OMB#: 0910-0697 | Exp. 12/31/20
FDA IRB #2020-CTP-143
Rev. 8/5/2020
Appendix B. 2020 Food and Drug Administration (FDA) Center for Tobacco Products (CTP) Emails Survey Instrument
Note: The survey respondent will not see any text in blue.
[Screening Questions]
The purpose of the 2020 FDA CTP Emails Survey is to see how satisfied you are with the Food and Drug Administration (FDA) Center for Tobacco Products’ (CTP) emails (i.e., CTP Connect, CTP News, Spotlight on Science, and Modified Risk Tobacco Product Application Updates) and for us to learn about our email subscriber base. Would you like to participate in this study?
Yes
No [TERMINATE SURVEY; GO TO TERMINATION TEXT 1]
Prefer not to answer [TERMINATE SURVEY; GO TO TERMINATION TEXT 1]
What year were you born?
[Drop-down menu]
[TERMINATE SURVEY AND GO TO TERMINATION TEXT 2 IF RESPONDENT WAS BORN IN 2002 OR LATER]
[TERMINATION TEXT 1:] You have indicated that you do not want to participate in the 2020 FDA CTP Emails Survey and will now exit the survey. If you decide later that you would like to participate, you can use the same email invitation to access the survey. Thank you for your time!
[TERMINATION TEXT 2:] Based on your answer, you do not qualify for this survey. Thank you very much for your time.
[Landing Page/Introduction]
[INSERT APPENDIX D, INFORMED CONSENT FORM HERE]
The first few questions ask about your professional role.
1. Which of the following best describes you?
Public health professional (such as scientific researcher, research scientist, chemist, epidemiologist, public health advocate/activist/organizer, public health educator/trainer/evaluator, public health communicator, or public health administrator)
Please check the role that best describes you: [These options will only appear if the respondent checks “Public health professional”]
Scientific researcher/research scientist/chemist/epidemiologist
Public health advocate/activist/organizer
Public health educator/trainer/evaluator
Public health communicator
Public health administrator
Other: Please specify: ___________ [Open-ended text box]
Healthcare professional (such as physician, nurse, Physician Assistant, Nurse Practitioner, clinical administrator, clinical researcher, pharmacologist, neuroscientist, dentist, pharmacist, or tobacco treatment specialist/advisor)
Please check the role that best describes you: [These options will only appear if the respondent checks “Healthcare professional”]
Physician
Nurse
Physician Assistant/Nurse Practitioner
Clinical Administrator
Clinical Researcher/Pharmacologist/Neuroscientist
Dentist
Pharmacist
Tobacco Treatment Specialist/Certified Tobacco Treatment Specialist/Tobacco Cessation Advisor
Other: Please specify: ___________ [Open-ended text box]
Tobacco industry representative (such as manufacturer, wholesaler/distributor, importer, grower, or trade representative)
Please check the role that best describes you: [These options will only appear if the respondent checks “Tobacco industry representative”]
Manufacturer or employed by a manufacturer
Wholesaler or Distributor
Importer
Grower
Trade Association Representative
Other: Please specify: ___________ [Open-ended text box]
Retail: Retailer/Work in a retail environment/Store owner or employee
Please check the role that best describes you: [These options will only appear if the respondent checks “Retail: Retailer/Work in a retail environment/Store owner or employee”]
Store/shop owner
a. Do you sell vape products? Yes/No
Store/shop employee
b. Do you sell vape products? Yes/No
Other: Please specify: ___________ [Open-ended text box]
Media professional (such as member of the press/reporter or other communications professional)
Please check the role that best describes you: [These options will only appear if the respondent checks “Media professional”]
Member of the press/reporter
Other communications professional
Other: Please specify: ___________ [Open-ended text box]
Attorney/other legal professional
Inspector
Regulatory affairs professional
General public or other
Prefer not to answer
2. Are you a government employee?
Yes
Please check the level of government that you work in: [These options will only appear if the respondent checks “Yes”]
Federal
Please check the role that best describes you: [These options will only appear if the respondent checks “Federal”]
FDA
CTP (Center for Tobacco Products)
Other: Please specify: __________ [open-ended text box]
Other: Please specify: __________ [open-ended text box]
State
Local (County or City)
Tribal
No
Prefer not to answer
The next several questions ask about your opinions on and needs related to FDA CTP (Center for Tobacco Products) communications.
3. To which of our 4 email options are you subscribed?
[SELECT ALL THAT APPLY.]
CTP
Connect
e-newsletter,
delivered quarterly
(This
newsletter serves as a digest on the latest announcements and
stories out of CTP as they happen, including information about
regulations, guidance, enforcement actions, and other
compliance-related announcements.)
CTP
News
eblast, delivered multiple times per month
(This
email is CTP’s regulatory news roundup, featuring articles on
current tobacco issues and educational resources.)
Spotlight
on Science
e-newsletter, delivered quarterly
(This
newsletter offers updates on CTP’s tobacco regulatory science
and research efforts, tobacco scientific publications and study
findings, and CTP grants.)
Modified
Risk Tobacco Product Application
Updates
eblast, delivered on an as needed basis
(This
email provides updates when materials from any MRTP applications
under scientific review have been posted.)
I Don’t Know
4. For what reason(s) are you primarily interested in subscribing to at least one CTP email? [SELECT ALL THAT APPLY.]
I am a past or current tobacco user (or a family member/friend is a past or current tobacco user) and I want more information on the health effects of tobacco and/or tobacco cessation information.
