Respondent Sample Specifications
9 groups of 14-20 year olds
(1) 14-15 (in high school) all female group
(1) 14-15 (in high school) all male group
(1) 14-15 (in high school) mixed gender group
(1) 16-18 (in high school) all female group
(1) 16-18 (in high school) all male group
(1) 16-18 (high school) mixed gender group
(1) 18-20 (post high school, attending or not attending college) all female group
(1) 18-20 (post high school, attending or not attending college) all male group
(1) 18-20 (post high school, attending or not attending college) mixed gender group
For 16-20 year olds - Have a valid driver’s license & drive at least occasionally
Should not completely object to drinking alcohol.
The following screener recruits non-high school 18-20 year olds
OMB Control No. 2127-0682
Expiration Date 02/28/2015
Screener for College and Post-high school (18-20 year olds)
Hello, my name is _________ from ________________market research firm. We are conducting a survey today among households in your area and would like to hear your opinions. This is not an attempt to sell you anything. All your answers will be kept confidential. Would you spare a few minutes to answer some questions?
REFERRED PEER PROSPECT INTRODUCTION: Hello, my name is _________ from ______________, a market research firm. I’m calling today because ____________ has agreed to participate in a market research interview. The discussion would take place with __________ and four of his/her peers. He/she provided your name as a peer who might like to participate. This is not an attempt to sell anything. We are interested in your opinions. All your answers will be kept confidential. Would you spare a few minutes to answer some questions?
This collection of information is voluntary and will be used for formative purposes only so that we may develop and evaluate programs designed to reduce the number of traffic-related injuries and deaths. A federal agency may not conduct or sponsor, and a person is not required to respond to, nor shall a person be subject to a penalty for failure to comply with a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a current valid OMB Control Number. The OMB Control Number for this information collection is 2127-0682. Public reporting for this collection of information is estimated to be approximately 10 minutes per response, including the time for reviewing instructions, completing and reviewing the collection of information. All responses to this collection of information are voluntary. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: Information Collection Clearance Officer, National Highway Traffic Safety Administration, 1200 New Jersey Ave, S.E., Washington, DC, 20590
Could we begin now?
( ) Yes
( ) No TERMINATE OR SCHEDULE CALLBACK
RECORD GENDER
( ) FEMALE CONTINUE
( ) MALE CONTINUE
Have you participated in a focus group discussion or one-on-one research interview in the past?
( ) Yes CONTINUE TO Q4
( ) No SKIP TO Q5
How long ago did you participate in a focus group discussion group or interview?
( ) Within the past six months TERMINATE
( ) Longer than six months ago CONTINUE
We would like to speak to people of different age groups. Please tell me your exact age.
_________________________ RECORD AGE
MUST BE 18-20 YEARS OLD TO CONTINUE; OTHERWISE TERMINATE.
Which of the following best describes your student or work status? (CHECK ALL THAT
APPLY)
( ) In high school, finishing 11th grade
( ) In high school, finishing 12th grade
( ) In college or vocational school full-time
( ) In college or vocational school part-time
( ) Working part time
( ) Working full time
( ) Currently unemployed
MUST BE IN COLLEGE/VOCATIONAL SCHOOL, WORKING OR CURRENTLY UNEMPLOYED TO CONTINUE. RECRUIT FAIR REPRESENTATION OF COLLEGE AND WORKING STATUS.
Do you or does anyone in your immediate family work for any of the following companies or industries? [READ LIST. MARK ALL THAT APPLY.]
A ( ) A market research, advertising, marketing, or public relations firm or department within a company TERMINATE
B ( ) A media company such as radio, newspaper, television, etc TERMINATE
C ( ) A company that sells, manufactures, or distributes any alcoholic beverages, excluding grocery and convenience stores TERMINATE
D ( ) Law enforcement TERMINATE
E ( ) Banking or Financial Services CONTINUE
F ( ) An energy, oil or fuel provider CONTINUE
TERMINATE IF YES TO A-D. CONTINUE IF ANSWER E-F.
[ASK IF COLLEGE STUDENT IN Q6]
What is your field of study?
_________________________________
IF ANSWER CORRESPONDS WITH INDUSTRIES IN RESPONSES “A-D” IN Q7, TERMINATE.
