Feedback Sessions for Consumer.gov and Consumidor.gov

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Consumer-Consumidor Screening Documents

Feedback Sessions for Consumer.gov and Consumidor.gov

OMB: 3084-0159

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Feedback Sessions for Consumer.gov and Consumidor.gov
Screening Documents

Participant Recruitment Process – Native English Speakers
Total Number of Participants: 8
Testing Dates: TBD
In Person Location: TBD
Length of Each Session: 1 hour
Incentive: $75
Participant breakdown:
Participants will need to be recruited based on the following categories:
•

Native English Speakers – 8

Note:
Each of the above attributes will be vetted by the screening questions that follow in this
document.
•
•
•

Questions to be asked out loud are in bold.
Questions to be recorded are in italics.
If you already know an answer to a question, please record and do not ask the question.

Introduction:
Hello, my name is___________ and I am from _________. We are conducting a
research study about a website. We need people who will spend an hour using the website
and answering questions about it. Each person will receive $75 for participating.
The sessions will be on [Date TBD] at [Location TBD].
Are you interested in participating?
Yes
CONTINUE
No
DO NOT RECRUIT
First I need to make sure that you are qualified to participate in the study. I need you to
answer a few questions.
1. Note literacy level:

Beginning ABE Literacy
Beginning Basic Education
Low Intermediate Basic Education
High Intermediate Basic
Education
Low Adult Secondary Education
High Adult Secondary Education
2. Note gender:

DO NOT RECRUIT
DO NOT RECRUIT
CONTINUE (recruit a mix)
CONTINUE (recruit a mix)
DO NOT RECRUIT
DO NOT RECRUIT

Male
Female

CONTINUE (Recruit a mix)
CONTINUE (Recruit a mix)

3. Which of the following includes your age?

DO NOT RECRUIT
CONTINUE (Recruit a mix)
CONTINUE (Recruit a mix)
CONTINUE (Recruit a mix)
CONTINUE (Recruit a mix)

Under 20
21 - 40
41 – 65
66 - 74
Above 75

4. Do you need glasses to read? NOTE: Contacts are fine.

Interviewer should let participant know that they should be wearing contacts the day
of the testing.
Yes
No

DO NOT RECRUIT
CONTINUE

5. Do you use the Internet?

Yes
No

CONTINUE
DO NOT RECRUIT

6. Can you tell me a few websites that you have visited yourself?

Probe to see if they can name three websites.
CONTINUE IF RESPONDENT NAMES THREE SITES, OTHERWISE DO NOT
RECRUIT

7. Do you use the internet everyday? Every week?

EVERYDAY:
In a typical day, about how much time do you spend using the Internet?
Less than 1 hour
1 hours
2 hours
2-3 hours
More than 3 hours

DO NOT RECRUIT
CONTINUE (Recruit a mix)
CONTINUE (Recruit a mix)
DO NOT RECRUIT
DO NOT RECRUIT

EVERY WEEK:
In a typical week, about how much time do you spend using the Internet?
Less than 3 hours

DO NOT RECRUIT

3-5 hours
6-15 hours
15-30 hours
More than 30 hours

CONTINUE (Recruit a mix)
CONTINUE (Recruit a mix)
DO NOT RECRUIT
DO NOT RECRUIT

INVITATION
Thank you very much for taking the time to answer these questions. You qualify to
participate in this study!
We would like to ask you to participate in a one-on-one session in which we will ask you
to participate in an hour long discussion and interact with a website.
We will also ask you to sign a form giving permission to record the session. The
recordings will be used for research purposes only. Your name and personal information
will NOT be shared at any time.
To thank you for your time and participation, we will offer you a payment of $75.

IF PARTICIPANT DOES NOT QUALIFY
I really appreciate your time answering these questions; unfortunately you don’t qualify
for this study. Thanks again for your help.

Participant Recruitment Process – Native Spanish Speakers Testing
in Spanish
Total Number of Participants: 8
Testing Dates: TBD
In Person Location: TBD
Length of Each Session: 1 hour
Incentive: $75
Participant breakdown:
Participants will need to be recruited based on the following categories:
•

Native Spanish Speakers – 8

Note:
Each of the above attributes will be vetted by the screening questions that follow in this
document.
•
•
•

Questions to be asked out loud are in bold.
Questions to be recorded are in italics.
If you already know an answer to a question, please record and do not ask the question.

