Form Approved
OMB No. 0920-0910
Exp. Date 01/31/2015
National Tobacco Prevention and Control Public Education Campaign:
Digital Media Copy Testing for
Click-to-Call Ads
Main
Questionnaire for current cigarette smokers
Public reporting burden of this collection of information is estimated to average 16 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0910).
{PREAMBLE SHOWN DURING SCREENER}
On behalf of the Centers for Disease Control and Prevention (CDC), we're conducting a study about different health and smoking-specific advertising that you maysee in the media. Your opinions are very important to us! Please be assured that the purpose of this survey is to gather feedback regarding specific health-related advertising. We do not plan to report your answers individually. We plan to report results from this survey for the group as a whole. Thank you for taking the time to help us!
Your participation in this survey is voluntary.
Excellent
Very Good
Good
Fair
Poor
{Base = all respondents}
[1 PACK = 20 CIGARETTES]
[RANGE 1-100]
{Numeric response}
{Base = Respondents who SMOKE EVERY DAY (IF TS2 = 1)}
Within 5 minutes
6-30 minutes
31-60 minutes
After 60 minutes
{Base = all respondents}
{Numeric response; mask 0-125}
{Base = all respondents}
At home
At work
Friend’s or family’s house
In my car or other type of vehicle
Someone else’s car or other type of vehicle
At a party
At a restaurant
At a bar
Outdoors
Somewhere else (other specify)
{PREAMBLE}
The next questions are about electronic cigarettes, often called e-cigarettes. An e-cigarette looks like a regular cigarette, but it runs on a battery and produces vapor instead of smoke. There are many types of e-cigarettes.
{Base = all respondents}
Yes
No
{Note:
respondent categorized as “used e-cigarettes” if E1=
E1_01}
{Base
= all respondents}
Very Likely
Likely
Neither Likely nor Unlikely
Unlikely
Very Unlikely
{Note: respondent categorized as “open to using e-cigarettes” if (E1 = E1_02 and E2 = E2_01 or E2_02 and is not categorized already as “used e-cigarettes”)}
{Base = All respondents}
Please indicate your answer
on a scale of 1 to 5, where one is much less harmful, 3 is the same
as regular cigarettes, and 5 is much more harmful.
1 (much less harmful than smoking only regular cigarettes)
2
3 (equally as harmful as smoking only regular cigarettes)
4
5 (much more harmful than smoking only regular cigarettes)
{Base = used e-cigarettes}
Every day
Some days
Not at all
{Base = used e-cigarettes}
Yes
No
{Base = used e-cigarettes}
[SELECT ALL THAT APPLY, PRESENT RANDOMLY]
Yes
No
QA12_A. They cost less than other forms of tobacco
QA12_B. They can be used in places where smoking cigarettes isn’t allowed
QA12_C. They might be less harmful to me than regular cigarettes
QA12_D. They might be less harmful to people around me than regular cigarettes
QA12_E. Electronic cigarettes/e-cigarettes come in flavors I like
QA12_F. Electronic cigarettes/e-cigarettes can help me quit smoking regular cigarettes
QA12_G. Electronic cigarettes/e-cigarettes can help me reduce the number of regular cigarettes I smoke.
QA12_H. Electronic cigarettes/e-cigarettes don’t smell
QA12_I. Using an electronic cigarette/e-cigarette feels like smoking a regular cigarette
QA12_J. Electronic cigarettes/e-cigarettes don’t bother people who don’t use tobacco
QA12_K. The advertising for electronic cigarettes/e-cigarettes appeals to me.
QA12_L. They help me deal with cravings to smoke.
QA12_M. I have a friend or family member who suggested I use electronic cigarettes/e-cigarettes as a way to quit smoking.
