler]

b. Diabetes _____Yes _____No [filler]

c. Insomnia _____Yes _____No

d. High blood pressure _____Yes _____No

e. Acid reflux or GERD _____Yes _____No [filler]

[STUDY 1: INTERVIEWER: If “no” to S3c, ask S4]

[STUDY 2: INTERVIEWER: If “no” to S3d, eliminate and thank respondent politely]

S4. Have you had any of the following health symptoms for the past month: [randomize]

a. Trouble falling asleep _____Yes _____No

b. Dizziness _____Yes _____No [filler]

c. Trouble staying asleep _____Yes _____No

d. Not feeling rested when you wake up _____Yes _____No

e. Numbness or tingling in your legs _____Yes _____No [filler]

f. Frequent heartburn _____Yes _____No [filler]

[STUDY 1: INTERVIEWER: If “no” to S4a, S4c AND S4d, eliminate and thank respondent politely]

S5. Are you trained or employed as a health care professional?

• Yes  eliminate [thank respondent politely]

• No  continue

S6. Do you work for a pharmaceutical company, an advertising agency, or a market research company?

• Yes  eliminate [thank respondent politely]

• No  continue

S7. Can you read, understand, and speak English?

• Yes  continue

• No  eliminate [thank respondent politely]

[S8 and S9 for Mall intercept participants only]

S8. Do you usually wear glasses or contact lenses for reading or watching television?

• Yes  ask S9

• No  continue

S9. Do you have your glasses or contact lenses with you today?

• Yes  continue

• No  eliminate [thank respondent politely]

DEMOGRAPHICS

S10. Gender

• Male

• Female

S11. What is the highest level of school you have completed or the highest degree you have received?

􀂉 Less than high school

􀂉 High school graduate—high school diploma or the equivalent (for example: GED)

􀂉 Some college but no degree

􀂉 Associate degree in college

􀂉 Bachelor’s degree (for example: BA, AB, BS)

􀂉 Advanced or post-graduate degree (for example: Master’s degree, MD, DDS,

JD, PhD, EdD)

S12. Are you Hispanic or Latino?

􀂉 No

􀂉 Yes

S13. What is your race? You may select one or more races.

􀂉 American Indian or Alaska Native

􀂉 Asian

􀂉 Black or African American

􀂉 Native Hawaiian or other Pacific Islander

􀂉 White

Thank you. I would like to invite you to participate in this study.