Form 1 Test materials as seen by respondents

Generic Clearance for Questionnaire Pretesting Research

Enclosure4 - Reading Materials

Addendum for IOE Mobile UI Project Phase 2

OMB: 0607-0725

Document [pdf]
Download: pdf | pdf
Experiment 6 reading materials
The beaver is an excellent swimmer. It can achieve a speed of up to seven miles per hour in water. Its
protection against the cold consists of a skin with thousands of single hairs and a thick layer of fat. With
its big lungs it can easily stay under water for more than twenty minutes. The beaver is not only skilful in
felling trees, but also an experienced craftsman in building dams. When the beaver fells a tree, it gnaws
on the trunk in such a way that the upper and the lower part of the trunk are only connected with each
other at a small point. When the connection is narrow and the beaver has become tired, the wind will
do the rest. The twigs and thin branches are cut off by the beaver and piled up near its den, which is
built on a small island. The thick branches are sorted out and used as wood for building dams.

Experiment 50 Reading materials:

Q1: Eligible respondent

Q2: Hello and badge

Q3: Living or staying at address

Q4: Name

Q5: Phone number

No radio button instead put the fields
for the phone number

Q6: Pop count

Q7: Roster build
What is the name of each person who will be living or staying at this address?
Anyone else?
Button that says: +Add another person
(similar to screen below though designed for mobile. Use those instructions that are on the screen
below too.)

Q8. Undercount

Developer will need to fill all the names here that were entered from the previous
screen. Names should appear in Blue italics

Q9. Roster Review

Fill all the names here that were entered from the previous screen.
Names should appear in Blue italics

Q10. Home type - tenure

Q11. Sex

Q11B.
Next screen should have Is XXX male or female? (XXX = next person in household - a fill from the
rostering screen). Do this for all the other people in the household.

Q12. DOB

New instruction here

Q13. Age

Q14. Confirm Age

Q12B-Q14B Note: You need to repeat the past three screens for each member in
the household

Q15. Race –
We can discuss how to design this race screen. I’d like to have it designed as
decennial is going to have it where the ethnicity opens up if they touch the race
box, but the difference is that the Hispanic origin will be in the list as a race. We
can change the instruction to something like: “Mark all the races that apply. They
are allowed to mark more than one race. Be sure to enter their ethnicity as well.”

Q15B: Need to repeat this question for all household members

Q15B. All the detailed ethnicities would be listed out depending on what the user selected.

Here are the other races listed out:

Q15C: All other household members will need to go next with their ethnicities
I have asked for updated screenshots of the race/ethnicity screens but they aren’t
available just yet.

Q16: relationship

Additional relationships that fall below the fold are:
Grandchild
Roommate or housemate
Other

(see screenshot below)

Q16B: repeat the relationship questions for the other people in the household:

Q17. Review screen

After this screen there should be a submit button.

Experiment 51 reading materials

The participant asks these questions orally to the researcher and the researcher answers using fake
data, and the participant records the data. The questions are asked 5 times.

Q1. What is your name? Response choices: First name, Middle initial, Last name
Q2. What is your telephone number? 3 fields for area code, prefix, suffix

Q3. Please answer the following questions about the house, apartment, or mobile home at:
2385 Garfield Stree, Anytown, MD 5555
Which best describes this building? Include all apartments, flats, etc., even if vacant.
-A mobile home
-A one-family house detached from any other house
-A one-family house attached to one or more houses
-A building with 2 apartments
-A building with 3 or 4 apartments
-A building with 5 to 9 apartments
-A building with 10 to 19 apartments
-A building with 20 to 49 apartments
-A building with 50 or more apartments
-Boat, RV, van, etc.

Q4. Is this house –
-Owned by you or someone in this household with a mortgage or loan? Include home equity loans.
-Owned by you or someone in this household free and clear (without a mortgageor loan)?
-Rented?
-Occupied without payment of rent?

Q5. What is the monthly rent/mortgage payment for this house?

If no one makes a monthly payment, then enter ‘0’.

[ ]

Q6. Have you closely observed, fed, or photographed wildlife recreationally or maintained natural
areas around your home for the benefit of wildlife in the past 5 years?
Yes
No

Q7. Do you plan to fish recreationally, including shell fishing, within the next 12 months?
Yes
No
Q8. Did you take any trips or outings at least one mile from your home for the primary purpose of
observing, photographing, or feeding wildlife, including wild birds, in the past three months?
Yes
No

Q9. Last week, did you work for pay at a job (or business)?
Yes
No

Q10. What was your total household income during the past 12 months? Include income from any
social security benefits, interest, dividends, net rental income, royalty income, or income from estates
and trusts.
If person does not receive any income, then enter ‘0’.
[ ]

(Questions are asked 5 times.)
Final task:
How easy or difficult was it for you to accurately record the answers in the survey?”
1 – Very Easy to 5 – Very Difficult

Exp 52 reading materials

“What state shall I select?”
Is asked 51 times by the participant, and the researcher gives a different state response each time and
the participant enters that answer.
Then, the participant answers
How easy or difficult was it for you to accurately record the answers in the survey?
1-Very Easy to 5-Very Difficult


File Typeapplication/pdf
AuthorBrian Falcone (CENSUS/CSM FED)
File Modified2018-08-02
File Created2018-08-02

© 2024 OMB.report | Privacy Policy