Youth Reactions to Creative Advertising Concepts Designed to Reduce Tobacco Use among Multicultural Youth

Hip Hop Creative Concept Survey						Unique ID:		OMB# 0910-0674 Exp: 3/31/2016			Exp: 03/31/2016
Version ____________
Ad #1__________
Instructions: For each statement in the left column, circle the * that best represents your level of agreement or disagreement with that statement.
					Completely Disagree	Somewhat Disagree	Neither Agree nor Disagree	Somewhat Agree	Completely Agree
(a) This ad would convince people my age to LIVE TOBACCO-FREE.					*	*	*	*	*
(b) I would TALK ABOUT this ad with my friends.					*	*	*	*	*
(c) This ad would be RELEVANT TO MY FRIENDS AND ME.					*	*	*	*	*
Ad #2__________
Instructions: For each statement in the left column, circle the * that best represents your level of agreement or disagreement with that statement.
					Completely Disagree	Somewhat Disagree	Neither Agree nor Disagree	Somewhat Agree	Completely Agree
(a) This ad would convince people my age to LIVE TOBACCO-FREE.					*	*	*	*	*
(b) I would TALK ABOUT this ad with my friends.					*	*	*	*	*
(c) This ad would be RELEVANT TO MY FRIENDS AND ME.					*	*	*	*	*
Ad #3__________
Instructions: For each statement in the left column, circle the * that best represents your level of agreement or disagreement with that statement.
					Completely Disagree	Somewhat Disagree	Neither Agree nor Disagree	Somewhat Agree	Completely Agree
(a) This ad would convince people my age to LIVE TOBACCO-FREE.					*	*	*	*	*
(b) I would TALK ABOUT this ad with my friends.					*	*	*	*	*
(c) This ad would be RELEVANT TO MY FRIENDS AND ME.					*	*	*	*	*
Ad #4__________
Instructions: For each statement in the left column, circle the * that best represents your level of agreement or disagreement with that statement.
					Completely Disagree	Somewhat Disagree	Neither Agree nor Disagree	Somewhat Agree	Completely Agree
(a) This ad would convince people my age to LIVE TOBACCO-FREE.					*	*	*	*	*
(b) I would TALK ABOUT this ad with my friends.					*	*	*	*	*
(c) This ad would be RELEVANT TO MY FRIENDS AND ME.					*	*	*	*	*
Ad #5__________
Instructions: For each statement in the left column, circle the * that best represents your level of agreement or disagreement with that statement.
					Completely Disagree	Somewhat Disagree	Neither Agree nor Disagree	Somewhat Agree	Completely Agree
(a) This ad would convince people my age to LIVE TOBACCO-FREE.					*	*	*	*	*
(b) I would TALK ABOUT this ad with my friends.					*	*	*	*	*
(c) This ad would be RELEVANT TO MY FRIENDS AND ME.					*	*	*	*	*
Ad #6__________
Instructions: For each statement in the left column, circle the * that best represents your level of agreement or disagreement with that statement.
					Completely Disagree	Somewhat Disagree	Neither Agree nor Disagree	Somewhat Agree	Completely Agree
(a) This ad would convince people my age to LIVE TOBACCO-FREE.					*	*	*	*	*
(b) I would TALK ABOUT this ad with my friends.					*	*	*	*	*
(c) This ad would be RELEVANT TO MY FRIENDS AND ME.					*	*	*	*	*
OMB No: 0910-0674						Expiration Date: 03/31/2016
OMB No: 0910-0674 Expiration Date: 03/31/2016 Paperwork Reduction Act Statement: This document is part of the information collected under the focus group portion of this information collection which includes understanding and answering the Check-In Survey, Brand Test Stimuli, Hip Hop Brand Test Survey [Versions A and B], Preliminary Creative Concept Testing Stimuli, Hip Hop Creative Concept Survey Spreadsheet, and the Moderator Guide documents. The public reporting burden for this portion of the collection of information has been estimated to average 90 minutes per response (the time estimated to understand the instructions, participate in the focus group, and answer the questions). Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for reducing burden, to [email protected].