Introduction:
Hello, my name is___________ and I am from _________. We are conducting a
research study about a website. We need people who will spend an hour using the website
and answering questions about it. Each person will receive $75 for participating.
The sessions will be on [Date TBD] at [Location TBD].
Are you interested in participating?
Yes
CONTINUE
No
DO NOT RECRUIT
First I need to make sure that you are qualified to participate in the study. I need you to
answer a few questions.
8. Please read the following story and tell me when you’re done. [Give Prepaid

Cards Article (Appendix) to respondent.]
[Once respondent has notified you that s/he is done.] Great. Please tell me what
happened to David.
Give 1 point if respondent mentions each of the following facts:
• Getting the card
• Loading money on the card
• Finding out that David had to pay lots of fees
[Add number of points.]
1 Point

DO NOT RECRUIT

2 Points but struggled
2-3 Points

DO NOT RECRUIT
CONTINUE

9. I’m going to ask you a couple questions and give you options on how to answer:

Only
Spanish

Spanish better
than English

In general, what language
do you read and write?
In general, what language
do you speak at home?
In general, what language
do you speak with your
friends?
CONTINUE

Both the
same

English better
than Spanish

Only
English

Maximum 3
answers

Do not recruit

Do not
recruit

CONTINUE – For respondents who answered any combination of “Only Spanish” and/or
“Spanish better than English” for all questions.
CONTINUE – For respondents who answered a combination of “Only Spanish” and/or
“Spanish better than English” for all questions and a maximum of three (3) of
“Both the same”
DO NOT RECRUIT – For respondents who answered “English better than Spanish” or
“Only English” to any question.
10. Note gender:

Male
Female

CONTINUE (Recruit a mix)
CONTINUE (Recruit a mix)

11. Which of the following includes your age?

DO NOT RECRUIT
CONTINUE (Recruit a mix)
CONTINUE (Recruit a mix)
CONTINUE (Recruit a mix)
CONTINUE (Recruit a mix)

Under 20
21 - 40
41 – 65
66 - 74
Above 75

12. Do you need glasses to read? NOTE: Contacts are fine.

Yes
No

DO NOT RECRUIT
CONTINUE

13. Do you use the Internet?

Yes
No

CONTINUE
DO NOT RECRUIT

14. Can you tell me a few websites that you have visited yourself?

Probe to see if they can name three websites.
CONTINUE IF RESPONDENT NAMES THREE SITES, OTHERWISE DO NOT
RECRUIT
15. Do you use the internet every day? Every week?

EVERY DAY:
In a typical day, about how much time do you spend using the Internet?
Less than 1 hour
1 hour
2 hours
2-3 hours
More than 3 hours

DO NOT RECRUIT
CONTINUE (Recruit a mix)
CONTINUE (Recruit a mix)
DO NOT RECRUIT
DO NOT RECRUIT

EVERY WEEK:
In a typical week, about how much time do you spend using the Internet?
Less than 3 hours
3-5 hours
6-15 hours
15-30 hours
More than 30 hours

DO NOT RECRUIT
CONTINUE (Recruit a mix)
CONTINUE (Recruit a mix)
DO NOT RECRUIT
DO NOT RECRUIT

INVITATION
Thank you very much for taking the time to answer these questions. You qualify to
participate in this study!
We would like to ask you to participate in a one-on-one session in which we will ask you
to participate in an hour long discussion and interact with a website.
We will also ask you to sign a form giving permission to record the session. The
recordings will be used for research purposes only. Your name and personal information
will NOT be shared at any time.
To thank you for your time and participation, we will offer you a payment of $75.

IF PARTICIPANT DOES NOT QUALIFY
I really appreciate your time answering these questions; unfortunately you don’t qualify
for this study. Thanks again for your help.

Participant Recruitment Process – Native Spanish Speakers Testing
in English
Total Number of Participants: 8
Testing Dates: TBD
In Person Location: TBD
Length of Each Session: 1 hour
Incentive: $75
Participant breakdown:
Participants will need to be recruited based on the following categories:
•

Native Spanish Speakers Who Are English Learners – 8

Note:
Each of the above attributes will be vetted by the screening questions that follow in this
document.
•
•
•

Questions to be asked out loud are in bold.
Questions to be recorded are in italics.
If you already know an answer to a question, please record and do not ask the question.

