Online Questionnaire

Message Testing for Tobacco Communication Activities

Att 4 - Online Questionnaire Main Screen Shots Rough Cut Testing

National Tobacco Education Campaign Rough Cut Testing of Television Advertisements

OMB: 0920-0910

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0910 can be found here:

2024-09-24 - No material or nonsubstantive change to a currently approved collection
2023-07-31 - Revision of a currently approved collection

Document [pdf]

Download: pdf | pdf

Pages	2-12:	Screener
Pages	13-81:	Main	Questionnaire

If	screened	out,	the	respondent	will	see	the	next	screenshot.

If	respondent	passes	the	screening	criteria,	the	respondent	will	see	the	next	
screenshot.

Smokers	only	see	the	following	question:

Non-smokers	only	see	the	following	question:

All	respondents	see	the	following:

These	questions	are	asked	of	those	respondents	who	are	
smokers	and	exposed	to	NRT	advertisements:

File Type	application/pdf
File Title	v3 QC 090717 Att 3 - Online Questionnaire Main Rough Cut 090617 copy
Author	carolh
File Modified	2017-10-12
File Created	2017-09-08