CPSC Furniture Tip Over Focus Groups

Focus Groups

CPSC Furniture Tipover Focus Groups OMB Package - Screener - FINAL 23SEP2019_v2

CPSC Furniture Tip Over Focus Groups

OMB: 3041-0136

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CPSC Focus Groups –Screener


Section 1: Introduction 

Hello, my name is ____________, and I am calling on behalf of Fors Marsh Group, an independent research firm. We will be conducting focus groups about furniture used to store clothing. We are conducting the focus groups for a federal public safety agency.  Each focus group will be led by a moderator and will include up to eight participants, who will be asked to share their opinions about furniture usage.  Focus groups will be held at Good Run Research on for about 90 minutes.  Those who participate will receive $75 as a thank you for taking part in the study.

 

[REPEAT INTRO IF CALL WAS TRANSFERRED] 

 

May I ask you a few questions to see if you are qualified to participate in the study? 

 

Yes 

[  ] 

Continue 

No 

[  ] 

THANK AND END

 

IF YES, READ: Great! Before we begin, you should know that there are no wrong answers to the questions I’m going to ask you.  You also don’t have to answer any questions if you don’t want to.  If an answer leads to me ending the call, that is because we are looking for a diverse group, and we may already have enough similar candidates for this study. Any questions before we begin? 


PLEASE USE THE TERMINATION LANGUAGE BELOW FOR ANY RESPONSE THAT LEADS TO THE ANSWER OPTION “THANK AND END.” 

Thank you for taking the time to answer these questions. Unfortunately, based on the responses you provided, you do not meet the specifications we are looking for in this study. I appreciate your time and hope you have a good morning/afternoon/evening. 


Section 2: Screener and Demographic Questions 

  

Q1. Are you a parent of any children under the age of 17 who live in your household?

Yes 

[  ] 

Continue to Q2A 

No 

[  ] 

Continue to Q3A

Refused 

[  ] 

THANK AND END 

 

Q2A. Which of the following age groups are living in your household? (Mark all that apply.) 

Under 1 year old 

[  ] 

Continue to Q3B

Ages 1–3

[  ] 

Continue to Q2B

Ages 4–5

[ ]

Continue to Q2B

Ages 6–17

[  ] 

Continue to Q3B

Refused 

[  ] 

THANK AND END 

 

Q2B What are their ages? (Please separate ages with a comma if more than one child.)

Years old


Q2C. What are their genders? (Please separate genders with a comma if more than one child.)




Continue to Q6 (If they are the parent of a child who lives in their household they would qualify for the segment with children, they can skip Q3–Q5.)



Q3A. Which statement best describes your future plans regarding having children? (Choose one option.)

I plan to have children within the next five years 

[  ] 


Continue to Q3B

I may have children in the future, but am not sure 

[  ] 

I do not plan to have children 

[  ] 

 

 

Q3B. Do any children from the following age groups come to your home at least once a week? (Mark all that apply.) 

Under 1 year old 

[  ] 

THANK AND END

Ages 1–3

[  ] 

GO TO Q3C

Ages 4–5

[ ]

GO TO Q3C

Ages 6–17

[ ]

THANK AND END

None of the above 

[  ] 

THANK AND END 

Refused 

[  ] 

THANK AND END 

 

Q3C What are their ages? (Please separate ages with a comma if more than one child.)

Years old



Q3D. What are their genders? (Please separate genders with a comma if more than one child.)





Q4. Which of the following options best represent how often and to what extent the child (/children) come(s) to your house?

Visits and stays overnight 2 or more days per week 

[  ] 

Continue to Q5

 





Visits 2 or more days per week but does not stay overnight

[  ] 


Visits once a week and stays overnight

[ ]

Visits once a week and does not stay overnight 

[  ] 

Refused

[ ]





Q5. Which from the list below best describes your relationship to the child/(children)?

Parent

[  ] 

Continue to Q6

Grandparent 

[  ] 

Legal guardian

[ ]

Aunt or uncle 

[  ] 

Close family friend

[ ]

Daycare provider

[ ]

THANK AND END

Other

[ ]

THANK AND END

Refused

[ ]

THANK AND END


Q6. Do the children at your home have access to furniture that you use to store clothing in? 

