Adult Targeted Surveillance Survey – FAQ Guide
The Community Transformation Grant Program Evaluation
FAQ Guide
Q14. What type of physical activity or exercise did you spend the most time doing during the past month?
Answer: Housework may be included as a physical activity or exercise. Some other examples of physical activity include, but are not limited, to the following list.
ACTIVE GAMING DEVICES (WII FIT, DANCE DANCE REVOLUTION)
AEROBICS VIDEO OR CLASS
BACKPACKING
BADMINTON
BASKETBALL
BICYCLING MACHINE EXERCISE
BICYCLING
BOATING (CANOEING, ROWING, KAYAKING, SAILING FOR PLEASURE OR CAMPING)
BOWLING
BOXING
CALISTHENICS
CANOEING/ROWING IN COMPETITION
CARPENTRY
DANCING-BALLET, BALLROOM, LATIN, HIP HOP, ETC
ELLIPTICAL/EFX MACHINE EXERCISE
FISHING FROM RIVER BANK OR BOAT
FRISBEE
GARDENING (SPADING, WEEDING, DIGGING, FILLING)
GOLF (WITH MOTORIZED CART)
GOLF (WITHOUT MOTORIZED CART)
HANDBALL
HIKING – CROSS-COUNTRY
HOCKEY
HORSEBACK RIDING
HUNTING LARGE GAME – DEER, ELK
HUNTING SMALL GAME – QUAIL
INLINE SKATING
JOGGING
LACROSSE
MOUNTAIN CLIMBING
MOWING LAWN
PADDLEBALL
PAINTING/PAPERING HOUSE
PILATES
RACQUETBALL
RAKING LAWN
RUNNING
ROCK CLIMBING
ROPE SKIPPING
ROWING MACHINE EXERCISE
RUGBY
SCUBA DIVING
SKATEBOARDING
SKATING – ICE OR ROLLER
SLEDDING, TOBOGGANING
SNORKELING
SNOW BLOWING
SNOW SHOVELING BY HAND
SNOW SKIING
SNOWSHOEING
SOCCER
SOFTBALL/BASEBALL
SQUASH
STAIR CLIMBING/STAIR MASTER
STREAM FISHING IN WADERS
SURFING
SWIMMING
SWIMMING IN LAPS
TABLE TENNIS
TAI CHI
TENNIS
TOUCH FOOTBALL
VOLLEYBALL
WALKING
WATERSKIING
WEIGHT LIFTING
WRESTLING
YOGA
OTHER
Q21: What should I count as Fruit Drinks?
Answer: Fruit drinks are sweetened beverages that often contain some fruit juice or flavoring. Some examples, but not all, of what to include and what not to include are listed below.
D o Include Do NOT Include
Sweetened Fruit Drinks mixed with Alcohol 100% Fruit Juice Energy drinks
Coffee Drinks Sports drinks
Sweet Tea
Q22: What should I count as 100% Pure Fruit Juices?
Answer: Only include 100% Pure Fruit Juices, 100% Pure Juice from Concentrate and 100% Juice Blends. Do not include Vegetable Juices or Fruit Juices with added sugar. Some examples, but not all, of what to include and what not to include are listed below.
D o Include Do NOT Include
Apple Grape Cranberry Cocktail Gatorade
Grapefruit Mango Fruitopia Hi-C
Orange-Pineapple Orange-Tangerine Kool-Aid Lemonade
Papaya Pineapple Power-Ade Snapple
Sunny Delight Tampico
V8 Yogurt Drinks
Q23: What should I count as the fruit that I ate?
Answer: Include cut up fresh, frozen, or canned fruit. Do not include dried fruit in ready-to-eat cereals. Do not include fruit jams and similar products. Some examples, but not all, of what to include and what not to include are listed below.
D o Include Do NOT Include
Apples Applesauce Akee Fruit Jam Jelly
Bananas Blueberries Bread Fruit Fruit added to Cereal
Cantaloupe Carambola Figs Fruit added to Jell-o
Genip Grape fruit Grapes Fruit added to Yogurt
Fruit salad Longans Lychees Fruit Preserves
Mangos Musk Melon Oranges
Papaya Pomegranates Rambutan
Sea Grapes Soursop Star Fruit
Strawberries Sugar Apple Tamarind
Watermelon
Q24: What should I count as beans?
Answer: Include round or oval beans, soybeans, and bean burgers. Do not include long green beans. Some examples, but not all, of what to include and what not to include are listed below.
D o Include Do NOT Include
Black-eyed Peas Cow Peas Broad Beans Pole Beans
Edamame Falafel String Beans Winged Beans
Garden Burgers Hummus
Lentils Lima beans
Kidney Beans Navy Beans
Pinto Beans Soy Beans
Split Peas Tempeh
Tofu Veggie Burgers
White beans
Q25: What should I count as dark green vegetables?
Answer: Include all raw leafy green salads and cooked greens, but do not include iceberg lettuce. Some examples, but not all, of what to include and what not to include are listed below.
D o Include Do NOT Include
Arugula Bok Choy Iceburg Lettuce
Choys Collard Greens
Dandelions Kale
Komatsuna Mesclun
Mustard Greens Romaine Lettuce
Spinach Turnip greens
Watercress
Q26: What should I count as orange colored vegetables?
