Audience Segmentation Survey

0572 CDC Enhanced Message Development Audience Segmentation Survey 1 31 2020.docx

CDC and ATSDR Health Message Testing System

Audience Segmentation Survey

OMB: 0920-0572

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OMB: 0920-0572

Exp. Date 08/31/2021



CDC Enhanced Message Development Audience Segmentation Survey



[INTRO LANGUAGE]

We would like to ask you some questions to determine your eligibility to participate in a survey sponsored by the Centers for Disease Control and Prevention (CDC). This eligibility survey should take about one minute to complete. Throughout the survey, please do not use your browser’s back button to view previous questions. This may invalidate your responses and end your survey.


[TERMINATION LANGUAGE]

Thank you for completing this eligibility survey. Unfortunately, based on the responses you provided, you do not meet the specifications we are looking for in this study. We appreciate your time today answering these questions.


Section 1: Screener


Question Type: Single Punch

Variable Name: Q1

Variable Label: Q1: Sex

Variable Text: What is your sex?


Value

Value Label

1

Male

2

Female

99

Refused



// If Q1= 99 then SOFT PROMPT: Please provide an answer to this question. //

// If Q1 =1, then skip to Q3 //


Question Type: Single Punch

Name: Q2

Variable Label: Q2: Pregnancy Status

Variable Text: To your knowledge are you currently pregnant?


Value

Value Label

1

Yes

2

No

3

Not sure

99

Refused







// If Q2 = 1 OR 3 OR 99 then TERMINATE. //


Question Type: Drop Down

Variable Name: Q3

Variable Label: Q3: Age

Variable Text: What is your age in years?


Value

Value Label

1

Under 18

2

18

3

19

xx

75

xx

76 or older

99

Refused


//TERMINATE If Q3=17–20 or Q3= 65–76//

// If Q3= 99 then SOFT PROMPT: Please provide an answer to this question. //


Question Type: Drop Down

Variable Name: Q4

Variable Label: Q4: Days of Drinking

Variable Text: During the past 30 days, how many days did you have at least one drink of any alcoholic beverage such as beer, wine, a malt beverage, or liquor?


Value

Value Label

1

0 days

2

1 day

3

2 days

4

3 days

31

30 days

99

Refused


//TERMINATE if Q4=1 //

// If Q4= 99 then SOFT PROMPT: Please provide an answer to this question. //


Question Type: Drop Down

Variable Name: Q5

Variable Label: Q5: Average Drinks

Variable Text: One drink is equivalent to a 12-ounce beer, a 5-ounce glass of wine, or a drink with one shot of liquor. During the past 30 days, on the days when you drank, about how many drinks did you drink on average?


NOTE: A pitcher of beer counts as five drinks, or a cocktail drink with two shots counts as two drinks.


Value

Value Label

1

1 drink

2

2 drinks

3

3 drinks

4

4 drinks

5

5 drinks

6

6 drinks

7

7 drinks

8

8 drinks

9

9 drinks

10

10 drinks

11

11 drinks

12

12 drinks

13

13 drinks

14

14 drinks

15

15 drinks

16

More than 15 drinks

99

Refused


// If Q5= 99 then SOFT PROMPT: Please provide an answer to this question. //

// If Q5= 1 then program to show Q6A, if Q5= 2 then program to show Q6B. //


///If respondent selected Q1 = 1, then only show them Q6A.

If respondent selected Q1 = 2, then only show them Q6B. ///


Question Type: Drop Down

Variable Name: Q6A

Variable Label: Q6A: MALE: Frequency of Binge Drinking

Variable Text: Considering all types of alcoholic beverages, how many times during the past 30 days did you have five or more drinks on an occasion? An “occasion” is defined as period of two to three hours.

Value

Value Label

1

0 times

2

1 time

3

2 times

4

3 times

31

30 times

99

Refused

100

Valid Skip

// // If Q6A= 99 then SOFT PROMPT: Please provide an answer to this question. //


Question Type: Drop Down

Variable Name: Q6B

Variable Label: Q6B: FEMALE: Frequency of Binge Drinking

Variable Text: Considering all types of alcoholic beverages, how many times during the past 30 days did you have four or more drinks on an occasion? An “occasion” is defined as period of two to three hours.