QA12_N. I was curious about electronic cigarettes/e-cigarettes
QA12_P. Other, please
specify________________________
[IF MORE THAN ONE ITEM SELECTED IN QA12, DISPLAY LIST OF ALL REASONS SELECTED IN QA12. IF ONLY ONE ITEM SELECTED IN QA12, FILL FOR QA13]
{Base = open to using e-cigarettes}
[SELECT ALL THAT APPLY, PRESENT RANDOMLY]
Yes
No
EO3_A. They cost less than other forms of tobacco
EO3_B. They can be used in places where smoking cigarettes isn’t allowed
EO3_C. They might be less harmful to me than regular cigarettes
EO3_D. They might be less harmful to people around me than regular cigarettes
EO3_E. Electronic cigarettes/e-cigarettes come in flavors I like
EO3_F. Electronic cigarettes/e-cigarettes can help me quit smoking regular cigarettes
EO3_G. Electronic cigarettes/e-cigarettes can help me reduce the number of regular cigarettes I smoke.
EO3_H. Electronic cigarettes/e-cigarettes don’t smell
EO3_I. Using an electronic cigarette/e-cigarette feels like smoking a regular cigarette
EO3_J. Electronic cigarettes/e-cigarettes don’t bother people who don’t use tobacco
EO3_K. The advertising for electronic cigarettes/e-cigarettes appeals to me.
EO3_L. They may help me deal with cravings to smoke.
EO3_M. I have a friend or family member who suggested I use electronic cigarettes/e-cigarettes as a way to quit smoking.
EO3_N. I am curious about electronic cigarettes/e-cigarettes
EO3_P. Other, please specify________________________
{Base = open to using e-cigarettes}
Electronic cigarettes/e-cigarettes are too expensive
Electronic cigarettes/e-cigarettes are too complicated
I don’t know where I can purchase electronic cigarettes/e-cigarettes
I don’t know how safe electronic cigarettes/e-cigarettes are
I would rather just smoke cigarettes
I am going to use electronic cigarettes/e-cigarettes to stop smoking cigarettes, and I don’t want to quit smoking right now
I don’t know enough about electronic cigarettes/e-cigarettes
Other, please specify
Yes
No
{Base = all respondents}
Yes
No
{Base = all respondents}
Yes
No
{Base = all respondents}
_____ Number of times
[Ask QA1d of ALL RESPONDENTS]
_____ Number of times
{Base = answers 1 to QA1)}
QA3_A. Give up cigarettes all at once
QA3_B. Gradually cut back on cigarettes
QA3_C. Switch completely to electronic cigarettes or e-cigarettes such as Blu or NJOY
QA3_D. Substitute some of your regular cigarettes with electronic cigarettes or e-cigarettes
QA3_E. Switch to mild or some other brand of cigarettes
QA3_F. Use nicotine replacements like the nicotine patch or nicotine gum
QA3_G. Use medications like Zyban or Chantix
QA3_H. Get help from a telephone quit line
QA3_I. Get help from a website such as Smokefree.gov
QA3_J. Get help from a doctor or other health professional
None of these
{Base = all respondents}
Yes
No
{Base = QA4_01}
Not at all
A little
Somewhat
A lot
{Base = QA4_01}
QA6. Do you plan to quit smoking for good….