[ASK IF EMPLOYED IN Q6]
What is your occupation?
_____________________________________
CHECK AGAINST Q7
Are you of Hispanic or Latino descent?
Yes
No
Select one or more of following that best describes your race? [ACCEPT MULTIPLE RESPONSES]
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
RECRUIT FAIR REPRESENATION OF RACE/ETHNICITY
Do you currently have a valid driver’s license?
( ) Yes CONTINUE
( ) No TERMINATE
MUST HAVE A VALID DRIVER’S LICENSE TO CONTINUE
Do you currently own a car, truck, or motorcycle, or have access to someone else’s vehicle that you are permitted to drive at least occasionally?
( ) Yes CONTINUE
( ) No TERMINATE
Which of the following statements describes your driving habits in a typical week? (READ)
A ( ) I’m a “weekday driver.” I drive mostly on weekdays, like when I commute to/from work or school. CONTINUE
B ( ) I’m a “weekend driver.” I spend the most time behind the wheel on weekends (Friday- Sunday). CONTINUE
C ( ) I’m a “road warrior.” I drive more than 100 miles in a typical week, whether for business or leisure. CONTINUE
D ( ) I’m a “moderate driver.” I drive most days, but I log fewer than 100 miles in a typical week. CONTINUE
E ( ) I’m a “driveway dweller.” I drive very little. TERMINATE
F ( ) None of these statements describe my driving behavior. TERMINATE
MUST ANSWER A-D TO CONTINUE; TERMINATE IF ANSWER E-F.
Where you live, do you have easy access to public transport such as buses or a subway system?
( ) Yes CONTINUE TO Q15
( ) No SKIP TO Q16
[ASK IF YES IN Q14]
How often do you take public transport?
( ) Daily TERMINATE
( ) On the weekends TERMINATE
( ) During the week but not on the weekends
( ) Occasionally
( ) Hardly ever
Which of the following social activities, if any, have you engaged in over the past month? (READ)
( ) Dining out with friends
( ) Attending concerts or theater productions
( ) Attending house parties
( ) Entertaining friends in my home
( ) Going to bars, sports bars or taverns
( ) Going to nightclubs or lounges
( ) Going bowling
MUST ANSWER YES TO AT LEAST 2 OF THE ABOVE LIST TO CONTINUE
Now I am going to read a list of brief statements and I’d like you to tell me how much you agree or disagree with each statement. Please use a 1-7 scale where 1 means you ‘disagree completely’ and 7 means you ‘agree completely.’ Choose any number between 1 and 7 for each statement I read. Please remember as you answer these questions, that your answers are confidential and will not be shared beyond this survey. We’d like you to be as honest as possible. (READ FIRST QUESTION). How much do you agree or disagree with that statement on that scale from 1 to 7. Again, 1 is disagree completely and 7 is agree completely. [RECORD RESPONSE WITH “X” IN APPROPRIATE BOX & CONTINUE UNTIL ALL STATEMENTS ARE RATED]
|
1 |
2 |
3 |
4 |
5 |
6 |
7 |
a. Many of my friends drink alcohol when we are in social situations. |
|
|
|
|
|
|
|
b. Several of my peers smoke cigarettes when we’re in social situations |
|
|
|
|
|
|
|
c. No one should drink alcohol until they are of legal drinking age. |
|
|
|
|
|
|
|
d. I think texting and driving is wrong under all circumstances |
|
|
|
|
|
|
|
e. I would get a ride home with a friend who has had an alcoholic drink as long as they aren’t buzzed or drunk. |
|
|
|
|
|
|
|
f. Several of my peers smoke marijuana when we’re in social situations |
|
|
|
|
|
|
|
e. If it’s in a safe setting, drinking is fine. |
|
|
|
|
|
|
|
TERMINATE IF RESPONDENT SELECTS ANY SHADED BOXES.
During the last 12 months, how often did you usually have any kind of drink containing alcohol? By a drink we mean half an ounce of absolute alcohol (e.g. a 12 ounce can or glass of beer or cooler, a 5 ounce glass of wine, or a drink containing 1 shot of liquor). Choose only one.