Value

Value Label

1

0 times

2

1 time

3

2 times

4

3 times

31

30 times

99

Refused

100

Valid Skip


// // If Q6B= 99 then SOFT PROMPT: Please provide an answer to this question. //


Question Type: Drop Down

Variable Name: Q7

Variable Label: Q7: Largest Volume of Drinking

Variable Text: During the past 30 days, what was the largest number of drinks you had on any one occasion? An “occasion” is defined as period of two to three hours.


Value

Value Label

1

1 drink

2

2 drinks

3

3 drinks

4

4 drinks

5

5 drinks

6

6 drinks

7

7 drinks

8

8 drinks

9

9 drinks

10

10 drinks

11

11 drinks

12

12 drinks

13

13 drinks

14

14 drinks

15

15 drinks

16

More than 15 drinks

99

Refused



Survey Eligibility




ELIGIBLE

INELIGIBLE, TERMINATE

Q#

Item/Calculation

EXCESSIVE DRINKERS

NON-EXCESSIVE DRINKERS

REFUSALS

Q4 * Q5

COMPOSITE SCORE for heavy drinking

>60 for males (Q1 = 1)

>30 for females (Q1 = 2)

60 for males (Q1 = 1)

30 for females (Q1 = 2)

Refuses any item Q1 – 5



OR

AND

Q6A

Male Binge Frequency

1 or more times

0 times

Q6B

Female Binge Frequency

1 or more times

0 times






//If Eligible = 1, CONTINUE; If Eligible =0, TERMINATE//

//PAGE BREAK//

We are inviting you to take part in a research study. This will involve completing a web-based survey that asks questions about your knowledge and attitudes about consuming alcohol. It should take you about 1012 minutes to complete. This study is sponsored by the Centers for Disease Control and Prevention (CDC).


There are neither risks nor benefits to you taking part in this survey. Any compensation you receive is a small token to thank you for taking part, if you choose to do so.


Your participation is voluntary. This means that you are free to choose not to take part or to skip certain questions. There is no penalty if you choose not to respond. However, your complete participation will help enhance messages and materials for adult drinkers. It is important that as many adults respond to this survey as possible so that the information we get is complete.


Your personal information will be kept separate from your survey responses. Government personnel will not have access to your name, address, or email address; they will only have access to your responses. Government personnel will not be able to trace your responses back to you. Responses will be reported only for the whole group. If you have any questions about this survey at any time, please contact the survey administrator by emailing [email protected]. Please include the subject “Alcohol Attitudes Study.”


Value

Value Label

1

I wish to continue

0

I do not wish to continue

99

Refused


//If 0 or 99, TERMINATE.////If 1, Proceed to next page.//

Section 2: Knowledge Attitudes and Beliefs About Excessive Drinking


Consider this information:


//PROGRAM IMAGE1 //


Shape1

*

*An “occasion” is defined as period of two to three hours.

Question Type: Randomized Grid

Variable Text: To what extent do you agree or disagree with the following statements?


Variable Name

Variable Text

Variable Label

Q8A

Excessive drinking is harmful to your health.


Q8A: Risk: Harm to Individual

Q8B

Excessive drinking increases the risk of cancer.

Q8B: Risk: Cancer

Q8C

Excessive drinking increases the risk of violence.

Q8C Risk: Violence

Q8D

People who drink excessively put themselves at risk for serious health problems.

Q8D Risk: Serious Health Problems

Q8E

Excessive drinking is dangerous.

Q8E: Risk: Danger

Q8F

Excessive drinking is an important public health problem.

Q8F Risk: Public Health Problem


Value

Value Label

1

Strongly Disagree

2

Disagree

3

Neither Agree or Disagree

4

Agree

5

Strongly Agree

99

Refused


Question Type: Randomized Grid

Variable Text: To what extent do you agree or disagree with the following statements?


