Example Istrument: Screenshots of Survey for Platform Testing

0910 Att 3h Msg Platform Test Svy FINAL.pdf

Message Testing for Tobacco Communication Activities

Example Istrument: Screenshots of Survey for Platform Testing

OMB: 0920-0910

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Main Questionnaire for Regular Cigarette Smokers and Dual Users

Please&pick&the&statement MOST likely&to&make&you&want&to&encourage&your&child to¬&start&smoking&
regular&cigarettes&or&to&quit&smoking®ular&cigarettes&completely&by&selecting&the&radio&button&on&the&
right.==>
Please&pick&the&statement LEAST likely&to&make&you&want&to&encourage&your&child to¬&start&smoking&
regular&cigarettes&or&to&quit&smoking®ular&cigarettes&completely&by&selecting&the&radio&button&on&the&
left.<==

Criteria for continuing on to the In-Depth Interview (IDI):
(1) Adult smokers of regular cigarettes between 18-54 years of age (criteria: persons who reported smoking > 100 regular cigarettes during their
lifetime and who, at the time of the survey, reported smoking regular cigarettes ever day or some days)
(2) Adult dual user between 18-54 years of age (criteria: current smokers who reported using e-cigarettes, even one time and who, at the time of
the survey, reported using e-cigarettes every day or some days)
Approximately 100 participants will be offered the opportunity to participate in an IDI ( see page 94) until we recruit the target number of
participants (25 adult smokers of regular cigarettes and 25 adult dual users). Sampling 100 participants will allow us to reach our previously
mentioned target quotas
Page 94:
If response is yes, respondent continues to page 95
If response is no, respondent continues to “thank you for participating in the survey” in the respondent’s panel system outside of the survey
Page 95:
If response is yes, respondent continues to pages 96 and 97
If response is no, respondent continues to “thank you for participating in the survey” in the respondent’s panel system outside of the survey
Page 97:
If respondent selects “I have a working webcam built into my computer/laptop” or “I have a working webcam that can be plugged/attached to my
computer/laptop,” the respondent continues to page 98.
If respondent selects “I don’t have a webcam” he or she continues to “thank you for participating in the survey” in the respondent’s panel system
outside of the survey.
Page 98 :
If the respondent selects “I have a working headset with a microphone included” or “I have working earbuds with a microphone included” he or
she continues to page 99.
If the respondent selects “I do not have a headset or earbuds with a microphone,” he or she continues to “thank you for participating in the survey”
in the respondent’s panel system outside of the survey.
!

Note: participants are being asked to participate in an interview that will last approximately 30 minutes (see slide 94)


File Typeapplication/pdf
File TitleCDCScreenshots_English_041316
Authorsaraha
File Modified2019-11-22
File Created2016-05-25

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