Introduction:
Hello, my name is___________ and I am from _________. We are conducting a
research study about a website. We need people who will spend an hour using the website
and answering questions about it. Each person will receive $75 for participating.
The sessions will be on [Date TBD] at [Location TBD].
Are you interested in participating?
Yes
CONTINUE
No
DO NOT RECRUIT
First I need to make sure that you are qualified to participate in the study. I need you to
answer a few questions.
16. Note literacy level:

Beginning ESL Literacy
Low Beginning ESL
High Beginning ESL
Low Intermediate ESL
High Intermediate ESL
Advanced ESL

DO NOT RECRUIT
DO NOT RECRUIT
DO NOT RECRUIT
CONTINUE (recruit a mix)
CONTINUE (recruit a mix)
DO NOT RECRUIT

17. I’m going to ask you a couple of questions and give you options on how to

answer:
Only

Spanish better

Both the

English better

Only

Spanish

than English

In general, what language
do you read and write?
In general, what language
do you speak at home?
In general, what language
do you speak with your
friends?
CONTINUE

same

than Spanish

English

Maximum 3
answers

Do not
recruit*

Do not
recruit

CONTINUE – For respondents who answered any combination of “Only Spanish” and/or
“Spanish better than English” for all questions.
CONTINUE – For respondents who answered a combination of “Only Spanish” and/or
“Spanish better than English” for all questions and a maximum of three (3) of
“Both the same”
*CONTINUE – For respondents who answered “English better than Spanish” for
reading/writing, but “Only Spanish,” “Spanish better than English,” or “Both
the same” for the other two questions
DO NOT RECRUIT – For respondents who answered “English better than Spanish” or
“Only English” to either of the second two questions.
18. Note gender:

Male
Female

CONTINUE (Recruit a mix)
CONTINUE (Recruit a mix)

19. Which of the following includes your age?

DO NOT RECRUIT
CONTINUE (Recruit a mix)
CONTINUE (Recruit a mix)
CONTINUE (Recruit a mix)
CONTINUE (Recruit a mix)

Under 20
21 - 40
41 – 65
66 - 74
Above 75

20. Do you need glasses to read? NOTE: Contacts are fine.

Interviewer should let participant know that they should be wearing contacts the day
of the testing.
Yes
No

DO NOT RECRUIT
CONTINUE

21. Do you use the Internet?

Yes
No

CONTINUE
DO NOT RECRUIT

22. Can you tell me a few websites that you have visited yourself?

Probe to see if they can name three websites.
CONTINUE IF RESPONDENT NAMES THREE SITES, OTHERWISE DO NOT
RECRUIT
23. Do you use the internet everyday? Every week?

EVERYDAY:
In a typical day, about how much time do you spend using the Internet?
Less than 1 hour
1 hour
2 hours
2-3 hours
More than 3 hours

DO NOT RECRUIT
CONTINUE (Recruit a mix)
CONTINUE (Recruit a mix)
DO NOT RECRUIT
DO NOT RECRUIT

EVERY WEEK:
In a typical week, about how much time do you spend using the Internet?
Less than 3 hours
3-5 hours
6-15 hours
15-30 hours
More than 30 hours

DO NOT RECRUIT
CONTINUE (Recruit a mix)
CONTINUE (Recruit a mix)
DO NOT RECRUIT
DO NOT RECRUIT

INVITATION
Thank you very much for taking the time to answer these questions. You qualify to
participate in this study!
We would like to ask you to participate in a one-on-one session in which we will ask you
to participate in an hour long discussion and interact with a website.
We will also ask you to sign a form giving permission to record the session. The
recordings will be used for research purposes only. Your name and personal information
will NOT be shared at any time.
To thank you for your time and participation, we will offer you a payment of $75.

IF PARTICIPANT DOES NOT QUALIFY
I really appreciate your time answering these questions; unfortunately you don’t qualify
for this study. Thanks again for your help.


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File Modified2014-06-09
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