Answer: Include all forms of carrots and winter squash and all forms of sweet potatoes. Also include all forms of pumpkin, but do not include grain-based dessert-type food containing pumpkin. Some examples, but not all, of what to include and what not to include are listed below.
D o Include Do NOT Include
Acorn Squash Autumn Cup Squash Pumpkin Bars Pumpkin Bread
Baby-cut Carrots Baked Sweet Potato Pumpkin Cake
Banana Squash Buttercup Squash
Butternut Squash Carrot-Slaw
Delicata Squash Hubbard Squash
Kabocha Squash Long Carrots
Mashed Sweet Potato (mashed, casserole, pie)
Pumpkin Pumpkin Soup
Pumpkin Pie Spaghetti Squash
Sweet Potatoes Fries
Q27: What should I count as other vegetables not including dark green vegetables and orange-colored vegetables already listed above?
Answer: Include any form of vegetable (raw, cooked, canned, or frozen) not listed in the examples above. Do not include products consumed usually as condiments. Do not include rice or other grains. Some examples, but not all, of what to include and what not to include are listed below.
D o Include Do NOT Include
American-style cole-slaw Avocado Catsup Chutney
Bean Sprouts Beets Fried potatoes Ketchup
Broad Beans Cabbage Relish Salsa
Cauliflower Corn
Cucumber Daikon
Jicama Mushrooms
Okra Onions
Oriental cucumber Peas
Peppers (red, green, yellow, orange)
Pole-beans Snap Peas
Snow Peas String Beans
Tomatoes Tomato Juice
Wax-beans
Q73.
Would you say (other people this country usually classify you as): White, Black or African American, Hispanic or Latino, Asian, Native Hawaiian or Other Pacific Islander, American Indian or Alaska Native, or some other group?
We want to know how other people usually classify you in this country, which might be different from how you classify yourself
FAQ |
Response |
What is the purpose of this survey? |
Community Transformation Grants (CTG) were awarded to several state and local governmental agencies and community-based organizations around the nation. Their purpose was to help enact changes that will increase health equity, eliminate health disparities, and improve health in the community. The purpose of this study will be to collect information from community members that can help to evaluate the impact of program activities. |
What is the Community Transformation Grant (CTG) program? |
The Community Transformation Grants (CTG) program supports communities in the development and implementation of initiatives to create healthier communities and reduce chronic disease in the United States. Approximately $103 million in prevention funding has been awarded to 61 states and communities serving approximately 120 million Americans. By promoting healthy lifestyles, especially among population groups experiencing the greatest burden of chronic disease, these grants will help improve health, reduce health disparities, and control health care spending. For more information about the Community Transformation Grants program, visit: www.cdc.gov/communitytransformation or call 800-CDC-INFO; (800) 232-4636
|
Who is sponsoring this study? / Who uses the information? |
The study is being sponsored by the Centers for Disease Control and Prevention (CDC). The information collected in this survey will be used to create a report evaluating the impact of activities and strategies of Community Transformation Grant awardees. That report will be submitted to the CDC as part of their evaluation programs. |
Who/What is RTI International? |
Research Triangle Institute is a not-for-profit research organization that provides research, development, and technical services to government and commercial clients worldwide. RTI’s mission is to improve the human condition by turning knowledge into practice. You can go to our Web site at www.rti.org to learn more. |
How do I know this information will remain private? |
All project staff members, including myself, have signed confidentiality agreements and are prohibited by law from using the information for anything other than this research study. Any other use is a violation of Federal Law and is subject to fines and imprisonment. Names will be removed from all data collected prior to the analysis and reporting of results. Data are reported in summary statistical format only. If you would like, I can also direct you to my supervisor for further information. |
Will my name be used if I participate? |
No, all data will be collapsed into categories, for example, the number of children of a certain age who have visited a doctor recently. No identifying information will be included. |
How can I verify that this survey is legitimate or get more information about this survey? |
You may call our survey manager, Brenna Muldavin, at 1-xxx-xxx-xxxx, or by sending an email to <<study-specific email address>>@rti.org. She’s available weekdays during normal working hours (9am to 5 pm EST). After you’ve called Ms. Muldavin, you can call back and complete the survey by calling 1-xxx-xxx-XXXX and refer to case id [caseid #]. |
I have questions about my rights as a research subject. Who should I contact? |
If you have questions regarding your rights as a survey participant, you may contact the Office of Research Protection at RTI International, toll free at 1-866-214-2043. If you have questions regarding your rights as a survey participant, or the protection of your privacy you may also contact Paul Garfinkel at (800) SOS-KIDS. Please refer to protocol number 230967 |
You selected someone else in the household to complete the survey, but why can’t I take it instead? |
We appreciate your willingness to take part in our study. Unfortunately, to be able to gather information about your community that is statistically representative of all members we can only survey those that have been randomly selected to participate in our study. |
I don't want to give out any personal information. |
We understand that you may not want to give some kinds of information. However, all information collected will remain strictly private and you can skip any questions that make you feel uncomfortable. |
Why do you need to know my race/ethnicity/income? |
We would like to make sure that we obtain health information that is representative of all members of your community. This question will help us to understand if the Community Transformation Grant program is having an equal impact for all members of your community. |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Owen, Craig |
File Modified | 0000-00-00 |
File Created | 2021-01-30 |