Yes 

[  ] 

Continue to Q7

No

[  ] 

THANK AND END

Refused 

[  ] 

THANK AND END


 

Q7. Which of these statements best describe your home ownership status? 

I rent my home. 

[  ] 

Continue to Q8

I own or mortgage my home. 

[  ] 

I neither own nor rent my home. 

[  ] 

THANK AND END 

 

Q8. Are you the primary person responsible for purchasing furniture in your home? 

Yes 

[  ] 

Continue to Q9

No 

[  ] 

 

Q9. Are you the primary person responsible for assembling furniture in your home? 

Yes 

[  ] 

Continue to Q10

No 

[  ] 

 

Q10. Are you the primary person responsible for arranging furniture in your home? 

Yes 

[  ] 

Continue to Q11

No 

[  ] 

 

Q11. When, if ever, was the last time you participated in marketing research or focus group research?

Within the past 3 months

[  ] 

THANK AND END

More than three months ago

[  ] 

Continue to Q12

Never

[ ]

Continue to Q12

Refused 

[  ] 

THANK AND END



Q12. What is your gender? 

Male 

[  ] 

Continue to Q13

Female 

[  ] 

Other

[ ]

Refused 

[  ] 

  

 


Q13. Are you Hispanic or Latino? 

Yes 

[  ] 

Continue to Q14

No 

[  ] 

Refused 

[  ] 

 


Q14. What is your race? (Mark all that apply.) 

American Indian or Alaska Native 

[  ] 

Continue to Q15

Asian 

[  ] 

Black or African American 

[  ] 

Native Hawaiian or other Pacific Islander 

[  ] 

White 

[  ] 

Refused 

[  ] 


 Q15. What is your age?


Years old



GROUP BREAKDOWN 

Group 

Q2A. Which of the following age groups are living in your household? 

Q3A. Which statement best describes your future plans regarding having children? 

Q3B. Do any children from the following age groups come to your home at least once a week? 

Q.7 Which of these statements best describe your home ownership status? 


Date/Time 

Parents of children age 1– 5 living in home 

N/A 

N/A 

Own 

 

Parents of children age 1–5 living in home 

N/A 

N/A 

Rent 

 

No children age 1–5

Plan to have children in next 5 years 

N/A 

Own 

 

No children age 1–5

Plan to have children in next 5 years 

N/A 

Rent 

 

No children age 1–5

Unsure or not planning 

Children age 1–5 come to home at least once a week 

Own 

 

No children age 1–5

Unsure or not planning 

Children age 1–5 come to home at least once a week 

Rent 

 

 




Section 3: Invitation to Participate in Focus Group 

Thank you for taking the time to speak with me today. We would like to invite you to participate in a focus group.  The focus group will take place at Good Run Research, a focus group facilitywhere we will be discussing furniture used to store clothing.  The focus group will be audio/visual-recorded. You may not participate in this study if you are not willing to be recorded. A light dinner will be provided.

 

The focus group is being held on [DATE] , at Good Run Research and will last approximately 90 minutes.  

 

Your opinions are very important to us.  You will be paid $75 in the form of a Visa gift card.

 

People who have been invited previously to participate in this type of project have found the experience to be enjoyable and informative.   

 

Are you interested in participating in this study? 

Yes 

[  ] 

Continue 

No 

[  ] 

THANK AND END

 

 

IF YES, READ: Great! I am going to give you the address and contact information for the facility. Please be sure to be there 15 minutes before the scheduled start time to ensure that the group starts on time. Additionally, please bring a government issued photo ID with you to the study. Do you have a pen and paper? If you would like to provide your email address, I can send you a confirmation with address and time? 

 

Email address 

[                                   ] Open ended 

 

GIVE NAME AND ADDRESS OF FACILITY:  

Good Run Research and Recreation 

4116 W Broad St, Richmond, VA 23230


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File TitleOMB package - Tipover
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File Modified2019-10-25
File Created2019-10-25

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