In the next 7 days,
In the next 30 days,
In the next 6 months,
In the next 1 year, or
More than 1 year from now
Not sure/Uncertain
{Base = all respondents}
{RANDOMIZE}
Smoking cigarettes is a social thing to do when I’m out with friends
Smoking cigarettes is something to do at parties
I just feel like smoking cigarettes
Smoking cigarettes goes well with/after meals
I like the taste of cigarettes
Smoking cigarettes helps me relax
Smoking cigarettes goes well when I’m drinking alcohol
Smoking cigarettes helps me stay awake
Smoking cigarettes helps when I’m stressed
Smoking cigarettes excites me
Smoking cigarettes is something to do when I’m bored
Smoking cigarettes helps me lose weight / not gain weight
I have tried to quit smoking cigarettes and cannot
Smoking cigarettes is something I can do with others while working
Other specify
{Base = All respondents}
Friends or family
Your doctor or healthcare professional
Internet
Pharmacy
Mobile App
Other specify
{Base = All respondents}
There’s nothing wrong with smoking cigarettes
Smoking cigarettes is not such a big deal, it’s just a lot of negative hype
I would consider quitting smoking cigarettes because I don’t want to harm my family or friends with second-hand smoke
Smoking cigarettes seems acceptable because I see it all the time in movies
When someone quits smoking cigarettes, the risk of getting a tobacco-related illness goes away
Smoking cigarettes is a reward
I have more respect for people who have quit smoking cigarettes than for people who have never smoked
Non-smokers don’t want to date someone who smokes
People who smoke cigarettes have more friends
There is nothing wrong with using electronic cigarettes/e-cigarettes
Scale for each of the items in PA10b:
Strongly agree
Somewhat agree
Neither agree nor disagree
Somewhat disagree
Strongly disagree
{Base = All respondents}
Extremely stress-relieving
Very stress-relieving
Somewhat stress-relieving
Slightly stress-relieving
Not at all stress-relieving
{Base = All respondents}
Definitely not
Probably not
Probably yes
Definitely yes
Not Sure
{BASE for this section = all respondents}
Male
Female
None
1-2 children
3-4 children
5 or more children
Now married
Living with my partner
Widowed
Divorced
Separated
Never married
Prefer not to answer
Heterosexual / Straight
Lesbian
Gay
Bisexual
Transgender
Something else – please specify ______________
Prefer not to answer
01 Yes, now on active duty
02 Yes, on active duty during the past 12 months, but not now
03 Yes, was on active duty but not during the past 12 months
04 Am now training for Reserves or National Guard
05 No, never served in the military
{PREAMBLE}
Please indicate your race or ethnic background. Are you….?
SELECT ONE
Hispanic or Latino
Not Hispanic or Latino
SELECT ONE OR MORE
White
Black or African American
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Asian
Less than $15,000
$15,000 to $19,999
$20,000 to $24,999
$25,000 to $29,999
$30,000 to $34,999
$35,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 or more
Prefer not to answer
01 Working – as a paid employee
02 Working – self-employed
03 Not working – on temporary layoff from a job
04 Not working – looking for work
05 Not working – retired
06 Not working – disabled
07 Not working – other
08 Prefer not to answer
Live comfortably
Meet needs with a little left
Just meet basic expenses
Don’t meet basic expenses
{BASE for this section = all respondents}
Did you start at a search engine such as Google, Bing or Yahoo, at a site that specializes in topical information, like WebMD, at a more general site like Wikipedia, that contains information on all kinds of topics, or at a social network site like Facebook?
01 At a search engine such as Google, Bing or Yahoo
02 At a site that specializes in information, like WebMD
03 At a more general site like Wikipedia, that contains information on all kinds of topics
04 At a social network site like Facebook
05 Other specify
An iPhone
An Android device (e.g. Motorola Droid, Samsung Galaxy, etc.)
A Blackberry
A Windows Phone
Something else
More than once per day
Once per day
A few times per week
Once per week
Less than once per week
Rarely
Never
Basically every day
A few times a week
A few times a month
Once a month
Not at all
Basically every day
A few times a week
A few times a month
Once a month
Not at all
Basically every day
A few times a week
A few times a month
Once a month
Not at all
Basically every day
A few times a week
A few times a month
Once a month
Not at all
Basically every day
A few times a week
A few times a month
Once a month
Not at all
{Base = All respondents}
Yes
No
{Base = EAD1_01}
On the Internet
In newspapers or magazines
Convenience stores, supermarkets, gas stations, or shopping malls
On TV or at the movies
On the radio
On billboards or other outdoor ads
Other specify
None of the above
{Base = All respondents}
Yes
No
{Base = recall anti-smoking advertising (OAS1/1)}
[OPEN END]
{Base in this section = Qualified respondents or as indicated}
Using
the list below, please indicate which three places you use your
smartphone most often, where "1" indicates the place you
use your smartphone the most often, "2" indicates the place
where you use your smartphone second most often and "3"
indicates where you use your smartphone the third most often.
