5 - Screenshots of questionnaire

Pages 2-14: Screener
Pages 15-91: Main Questionnaire
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Pages 15-51: Questions for all ad types
Pages 52-53: TV ads only
Pages 54-55: Radio ads only
Pages 56-57: Print ads only
Pages 58-60: Questions for all ad types
Pages 61-62: TV or Print ads only
Pages 63-64: Radio ads only
Pages 65-73: Questions for all ad types
Pages 74-75: TV ads only
Pages 76-77: Radio ads only
Pages 78-79: Print ads only
Pages 80-83: Questions for all ad types
Pages 84-85: Print ads only
Pages 86-87: TV ads only
Pages 88-89: Radio ads only

3

Homosexual o gay (hombre).

{Note to reviewers: Respondents randomly are assigned an
eligible ad. The next preamble is shown if the ad type associated with
the ad assigned is “TV”.}

{Note to reviewers: Respondents randomly are assigned an
eligible ad. The next preamble is shown if the ad type associated with
the ad assigned is “Radio”.}

Por favor, asegúrese de que el volumen de su computadora esté prendido para que pueda escuchar el audio]. Tenga en cuenta que la voz que escuchará no será la misma que
aparecerá en el anuncio de radio. Para continuar, haga clic en la flecha de avance en la parte inferior de su pantalla.

{Note to reviewers: Respondents randomly are assigned an
eligible ad. The next preamble is shown if the ad type associated with
the ad assigned is “Print”.}

{Note to reviewers: The next question is asked if the ad type
associated with the ad assigned is “TV or Print”.}

{Note to reviewers: The next question is asked if the ad type
associated with the ad assigned is “Radio”.}

Aprendí algo nuevo al escuchar este anuncio.

¿Este anuncio lo hace querer dejar de fumar?

{Note to reviewers: The next question is asked if the ad type
associated with the ad assigned is “TV”.}

{Note to reviewers: The next question is asked if the ad type
associated with the ad assigned is “Radio”.}

En el futuro, si usted escuchara este anuncio en la radio, en una escala del 1 al 5, donde 1 es nada probable y 5 es extremadamente probable, ¿qué tan probable es que usted tome las siguientes
medidas en los próximos 6 meses?

{Note to reviewers: The next question is asked if the ad type
associated with the ad assigned is “Print”.}

Esta pregunta es con relación a la posibilidad de que usted motive a un ser querido a que deje de fumar, con base en el mensaje que acabó de ver en el anuncio.

Esta pregunta es con relación a la posibilidad de que usted motive a un ser querido a que deje de fumar, con base en el mensaje que acabó de escuchar en el anuncio.

{Note to reviewers: The next question is asked if the ad type
associated with the ad assigned is “print”.}

{Note to reviewers: The next question is asked if the ad type
associated with the ad assigned is “TV”.}

{Note to reviewers: The next question is asked if the ad type
associated with the ad assigned is “Radio”.}

En el futuro, si usted viera o escuchara este anuncio en la radio, en una escala del 1 al 5, donde 1 es nada probable y 5 es extremadamente probable, ¿qué tan probable es que usted tome las
siguientes medidas en los próximos 6 meses?