Variable Name

Variable Text

Variable Label

Q9A

Excessive drinking is acceptable as long as you are not doing something dangerous.

Q9A Acceptable: Not Dangerous

Q9B

Excessive drinking is acceptable during a social occasion, like a party, wedding, or sports game.

Q9B Acceptable: Social Occasion

Q9C

As long as you are not harming other people, I don’t see a problem with excessive drinking.

Q9C: Acceptable: Not Harming Others

Q9D

In my opinion, excessive drinking is not a problem as long as you’re not putting other people at risk.

Q9D: Acceptable: Others Not at Risk

Q9E

In my opinion, it is acceptable for adults of drinking age to drink excessively as long as it is in an appropriate setting.

Q9E: Acceptable: Appropriate Setting

Q9F

Excessive drinking is acceptable when your friends and/or family are drinking excessively, too.

Q9F: Friends and Family Drinking Excessively


Value

Value Label

1

Strongly Disagree

2

Disagree

3

Neither Agree or Disagree

4

Agree

5

Strongly Agree

99

Refused

Section 3: Motivators or Drivers for Excessive Drinking



One drink is equivalent to a 12-ounce beer, a 5-ounce glass of wine, or a drink with one shot of liquor. An occasion is defined as a period of two to three hours.


Question Type: Randomized Grid

Variable Text: To what extent do you agree or disagree with the following statements?


Variable Name

Variable Text

Variable Label

Q10A

I never turn down a free drink.

Q10A: Economics: Accept Free Drink

Q10B

I consume more drinks when there are deals or discounts on alcohol, such as during happy hour or with an offer of bottomless drinks.

Q10C: Economics: Drink More During Deals


Value

Value Label

1

Strongly Disagree

2

Disagree

3

Neither Agree or Disagree

4

Agree

5

Strongly Agree

99

Refused




Question Type: Randomized Grid

Variable Text: Think about times in the past when you drank too much. To what extent do you agree or disagree with the following statements?


Variable Name

Variable Text

Variable Label

Q11A

I drank to feel at ease in a group.

Q11A: Social: Confidence in a Group

Q11B

I drank to feel more self-confident.

Q11B: Social: Self-Confidence

Q11C

I drank to ease conversations with someone I was romantically interested in.

Q11C: Social: Romance

Q11D

I drank to celebrate a special occasion.

Q11D: Social: Celebration

Q11E

I drank because it made social gatherings more fun.

Q11E: Social: Fun

Q11F

I drank to feel included.

Q11F: Social: Fear of Being Left Out

Q11G

I drank because I was with family or friends who were drinking, too.

Q11G: Social: Friends/Family


Value

Value Label

1

Strongly Disagree

2

Disagree

3

Neither Agree or Disagree

4

Agree

5

Strongly Agree

99

Refused




Question Type: Randomized Grid

Variable Text: Again, think about times in the past when you drank too much. To what extent do you agree or disagree with the following statements?


Variable Name

Variable Text

Variable Label

Q12A

I drank to relax.

Q12A: Emotions: Relax

Q12B

I drank because I was sad.

Q12B: Emotions Sad

Q12C

I drank because I was angry.

Q12C: Emotions: Angry

Q12D

I drank to escape from my everyday problems.

Q12D: Emotions: Escape Problems

Q12E

I drank to deal with feelings of despair.

Q12E: Emotions: Despair

Q12F

I drank to dull pain and discomfort.

Q12F: Emotions: Pain

Q12G

I drank because I was bored.

Q12G: Emotions: Boredom


Value

Value Label

1

Strongly Disagree

2

Disagree

3

Neither Agree or Disagree

4

Agree

5

Strongly Agree

99

Refused


Question Type: Randomized Grid

Variable Text: Once more, think about times in the past when you drank too much. To what extent do you agree or disagree with the following statements?


Variable Name

Variable Text

Variable Label

Q13A

I drank because I enjoyed the feeling of getting drunk or buzzed.

Q13A: Enjoyment: Feeling Buzzed

Q13B

I drank because I enjoyed trying out new drinks.