At home
At work
At school
At a friend’s or family’s house
In a car or other type of vehicle
At a restaurant
At a bar
At a store or a mall
On public transportation, such as a bus or a train
Outdoors
Somewhere else (other specify)
{Recode first choice to hidden punch, CC1b, using the following values}
CC1 Response |
CC1b Recode |
|
at home |
|
at work |
|
at school |
|
at a friend’s or family’s house |
|
in a car or vehicle |
|
at a restaurant |
|
at a bar |
|
at a store |
|
on a bus or train |
|
outdoors |
|
{CC1 response #2, recoded} |
{Pipe value of CC1b to ${SmartPhoneLocation}}
{
Show ANDROID wrapper image if T11 = 02 (Android),
Show iPHONE wrapper image if T11 = 01 (iPhone),
Show ANDROID wrapper image if T11 = 03-05 (Other),
Keep phone type constant throughout Rough Cut Test except where otherwise noted
}
{Programmer note – five ads will be tested, listed below in ad index. Randomize ads to respondents in monadic method. Respondent should only see one ad and take this subsection once}
Ad Index:
Set A
1. 300x250 Brandon x “Call for Free Help”
2. 300x250 Brandon x “Click to Call Free Help”
3. 300x250 Brandon x Black
Background x “Click to Call Free Help to Quit”
Set
B
4. 320x50 “Click to Call” x “800-QUIT-NOW”
5. 320x50 “Click to Call” x “Free Help”
6. 320x50 “Click for Info” x “Free Help”
{PREAMBLE TO RESPONDENT}
Imagine that you are ${SmartPhoneLocation}, looking at your smartphone and using a music app, such as YouTube, Pandora or Spotify. The app might look like the following:
{Prompt to Respondent} Click next after you look at the image of the music app.
Imagine that while you are looking at the music app on your smartphone, you see ads that appear at the bottom of the screen, just like the ad does in the image below. The ad was made specifically for a smartphone and appears directly in the app you are using.
{Note to reviewers –
the 320x50 ad is to give a sense of what the larger ad will look
during the survey, if respondent is viewing the ad – in this
section, only one specific ad will be shown}
{
Show First Screenshot for 10 seconds (no ad)
Display ad for 20 seconds
Remove image of smartphone completely
}
{Prompt to Respondent} Click Next.
Yes
No
[OPEN END]
Yes
No
{Base = respondents who answered 01 to CC4}
{OPEN END}
{Base = respondents who answered 02 to CC6a}
{OPEN END}
{Base = respondents who answered 01 to CC6a}
{OPEN END}
{Prompt to Respondent} Click Next.
This is the same image of the music app on your smartphone that you saw a few moments ago. Please click on the arrow next to the ad so that we know you are able to interact with the app in the image.
{
Interactive Smartphone Image will have arrow next to the ad
Record any arrow click
When respondent clicks on arrow, highlight the ad as it appears in the 3rd screenshot
}
Yes
No
{Base = respondent is reviewing an ad in Set A}
The text “You can quit smoking”
The man sitting on the bed
The green button
The text on the green button
{Base = respondent is reviewing an ad in Set B}
The text “You can quit smoking”
The green and white button
The words on the green and white button
Yes
No
{Base = ask only if CC17.02}
{Open End}
Confusing
Unclear
The ad is not confusing nor unclear
{Base = CC20 = 1, 2}
{Open End}
{OPEN END}
I did not realize I could click on the ad
{Base = only ask this question to respondents who see Ad #6}
{Randomize}
If I click on the ad, my web browser app would open and I would see a web page with information about quitting smoking cigarettes
If I click on the ad, I would be able to make a telephone call and speak to a person about quitting smoking cigarettes
If I click on the ad, I would be able to make a telephone call and speak to a person so I would be able to schedule a telephone conversation at another time about quitting smoking cigarettes
If I click on the ad, I would be able to make a telephone call and reach an automated recording giving information about quitting smoking cigarettes
If I click on the ad, I would be able to send a text message to enroll in a text program to help me quit smoking cigarettes
If I click on the ad, I would be able to send a text message to have someone call me back with information about quitting smoking cigarettes
Other specify
{DO NOT SHOW THIS SUBSECTION FOR RESPONDENTS WHO HAVE SEEN AD #6}
Now we’re going to show what happens if you click on the ad.