( ) Every day
( ) At least once a week
( ) 2 to 3 times a month
( ) once a month
( ) 3 to 11 times in the past year
( ) 1 or 2 times in the past year ( ) I did not drink any alcohol in the past year, but I did drink in the past TERMINATE
( ) I never drank any alcohol in my life TERMINATE
TRY TO RECRUIT RANGE OF FREQUENCY.
During the last 12 months, how many alcoholic drinks did you typically consume when you drank alcohol?
( ) 7
or more drinks TERMINATE
( ) 5
to 6 drinks TERMINATE
( ) 3
to 4 drinks CONTINUE
( ) 2
drinks CONTINUE
( ) 1
drink CONTINUE
TERMINATE IF ANSWER “5 TO 6 DRINKS” OR MORE. OTHERWISE, CONTINUE.
During the last 12 months, how often did you have 5 or more (males) or 4 or more (females) drinks containing any kind of alcohol in within a two-hour period? [That would be the equivalent of at least 5 (4) 12-ounce cans or bottles of beer, 5 (4) five ounce glasses of wine, 5 (4) drinks each containing one shot of liquor or spirits - to be provided by interviewer if asked.] Choose only one:
( ) Every day TERMINATE
( ) At least once a week TERMINATE
( ) 2 to 3 days a month TERMINATE
( ) One day a month TERMINATE
( ) 3 to 11 days in the past year CONTINUE
( ) 1 or 2 days in the past year CONTINUE
IF ANSWER ONE DAY A MONTH OR MORE OFTEN, TERMINATE. OTHERWISE CONTINUE.
I am going to read a few statements. After I read each one, would you please tell me whether or not it describes you completely, somewhat, or not at all. [RECORD RESPONSE WITH “X” IN APPROPRIATE BOX]
|
Describes completely |
Describes somewhat |
Describes not at all |
I enjoy meeting and talking to new people |
|
|
|
I am open about expressing my opinion, even when it is different than my friends |
|
|
|
I usually spend all of my free time by myself |
|
|
|
TERMINATE IF RESPONDENT SELECTS ANY SHADED BOXES
THE NEXT QUESTION IS AN ARTICULATION QUESTION. WHAT THE RESPONDENT SAYS IS NOT IMPORTANT; RATHER, JUDGE HIS ABILITY AND WILLINGNESS TO COMMENT WITH A SPECIFIC POINT-OF-VIEW.
I’d like to finish by asking you a question that is a complete departure from the type of questions I’ve been asking you to this point. There are no right or wrong answers and it’s an opportunity to use your imagination:
If you had the opportunity to spend one hour with a famous person – either from the past or present – who would that person be?
Why did you pick this person? Please be as specific as possible.
____ Articulate
____ Not articulate (TERMINATE)
INVITATION TO RECRUIT PEERS (FOR INITIAL RESPONDENT IN EACH GROUP)
Thank you for helping with this survey. I would like to invite you to a research discussion. We are interested in holding a discussion to speak with you and five of your peers who are the same age and also [COLLEGE STUDENTS/WORKING]. If you agree to participate, you will provide a list of five people your age, and I would call to ask them to attend. The discussion would be held on MM/DD/YY at XX:XX, and the session will last approximately 90 minutes. You and each participant will receive $75 cash incentive for your participation. Your participation is strictly voluntary.
Would you like to participate?
( ) Yes
( ) No THANK & TERMINATE
REFERRED PEER INVITATION
Thank you for helping with this survey. I would like to invite you to a research discussion to be held on MM/DD/YY at XX:XX. __________ (referrer) and 4 other participants close to your age are also invited to participate. The session will last approximately 90 minutes. You will receive $75 cash incentive for your participation. Your participation is strictly voluntary.
Would you like to participate?
( ) Yes CONTINUE
( ) No TERMINATE & TRY ANOTHER PEER IDENTIFIED BY ORIGINAL RESPONDENT.
NOTE TO INTERVIEWER: Do not schedule anyone who is reluctant about the time, hesitant about participating in a discussion, talks too low or speaks unclearly.
FINAL INSTRUCTION: Thank you very much for agreeing to participate. Please arrive to the facility a few minutes early. If you should need to cancel for any reason, please contact X at XXX-XXX-XXXX.
END OF SCREENER
NHTSA Form 1206 Page
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | REGAN HILL |
| File Modified | 0000-00-00 |
| File Created | 2021-01-31 |