Q13B: Enjoyment: New Drinks

Q13C

I drank because I enjoyed the experience of visiting new wineries, distilleries, or breweries.

Q13C: Enjoyment: New Places with Alcohol

Q13D

I drank because I enjoyed the taste.

Q13D: Enjoyment: Taste




Section 4: Evaluation of Personal Health Status and Drinking Behavior

Question Type: Randomized Grid

Variable Text: How likely are you to drink too much in the following contexts?


Variable Name

Variable Text

Variable Label

Q14A

At your home

Q14A: Context: Home

Q14B

In public (e.g., at bars, restaurants, at parties)

Q14B: Context: Public

Q14C

During meals

Q14C: Context: Meals

Q14D

When alone

Q14D: Context: Alone

Q14E

With others

Q14E: Context: With Others


Value

Value Label

1

Very Unlikely

2

Unlikely

3

Neither Likely or Unlikely

4

Likely

5

Very Likely

99

Refused


Question Type: Grid

Variable Text: How likely are you to drink too much alcohol on a…?


Variable Name

Variable Text

Variable Label

Q15A

Monday

Q15A: Day of the Week: Monday

Q15B

Tuesday

Q15B: Day of the Week: Tuesday

Q15C

Wednesday

Q15C: Day of the Week: Wednesday

Q15D

Thursday

Q15D: Day of the Week: Thursday

Q15E

Friday

Q15E: Day of the Week: Friday

Q15F

Saturday

Q15F: Day of the Week: Saturday

Q15G

Sunday

Q15G: Day of the Week: Sunday


Value

Value Label

1

Very Unlikely

2

Unlikely

3

Neither Likely or Unlikely

4

Likely

5

Very Likely

99

Refused





Question Type: Randomized Grid

Variable Text: Think about times in the past when you drank too much. How frequently did you drink each of the following types of alcohol?


Variable Name

Variable Text

Variable Label

Q16A

Wine

Q16A: Alcohol Type: Wine

Q16B

Beer

Q16B: Alcohol Type: Beer

Q16C

Liquor/distilled spirits only (i.e., no chaser or mixer included)

Q16C: Alcohol Type: Liquor

Q16D

Cocktails or mixed drinks

Q16D: Alcohol Type: Cocktails or Mixed Drinks

Q16E

Malt beverages (e.g., hard lemonade, alcopops)

Q16E: Alcohol Type: Malt beverages

Q16F

Other (please specify): _____

Q16Q16F: Alcohol Type: Other


Value

Value Label

1

Never

2

Rarely

3

Sometimes

4

Very Often

5

Always

99

Refused




Question Type: Randomized Grid

Variable Text: To what extent do you agree or disagree with the following statements?


Variable Name

Variable Text

Variable Label

Q17A

I don’t think I drink too much.

Q17A: Precon: Not too much

Q17B

Pressure from my peers to drink too much would make it hard for me to drink less.

Q17B: Precon: Pressure from peers

Q17C

There is no need for me to think about drinking less.

Q17CD: Precon: No need to change

Q17D

Drinking less alcohol would be pointless for me.

Q17D: Precon: Less drinking pointless

Q17E

I enjoy my drinking, but sometimes I drink too much.

Q17E: Contem: Enjoy but too much

Q17F

Sometimes I think I should cut down on my drinking.

Q17F: Contem: Cut down

Q17G

I am at a stage where I should think about drinking less alcohol.

Q17G: Contem: Think about less

Q17H

My drinking is a problem sometimes.

Q17H: Contem: Drinking problem

Q17I

I am trying to drink less than I used to.

Q17I: Act: Trying Less

Q17J

I am actually decreasing my drinking right now

Q17J: Act: Actually changing


Value

Value Label

1

Strongly Disagree

2

Disagree

3

Neither Agree or Disagree

4

Agree

5

Strongly Agree

99

Refused


Question Type: Randomized Grid

Variable Text: The following list includes some problems associated with excessive drinking or drinking too much. Please tell us how important each reason is to you for limiting your drinking.


