Point-of-Sale Strategic Concept Testing – Focus Groups with Current Adult Smokers

Point-of-Sale Strategic Concept Testing – Focus Groups with Current Adult Smokers
Participant Rating Worksheet

OMB# 0910-0674
Exp. 03/31/2016

ID

Group

ID

Group

What is the message—that is, what is
the most important thing the idea is
trying to tell you?

What is the message—that is, what is
the most important thing the idea is
trying to tell you?

Grade the idea

Grade the idea

(MARK ONLY ONE)

(MARK ONLY ONE)

How did this idea make you feel?

How did this idea make you feel?

(CHECK ALL THAT APPLY)

(CHECK ALL THAT APPLY)

Inspired

Inspired

Hopeful

Hopeful

Understood

Understood

Confused

Confused

Neutral

Neutral

Discouraged

Discouraged

Other:

Other:

How much do you agree or disagree

4 with the following statements:
(CHECK ONLY ONE RESPONSE FOR EACH ITEM)

STRONGLY
DISAGREE

DISAGREE

4

How much do you agree or disagree
with the following statements:
(CHECK ONLY ONE RESPONSE FOR EACH ITEM)

NEITHER
AGREE
NOR
DISAGREE

AGREE

STRONGLY
AGREE

STRONGLY
DISAGREE

This idea is worth
remembering

This idea is worth
remembering

This idea grabbed
my attention

This idea grabbed
my attention

I can relate to this
idea

I can relate to this
idea

This idea is
believable

This idea is
believable

This idea made
quitting smoking
seem more
manageable

This idea made
quitting smoking
seem more
manageable

This idea made
me want to quit
smoking again

This idea made
me want to quit
smoking again

DISAGREE

NEITHER
AGREE
NOR
DISAGREE

AGREE

STRONGLY
AGREE

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