I am a public health or medical professional seeking information for myself, the public, consumers, or patients.
I work in the tobacco industry and want to stay current on regulatory actions.
I am an educator or student seeking information on tobacco education or tobacco control.
Other: Please specify: ___________ [open-ended text box]
5. Please rate the following six topics in order of interest to you, 1 being of most interest and 5 being of least interest:
Youth tobacco education campaigns
Adult tobacco consumer health and cessation information
Tobacco product compliance and enforcement actions
Tobacco product policy, rulemaking, and guidance information
Tobacco science and research
Novel tobacco products (e.g., vapes)
5a. Are there any additional topics not listed above that are of interest to you?
Yes; Please specify: __________ [open-ended text box]
No
6. For which of the following topics would you like more plain language information and resources? (“Plain language” is easy-to-understand information that avoids wordy, complicated language and technical jargon. For example, “constitutes” is replaced with “forms” or “makes up.”)
[SELECT ALL THAT APPLY.]
|
|
1 |
6 Don’t know/Not Applicable |
9 |
6_1 |
How to talk with youth about the risks of using tobacco products |
1 |
6 |
9 |
6_2 |
Tobacco product application pathways (such as Premarket Tobacco Product Applications or Modified Risk Tobacco Product Applications) |
1 |
6 |
9 |
6_3 |
HPHCs (harmful and potentially harmful constituents) |
1 |
6 |
9 |
6_4 |
Compliance information |
1 |
6 |
9 |
6_5 |
Tobacco product research |
1 |
6 |
9 |
6_6 |
Nicotine |
1 |
6 |
9 |
6a. Are there any additional topics not listed above that are of interest to you?
Yes; Please specify: __________ [open-ended text box]
No
The next few questions ask about your satisfaction with the FDA CTP (Center for Tobacco Products) communications.
7.With respect to how often you receive FDA CTP emails, do you prefer: [SELECT ONLY ONE.]
Longer, quarterly e-newsletters
OR
Shorter, monthly emails
8. How helpful are the emails you receive from the FDA CTP in keeping you informed about the work of the Center?
Very helpful
Somewhat helpful
Neutral (neither helpful nor unhelpful)
Somewhat unhelpful
Very unhelpful
Prefer not to answer
9. Overall, how satisfied or dissatisfied are you with the emails you receive from the FDA CTP?
Very satisfied
Somewhat satisfied
Neutral (neither satisfied nor dissatisfied)
Somewhat dissatisfied
Very dissatisfied
Prefer not to answer
The next few questions ask about information sources.
10. Select your TOP 3 TOBACCO NEWS sources from the following list:
Emails from CTP
Non-CTP emails: 10a. Please specify: ___________ [Open-ended text box]
Official FDA/CTP social media channels (such as Twitter, Facebook)
Non-FDA/non-CTP social media channels: 10b. Please specify: ___________ [Open-ended text box]
Television: 10c. Please specify: ___________ [Open-ended text box]
Podcasts 10d. Please specify: ___________ [Open-ended text box]
Radio: 10e. Please specify: ___________ [Open-ended text box]
Print (e.g., newspapers, magazines): 10f. Please specify: ___________ [Open-ended text box]
Government websites: 10g. Please specify: ___________ [Open-ended text box]
Non-government websites: 10h. Please specify: ___________ [Open-ended text box]
Google or another search engine: 10i. Please specify: ___________ [Open-ended text box]
Prefer not to answer
11. Through which of the following channels/platforms would you like to receive more tobacco education and regulatory information from the FDA CTP? [SELECT ALL THAT APPLY.]
Forums (e.g., Reddit)
Podcasts
YouTube
CTP website
Other: Please specify: ___________ [Open-ended text box]
Prefer not to answer
12. Aside from the FDA, to what sources do you turn for trusted information on the topic of tobacco? Please spell out any acronyms. ______________________________
[Open-ended text box]
The next few questions tell us more about you.
13. Have you used a nicotine product (e.g., cigarettes, e-cigarettes, etc.) in the last 30 days?
Yes
13a. Which nicotine product(s) did you use? [SELECT ALL THAT APPLY.]
Cigarette
Heat-not-burn cigarette
Cigar
Chew
Snus
Hookah
Pipe
E-cigarette or vape;
No
Prefer not to answer
14. How do you identify? [SELECT ONLY ONE.]
Male
Female
Prefer to self-describe: __________
Prefer not to answer
15. Which of these best describe your ethnicity (choose one)?
Hispanic or Latino
Not Hispanic or Non-Latino
Prefer not to answer
16. Which of these best describe your race (choose one or more)?
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Prefer not to answer
17. In what country do you live? [Drop down menu of countries]
Prefer not to answer
17a. [For those who responded “United States”] In what state do you work? [Drop down menu of states]
Prefer not to answer
18. Which of the following categories best describes your level of education?
Some high school
High school diploma or GED
Trade or technical school
Some college
Associate degree
Bachelor’s degree
Graduate or professional degree (e.g., M.A., Ph.D., Psy.D., J.D., M.D.)
Prefer not to answer
19. Did you take this survey last year, in 2019?
No
Yes
I don’t remember
Prefer not to answer
20. Please feel free here to make suggestions for how the FDA CTP can improve our emails:
[Open-ended text box]
Thank you very much for taking the time to complete our Emails Survey!
The FDA CTP Team
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 5 minutes per response (the time estimated to read, review, and complete). Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for reducing burden, to [email protected].
[End of survey]
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Everly Macario |
| File Modified | 0000-00-00 |
| File Created | 2021-01-13 |