Screenshots of the online Screener and Questionnaire

Message Testing for Tobacco Communication Activities

0920 0910 Att 4 - Online Questionnaire Main Screenshots

National Tobacco Education Campaign: Rough-Cut Testing of Television, Radio, Print, and Digital Advertisements

OMB: 0920-0910

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Attachment	4:	Online	Questionnaire	Main	Screenshots
Pages	2-19:	Screener
Pages	20-79:	Main	Questionnaire

Demographic	Information

Smoking	Behavior

If	screened	out,	the	respondent	will	see	the	next	screenshot.

If	the	respondent	passes	the	screening	criteria,	the	respondent	
will	see	the	next	screenshot.

Online	Questionnaire	for	Rough	Cut	Testing	of	Advertisements

E-Cigarette	Behavior

Section:	Attitudes	and	Behaviors
Smoking	Behavior

Quit	Attempts

Psychographic/Attitudinal

Section:	Rough	Cut	Testing

[INSERT VIDEO	HERE]


File Typeapplication/pdf
File TitleMarch 2019 CDC Screenshots
File Modified2019-04-08
File Created2019-04-08

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