Form Appendix A Appendix A Screening Questions

Appendix A: Screening Questions

1. Are you currently employed either part-time or full-time?

   • Yes

   • No

2. (If Yes to Q1) What is your current job title?

3. (If Yes to Q1, and not obvious from Q2) Do you work in one of the following occupations?

• Nursing Assistant

• Childcare Worker

• Truck driver (Long-haul)

• Security Guard

• Bank Teller

• DOES NOT WORK IN THE TARGET JOBS (Stop)

4. (If eligible for study) How long have you worked as a [fill with occupation from Q3] for your current employer?

• Less than a year

• 1 – 2 years

• 3 – 5 years

• 6 – 10 years

• More than 10 years

5. (If eligible for study) What is the highest level of education you have achieved, or the highest grade you have completed?

• Less than HS

• HS diploma or equivalent

• Some college but no degree

• BA or BS

• Post Graduate (MA/MS, PhD, MD)

• Other, specify

6. (If Yes to Q1) How old are you?