Variable Name

Variable Text

Variable Label

Q18A

Drinking is bad for my health.

Q18A: Limiting Your Drinking: Bad for my

health

Q18B

Alcohol is expensive.

Q18B: Limiting Your Drinking: Expensive

Q18C

Family/friends get upset.

Q18C: Limiting Your Drinking: Friends upset

Q18D

Drinking negatively impacts

my career.

Q18D: Limiting Your Drinking: Bad for career

Q18E

Drinking is against my

basic values or beliefs.

Q18E: Limiting Your Drinking: Basic Values

Q18F

I am labeled an alcoholic.

Q18F: Limiting Your Drinking: Alcoholic

Q18G

I do things I regret.

Q18G: Limiting Your Drinking: Regret

Q18H

Drinking can make me throw up.

Q18H: Limiting Your Drinking: Throw Up

Q18I

Drinking can give me a hangover.

Q18I: Limiting Your Drinking: Hangover

Q18J

I get in trouble with the

police.

Q18J: Limiting Your Drinking: Police

Q18K

I am losing control over my life.

Q18K: Limiting Your Drinking: Lose control

Q18L

Drinking damages

personal relationships.

Q18L: Limiting Your Drinking: Relationships

Q18M

Drinking causes motor vehicle

accidents.

Q18M: Limiting Your Drinking: Car Accident

Q18N

Drinking causes death.

Q18N: Limiting Your Drinking: Death

Q18O

Drinking causes divorce.

Q18O: Limiting Your Drinking: Divorce

Q18P

I could accidentally hurt someone.

Q18P: Limiting Your Drinking: Accidental harm

Q18Q

I embarrass myself.

Q18Q: Limiting Your Drinking: Embarrassment

Q18R

I make bad decisions.

Q18R: Limiting Your Drinking: Bad decisions

Q18S

Drinking causes reckless

sexual behavior.

Q18S: Limiting Your Drinking: Risky sex

Q18T

I am a poor role model.

Q18T: Limiting Your Drinking: Poor role model

Q18U

A DUI is very expensive.

Q18U: Limiting Your Drinking: DUI cost

Q18V

I could lose my driver’s license.

Q18W: Limiting Your Drinking: Lose license

Q18W

Drinking damages my reputation.

Q18Y: Limiting Your Drinking: Damaged Rep.

Q18X

Drinking could cause an unplanned pregnancy.

Q18Z: Limiting Your Drinking: Get pregnant

Q18Y

I post drunken photos on the internet.

Q18AA: Limiting Your Drinking: Drunk photos

Q18Z

I could get physically hurt.

Q18BB: Limiting Your Drinking: Injury

Q18AA

Drinking causes long-term health problems.


Q18CC: Limiting Your Drinking: Long term

health problems


Value

Value Label

1

Not at all Important

2

Not very Important

3

Somewhat Important

4

Very Important

99

Refused


Think about your alcohol consumption during the past 12 months as you answer these next few questions.


Question Type: Single Punch

Variable Name: Q19

Variable Label: Q19: Alcohol Dependence: Month Plus Drinking

Variable Text: During the past 12 months, was there a month or more when you spent a lot of your time obtaining or drinking alcohol?


Value

Value Label

1

Yes

2

No






Question Type: Single Punch

Variable Name: Q20

Variable Label: Q20: Alcohol Dependence: Month Plus Recovering from Drinking

Variable Text: During the past 12 months, was there a month or more when you spent a lot of time getting over the effects of the alcohol you drank?


Value

Value Label

1

Yes

2

No




Question Type: Single Punch

Variable Name: Q21

Variable Label: Q21: Alcohol Dependence: Tried to Set Drinking Limits

Variable Text: During the past 12 months, did you try to set limits on how often or how much alcohol you drink?


Value

Value Label

1

Yes

2

No





Question Type: Single Punch

Variable Name: Q22

Variable Label: Q22: Alcohol Dependence: Failed to Set Drinking Limits

Variable Text: Were you able to keep within the limits you set, or did you often drink more than you intended to?


