Recruitment Script Screener

Attachment2_VCA-omb recruitmt script DoT.doc.doc

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

Recruitment Script Screener

OMB: 0915-0212

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Screener

Focus Groups on VCA Organ Donation


Summary of recruiting specifications

Mix of men and women, aged 21-64

Support organ donation and are not (and have never been) registered organ donors

Mix of educational levels; limit to half with some college

Do not work in the field of market research or related to healthcare/organ donation

Have not been in a focus group/paid interview in the past 6 months



(RECRUIT 12 TOTAL)

1. Good morning/afternoon/evening, my name is __________ and I’m calling from ______. I am not selling anything nor will you be asked to sign up for or purchase anything. We are recruiting people to participate in a paid focus group discussion. The focus group will last 2 hours. All participants will be paid $85 for their time. If you are eligible for the study, would you be interested in participating?

  1. Yes (CONTINUE)

  2. No (THANK AND END)


Note whether respondent is male or female and recruit a mix.

  1. Male

  2. Female


Thanks. I need to ask you a few questions to see if you qualify.


2. Thinking about organ donation, do you strongly support, support, oppose, or strongly oppose organ donation?

  1. Strongly support (CONTINUE)

  2. Support (CONTINUE)

  3. Oppose (THANK AND END)

  4. Strongly Oppose (THANK AND END)


3. Are you currently a registered organ donor, either by registering on your driver’s license, a donor card, or an organ donor registry?

  1. Yes (THANK AND END)

  2. No (CONTINUE)


4. Have you ever been a registered organ donor, either by registering on your driver’s license, a donor card, or an organ donor registry?

  1. Yes (THANK AND END)

  2. No (CONTINUE)


5. Now, I need to ask you some basic information. Which category best describes your age?

  1. Under 21 (THANK AND END)

  2. 21–35 (CONTINUE)

  3. 36–55 (CONTINUE)

  4. 56-64 (CONTINUE)

  5. 65 or older (THANK AND END)

Recruit a mix; mostly B & C with some D.


6. What is the highest grade you have completed in school? [READ LIST IF NECESSARY]

  1. 8th grade or less (CONTINUE)

  2. Some high school (grades 9, 10, or 11) (CONTINUE)

  3. High school graduate or GED (High school equivalency) (CONTINUE)

  4. Some college/2-year college/technical school/associate degree (CONTINUE, NO MORE THAN HALF SOME COLLEGE+)

  5. College graduate (CONTINUE, NO MORE THAN HALF SOME COLLEGE+)

  6. Some graduate school/post-graduate degree (CONTINUE, NO MORE THAN HALF SOME COLLEGE+)

Recruit a mix of education levels. No more than half should have some college or higher.


7. We want to make sure we represent different ethnic and racial groups in our study. Would you describe yourself as…?

  1. Hispanic or Latino/Latina (CONTINUE)

  2. Not Hispanic or Latino/Latina (CONTINUE)


8. Next, would you describe yourself as…?

  1. White (CONTINUE)

  2. Black or African American (CONTINUE)

  3. American Indian or Alaskan Native (CONTINUE)

  4. Asian (CONTINUE)

  5. Native Hawaiian or Other Pacific Islander (CONTINUE)

Recruit a mix.


9. What is your present occupation? [ASK OPEN-ENDED] ___________________

  1. Related to organ donation or healthcare (THANK AND END)

  2. Market research (THANK AND END)

  3. All others (CONTINUE)


10. Have you ever participated in a focus group or participated in a paid research interview?

  1. Yes (CONTINUE)

  2. No (SKIP TO Q15)


11. How recently did you participate in this focus group or paid discussion? [OPEN-ENDED]

  1. Within the past 6 months (THANK AND END)

  2. More than 6 months ago (CONTINUE)


12. Thank you. We are conducting focus groups on a health-related topic. The discussion will last 2 hours. We will pay you $85 as a way of thanking you for participating. Would you be interested in participating?

  1. No (THANK AND END)

  2. Yes (CONTINUE)


13. Great! We would like to send you a message to confirm your participation in this study, and we will also call you the day before to remind you. Can you please provide me with your …?

NAME:

E-MAIL ADDRESS:

PHONE NO:

** Double check spelling of name and read back phone and e-mail to confirm ***


14. It is very important that you let us know right away if you will not be able to attend this discussion so that we may have time to find a replacement. Will you call us at [phone] if for some reason you cannot attend? [WAIT FOR AN ANSWER]


Thank you for your time and for agreeing to participate!

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File Typeapplication/msword
File TitleFocus Group Screener
AuthorChristine Brittle
Last Modified ByEPioli
File Modified2015-04-28
File Created2015-03-06

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