{
Image with the following text below the image: “Clicking on the ad launches a “call” dialog box with two choices: a prompt of “Call” to dial a telephone number and a prompt of “Hang Up” that would return you to the app.”
Show Second Screenshot for 10 seconds (ad)
Show image with click on ad
Show Call Dialog Box.
}
Clicking on the ad launches a “call” dialog box with two choices: a prompt of “Call” to dial a telephone number and a prompt of “Cancel” that would return you to the app.
Click Next. {Prompt to Respondent}
Go ahead and click on the ad below.
{
PLACEHOLDER FOR FIFTH SCREENSHOT OF MUSIC APP in selected wrapper image, where image changes to SIXTH SCREENSHOT OF MUSIC APP when user clicks on it
}
{Make questions appear only
after the respondent clicks on the ad}
{Base = all respondents except those who viewed Ad #6}
{OPEN END}
{Base = all respondents except those who viewed Ad #6}
Definitely would click on the ad and then click the “Call” button
Probably would click on the ad and then click the “Call” button
Might or might not click on the ad and then click the “Call” button
Probably would not click on the ad and then click the “Call” button
Definitely would not click on the ad and then click the “Call” button
{Base = CC12 is 3, 4, 5}
{OPEN END}
{Base = CC12 is 1, 2}
I want to quit smoking cigarettes
I need help quitting smoking cigarettes
I will get free help to quit smoking cigarettes
I want to see what help is available to quit smoking
Other [SPECIFY]
{Base = CC12 is 1, 2}
{OPEN END}
{Base = CC12 is 1, 2}
Receive practical advice about quitting smoking.
Receive free smoking cessation products to help me quit, like the nicotine patch, nicotine gum, or other over-the counter or prescription medications
Receive information on local services for quitting smoking.
Other [SPECIFY]
{Base = all respondents except those who viewed Ad #6}
{Randomize}
If I click on the ad, my web browser app would open and I would see a web page with information about quitting smoking cigarettes
If I click on the ad, I would be prompted to make a telephone call and speak to a person about quitting smoking cigarettes
If I click on the ad, I would be able to make a telephone call and speak to a person so I would be able to schedule a telephone conversation at another time about quitting smoking cigarettes
If I click on the ad, I would be prompted to make a telephone call and reach an automated recording giving information about quitting smoking cigarettes
If I click on the ad, I would be able to send a text message to enroll in a text program to help me quit smoking cigarettes
If I click on the ad, I would be able to send a text message to have someone call me back with information about quitting smoking cigarettes
Other specify
{In this test scenario, Respondents see the ad they saw in the “Ad Test Scenario” + the other ads from its corresponding set.}
Ad Index:
Set A
1. 300x250 Brandon x “Call for Free Help”
2. 300x250 Brandon x “Click to Call Free Help”
3. 300x250 Brandon x Black
Background x “Click to Call Free Help to Quit”
Set
B
4. 320x50 “Click to Call” x “800-QUIT-NOW”
5. 320x50 “Click to Call” x “Free Help”
6. 320x50 “Click for Info” x “Free Help”
{The three ads are shown side by side, without the smartphone image wrapper; randomize position}
{Two ads are shown side by
side, without the smartphone image wrapper; one of the ads is Ad #3
and the other is equally randomized between Ads #2 and #1; randomize
position of the ads}
{Two of the three ads are shown side by side, without the smartphone image wrapper; randomize position of the ads; conjoint the ad selection}
4. 320x50 “Click to Call” x “800-QUIT-NOW”
5. 320x50 “Click to Call” x “Free Help”
6. 320x50 “Click for Info” x “Free Help”
Click to Call
Click for Info
800-QUIT-NOW
Click for Info
{CLOSE}
Thank you for your time taking this survey.
Page
File Type | application/msword |
File Title | OSH Media Rough Cut Survey |
Author | Carol Haney |
Last Modified By | Carol Sue Haney |
File Modified | 2013-12-21 |
File Created | 2013-12-19 |