Focus Group Tracking Sheet

P_Att7C_FocusGrp_TrckngSheet_20200924 clean.docx

Availability, Use, and Public Health Impact of Emergency Supply Kits among Disaster-Affected Populations

Focus Group Tracking Sheet

OMB: 0920-1344

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Attachment 7C. Focus Group Internal Tracking Sheet

Focus Group (FG) Tracking Sheet

This document will be a password-protected Microsoft Excel file completed and maintained by the RTI focus group task lead (FGTL). Instructions for completing the tracking sheet are supplied below, as well as examples of how the form will look populated.

  • Name Enter the first and last name of the potential participant

  • Email Enter the email address used by the potential participant

  • Source Indicate the social media platform that the participant was recruited from. Codes include FB=facebook, CL=craigslist, OSM=other social media

  • Sex Codes include M=male, F=female

  • Age group Codes include 18-64, 65+

  • Consent form shared FGTL will indicate if s/he emailed the consent form to the potential participant. Indicate Y for yes, N for no

  • Signed consent form returned FGTL will indicate if s/he received a signed consent form back from the potential participant. Indicate Y for yes, N for no

  • FG date/time Enter in MM/DD/YY, ##:## am/pm. Use EST for consistency in this record.

  • Link shared FGTL will indicate if s/he emailed the appointment time and the link to access the focus group

  • Participated in focus group FGTL will indicate if the potential participant did attend the focus group. Indicate Y for yes, N for no

  • Incentive sent FGTL will indicate if s/he sent the electronic gift card incentive via email after participation



Full Name

Email address

Source

Sex

Age group

Consent form shared

Signed consent form returned

FG date/time

Link shared

Partipated in FG

Incentive sent

Jane Smith

[email protected]

FB

F

65+

Y

Y

03/10/21, 02:00 pm

Y

Y

Y

Jason Wang

[email protected]

CL

M

18-64

Y

N

03/10/21, 02:00 pm

N

N

N

Becky Weber

[email protected]

FB

F

18-64

Y

Y

05/20/21, 10:00 am

Y

N

N

Sam Lopez

[email protected]

FB

M

18-65

Y

Y

05/20/21, 10:00 am

Y

Y

Y




























































































































File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorDiGrande, Laura
File Modified0000-00-00
File Created2021-02-14

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