Value

Value Label

1

I usually kept to the limits I set.

2

I often drank more than intended.





Question Type: Single Punch

Variable Name: Q23

Variable Label: Q23: Alcohol Dependence: Need to drink more to feel drunk

Variable Text: During the past 12 months, did you need to drink more alcohol than you used to in order to get the effect you wanted?

Value

Value Label

1

Yes

2

No




Question Type: Single Punch

Variable Name: Q24

Variable Label: Q24: Alcohol Dependence: Drinking has less of an effect

Variable Text: During the past 12 months, did you notice that drinking the same amount of alcohol had less effect on you than it used to?


Value

Value Label

1

Yes

2

No






Question Type: Single Punch

Variable Name: Q25

Variable Label: Q25: Alcohol Dependence: Tried to Cut Down Drinking

Variable Text: During the past 12 months, did you want to or try to cut down or stop drinking alcohol?




Value

Value Label

1

Yes

2

No







Section 5: Demographics


Question Type: Multi-Punch

Variable Name: Q26A

Variable Label: Q26A: Ethnicity

Variable Text: What best describes your ethnicity?


Value

Value Label

1

Hispanic or Latino

2

Not Hispanic or Latino

99

Refused


Question Type: Multi-Punch

Variable Name: Q26B

Variable Label: Q26B: Race

Variable Text: What best describes your race?


Value

Value Label

1

White or Caucasian

2

Black or African American

3

Hispanic or Latino

4

Asian

5

Native American or Alaska Native

6

Native Hawaiian or Other Pacific Islander

99

Refused


Question Type: Single Punch, Other Open-End Essay

Variable Name: Q27

Variable Label: Q27: Education

Variable Text: What is the highest level of education you have completed?


Value

Value label

1

Grade School

2

Less than high school graduate/some high school

3

High school graduate or completed GED

4

Some college or technical school

5

Received four-year college degree

6

Some postgraduate studies

7

Received advanced degree

8

Other:____________

99

Refused


Question Type: Single Punch

Variable Name: Q28

Variable Label: Q28: Labor Status

Variable Text: Which of the following best describes what you are currently doing? Please mark all that apply.


Value

Value label

1

Employed full-time

2

Employed part-time

3

Unemployed

4

Homemaker

5

Student

6

Retired

7

Disabled

8

Other:__________

99

Refused


Question Type: Single Punch

Variable Name: Q29

Variable Label: Q29: Income

Variable Text: What is your total household income?


Value

Value Label

1

$20,000/year or less

2

$20,001$30,000/year

3

$30,001$40,000/year

4

$40,001$50,000/year

5

$50,001$60,000/year

6

$60,001$80,000/year

7

$80,001$100,000/year

8

More than $100,000/year

99

Refused



Question Type: Single Punch

Variable Name: Q30

Variable Label: Q30: Marital Status

Variable Text: What is your marital status?


Value

Value Label

1

Single

2

Married

3

In a relationship

4

Divorced or Widowed

99

Refused



Question Type: Alphabetical Drop-Down List

Variable Name: Q31

Variable Label: Q31: Zip Code

Variable Text: Where do you live? Please type your 5-digit zip code below.

Shape2





[POST SURVEY COMPLETION PSA]

If you would like to learn more about how alcohol use affects your health, consider visiting the Centers of Disease Control and Prevention’s Alcohol and Health information page: https://www.cdc.gov/alcohol/fact-sheets/alcohol-use.htm.

If you or someone you know suffers from excessive drinking, you can call the Substance Abuse and Mental Health Services Administration’s (SAMHSA) National Helpline at 1-800-622-HELP (4357). SAMHSA’s National Helpline is a confidential, free information service that is available 24 hours a day, 365 days a year in English and Spanish. SAMHSA serves individuals and family members facing mental and/or substance use disorders and provides referrals to local treatment facilities, support groups, and community-based organizations. Callers can also order free publications and other information.

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File Title638 - CDC Enhanced Message Development Audience Segmentation Survey_3-6-19.docx
AuthorWindows User
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File Created2021-01-14

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