Screener

Understanding Sexual Health Messaging among Men who have Sex with Men

Screener

Form Approved

OMB Control No.: 0920-1154

Expiration date: 01/31/2020

Hello. Thank you for your interest in “the gay men’s sexual health study.” My name is [name]. I am a Graduate Research Assistant at Georgia State University. We are conducting this study to get feedback on a health communication effort to educate (or raise awareness with) gay and bisexual men about a germ.

We are recruiting men to participate in a face-to-face focus group that will be held [insert location].

If you are eligible and choose to participate, you will receive $40 gift certificate as a token of our appreciation for participating in the discussion.

To see if you are eligible to participate, we need to ask you some personal questions. It is your choice to answer these questions. Your answers will be kept private. You can refuse to answer a question or stop at any time.

If you are not eligible and/or choose not to be part of the focus group, all responses you give me today will be destroyed and you will not be contacted again.

These questions will only take a few minutes. May I ask you the questions now?

___ yes

___ no

So first let me ask, are you interested in participating in a focus group. If yes, proceed with questions. If no, thank them for their time.

Thank you. In order to determine eligibility I have a few questions.

1. What is your current age?

[If under 18, thank them for their time and let them know they are not eligible for this particular study.]

2. How do you identify your sex? Male, Female, Transman, Transwoman, or Other

[If Female or Transwoman, thank them for their time and let them know they are not eligible for this particular study.]

3. Have you had sex with another man in the past 3 months? Yes, No

[If no, thank them for their time and let them know they are not eligible for this particular study.]

4. How do you identify in terms of your race and/or ethnicity?

5. Have you been diagnosed with HIV? Yes No

6. What is your highest level of education? Some or no high school / Completed high school / Some college / completed 4-year college degree / at least some post-graduate

7. Have you ever used social networking apps, like Jack’d, Grindr, or Tinder to meet other men?

[If not eligible] Thank you for your time and interest, you are not currently eligible at this time.

You are eligible to participate.

Would you like a reminder call or e-mail one or two days before our scheduled time? I will destroy your contact information after the completion of your participation to protect your confidentiality. [Note contact information under their nickname or an “R,” for reserved, if they do not provide a nickname at screening.]

Any questions before we end? Again, thank you for your interest and have a great day.