LGBT Campaign: Focus Group Study of Brand and Creative Concepts Designed to Prevent LGBT Young Adult Tobacco Use

Pretesting of Tobacco Communications

Creative Concept Survey LGBT.xlsx

LGBT Campaign: Focus Group Study of Brand and Creative Concepts Designed to Prevent LGBT Young Adult Tobacco Use

OMB: 0910-0674

Document [xlsx]
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Creative Concept Survey




Unique ID:












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.



















Strongly
Agree
Agree Neither agree nor disagree Disagree Strongly Disagree
(a) This ad gave me a reason to not use tobacco. * * * * *
(b) I can identify with what the ad says. * * * * *
(c) The person/people in this ad are like 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.



















Strongly
Agree
Agree Neither agree nor disagree Disagree Strongly Disagree
(a) This ad gave me a reason to not use tobacco. * * * * *
(b) I can identify with what the ad says. * * * * *
(c) The person/people in this ad are like 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.



















Strongly
Agree
Agree Neither agree nor disagree Disagree Strongly Disagree
(a) This ad gave me a reason to not use tobacco. * * * * *
(b) I can identify with what the ad says. * * * * *
(c) The person/people in this ad are like 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.



















Strongly
Agree
Agree Neither agree nor disagree Disagree Strongly Disagree
(a) This ad gave me a reason to not use tobacco. * * * * *
(b) I can identify with what the ad says. * * * * *
(c) The person/people in this ad are like 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.



















Strongly
Agree
Agree Neither agree nor disagree Disagree Strongly Disagree
(a) This ad gave me a reason to not use tobacco. * * * * *
(b) I can identify with what the ad says. * * * * *
(c) The person/people in this ad are like me. * * * * *








































Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 50 minutes per response to complete the Creative Concept Survey (the time estimated to read, review, and complete). Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for reducing burden, to [email protected]
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