OMB Control No. 1090-0011
Expires 10/31/2021
FHWAR Eligibility Screener for Cognitive Testing
Hello. My name is [NAME] and I work for NORC at the University of Chicago. I am calling about your interest in the 2022 National Survey of Fishing, Hunting, and Wildlife-Associated Recreation. Is this a good time to talk? I would like to tell you about the study and you can let me know if you are still interested.
NORC is conducting this study for the Association of Fish and Wildlife Agencies (AFWA) in an effort to collect information about nation-wide participation in hunting, fishing, and wildlife-watching. We are helping to develop a survey for people like yourself who might participate in these activities. You are being asked to take part in a research interview to help us better understand and improve the survey questions. The survey asks about things like the types of activities you take part in, how often you do them, and how much you spend. The survey is online, and to test it, we would like to be on the phone with you as you take it. That way, we can see if you have any problems and ask for your suggestions for improvement. The process will take about 60 minutes and you will be paid $50 in compensation.
Your answers will always be kept private, and none of the information that we collect about you will be used for any purpose other than research. AFWA will not receive your name or any other identifying information about you. Also, your participation is completely voluntary and you may choose to skip any questions the interviewer asks or stop participating at any time.
If you think you’d like to be in the study, I can ask you a few questions to confirm your eligibility to participate. Would you like me to do that now?
[IF YES] Great. I am going to ask you a few background questions which will take approximately 5 minutes to confirm your eligibility. Then we can schedule an appointment time for you. GO TO SCREENER QUESTIONS
[IF NO] That's okay. We appreciate your consideration. But for research purposes, would you mind telling us why you choose not to participate. Thank you. NOTE TO RECRUITER: IF POTENTIAL RESPONDENT DECIDES AFTER HEARING ABOUT THE STUDY THAT HE/SHE DOES NOT WANT TO PARTICIPATE, ASK WHY NOT AND OFFER TO ANSWER QUESTIONS. RECORD THE RESPONDENT’S REASONS FOR NOT PARTICIPATING BELOW:
|
Eligibility Screener
Have you done any of the following:
Recreational fishing in the United States? This would include freshwater and saltwater fishing, and fishing for finfish and shellfish.
Yes No - Fishing
[IF YES] When was the last time you went fishing? __________________
Hunting any game or other wildlife in the Unites States, including big game, small game, migratory birds, or other animals?
Yes No - Hunting
[IF YES] When was the last time you went hunting? __________________
Taken trips or outings to any location more than a mile away from home in the United States, for the PRIMARY PURPOSE of observing, photographing, or feeding wildlife. This does not include trips to zoos, circuses, aquariums, museums, or scouting for game.
Yes No
Wildlife-watching away from home
[IF YES] When was the last time you took a trip for wildlife-watching away from home? __________________
Taken a SPECIAL INTEREST in wildlife within a one-mile radius of your home in the United States by observing, photographing or feeding wildlife, or maintaining natural areas or plantings for the benefit of wildlife
Yes No
Wildlife-watching around home
[IF YES] When was the last time you took a trip for wildlife-watching close to your home? __________________
IF THE ANSWER IS YES TO ANY OF THE ABOVE ACTIVITIES, CONTINUE ON. IF THE ANSWER IS NO, SKIP TO “IF RESPONDENT IS NOT ELIGIBLE”.
What is your state of residence? ________
RESPONDENT GENDER. ASK IF UNSURE.
MALE
FEMALE
How old are you?
_______ years
What is the highest degree or level of school you have completed?
NO SCHOOLING COMPLETED
NURSERY SCHOOL TO 8TH GRADE
9TH-12TH GRADE, NO DIPLOMA
HIGH SCHOOL GRADUATE (HIGH SCHOOL DIPLOMA OR THE EQUIVALENT)
VOCATIONAL/TECHNICAL/BUSINESS/TRADE SCHOOL CERTIFICATE OR DIPLOMA (BEYOND THE HIGH SCHOOL LEVEL)
SOME COLLEGE, BUT NO DEGREE
ASSOCIATE DEGREE
BACHELOR'S DEGREE
MASTER'S, PROFESSIONAL OR DOCTORATE DEGREE
DON’T KNOW
REFUSED
Are you of Hispanic, Latino, or Spanish origin?
Yes
No
What is your race? Please choose one or more.
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander
White
Other (specify) _____________
DON’T KNOW
REFUSED
I would like to ask a little about the other members of your household.
How many members of your household are ages 18 and over?
_________
Do any of these household members Fish, Hunt, or Watch Wildlife?
CAPUTURE AGE AND ACTIVITIES FOR EACH REPORTED MEMBER
__________________________________
__________________________________
How many members of your household are 16 to 17 years of age?
__________
Do any of these household members Fish, Hunt, or Watch Wildlife?
CAPUTURE AGE AND ACTIVITIES FOR EACH REPORTED MEMBER
________________________________
________________________________
How many members of your household are 5 through 15 years of age?
__________
Do any of these household members Fish, Hunt, or Watch Wildlife?
CAPUTURE AGE AND ACTIVITIES FOR EACH REPORTED MEMBER
________________________________
________________________________
IF RESPONDENT IS ELIGIBLE
OK, it looks like you are eligible to participate in the study.
Let’s schedule an appointment for you to do an interview.
COLLECT CONTACT INFORMATION AND SCHEDULE APPOINTMENT.
We would like to audio-record the interview so that we may review our conversation as we prepare a summary of our findings. Is this OK with you?
[NOTE TO RECRUITER: THIS QUESTION IS NOT MEANT TO ASK FOR CONSENT. RESPONDENTS WILL BE ASKED AGAIN ABOUT RECORDING DURING THE CONSENT PROCESS. THEY WILL HAVE THE OPPORTUNITY TO DECIDE NOT BE RECORDED AND STILL PARTICIPATE IN THE INTERVIEW. WE PREFER TO RECRUIT RESPONDENTS WHO ARE LIKELY TO CONSENT TO RECORDING.]
YES
NO
Do you think anyone else age 16 and older in your household would be interested in participating in this study?
IF YES, COLLECT CONTACT INFORMATION FOR OTHER MEMBERS.
If RESPONDENT IS NOT ELIGIBLE
Thank you for telling us a little about yourself. We really appreciate your interest in this study. It’s likely we already have enough participants with similar characteristics as you. Could I put your name on the waiting list and call you if a slot opens up?
YES
NO
Paperwork Reduction Act Statement: We are collecting this information subject to the Paperwork Reduction Act (44 U.S.C. 3501) to test and refine the questionnaires for the 2022 National survey of FHWAR. Your response is voluntary and we will not share your response publicly. We may not conduct or sponsor and you are not required to respond to a collection of information unless it displays a currently valid OMB Control Number. OMB has reviewed and approved this focus group and assigned OMB Control Number 1090-0011.
Estimated Burden Statement: We estimate it will take 60 minutes for the cognitive interview and 10 minutes for the phone debriefing, including time to read instructions and gather information. You may submit comments on any aspect of this information collection to the Service Information Collection Clearance Officer, U.S. Fish and Wildlife Service, 5275 Leesburg Pike, MS: PRB (JAO/3W), Falls Church, VA 22041-3803, or via email at [email protected].
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Heather Sawyer |
File Modified | 0000-00-00 |
File Created | 2021-01-13 |