Foundational Focus Groups

ASPA COVID-19 Public Education Campaign Market Research

BR91F4~1

Foundational Focus Groups

OMB: 0990-0476

Document [pdf]
Download: pdf | pdf
HHS COVID-19 PUBLIC EDUCATION CAMPAIGN
IRB APPROVED
04/22/2021

A campaign to increase vaccine acceptance while reinforcing basic prevention measures

Foundational Focus Group – Vaccinated
General Population Screener
NOTES TO RECRUITERS







Recruit 8 to “seat” 4-6 participants
2 focus groups of vaccinated/general population
Each group must include a range/mix of:
o Ages
o Education levels
o Geographic location (mix of cities/states)
o Race/ethnicity
o Ideologies
Each group must include a roughly equal mix of genders
All participants must have received at least one dose of a COVID-19 vaccine, must intend to receive
the second dose (if applicable), and must participate in English

SCREENER
Hello, my name is
from [INSERT FACILITY NAME], a market research firm. We are recruiting for
an upcoming study to get your thoughts and opinions about COVID-19 and how it is affecting life in the
country today. This is not a sales call of any kind. I am only calling to see if you or an eligible member of
your household has an interest in participating in a 90-minute focus group that will be conducted virtually
for which you would receive a $75 incentive. I have a few questions I need to ask to see if you are qualified
for this study. You don’t have to answer any question that you don’t want to answer.
1. Are you interested in seeing if you or anyone in your household qualifies to participate in this focus
group? [ACCEPT ONLY 1 PER HOUSEHOLD]
Yes

[ ]

> CONTINUE

No

[ ]

> TERMINATE

2. In the past five years, have you or a member of your immediate family worked in any of the following
fields, companies, or organizations?
Market or public opinion research

[ ]

> TERMINATE

An advertising, public relations, or marketing agency

[ ]

> TERMINATE

News, radio, TV, print, media

[ ]

> TERMINATE

As a health care provider or medical professional (e.g.,
physician, nurse)

[ ]

> CONTINUE

At a health care company

[ ]

> CONTINUE

Construction, repair and maintenance

[ ]

> CONTINUE

For internal communications only

IRB APPROVED
04/22/2021

Finance

[ ]

> CONTINUE

None of these

[ ]

> CONTINUE

3. In order to participate, you need to have a desktop or laptop computer or a smartphone with an internet
connection. You will also need to consent to be recorded during the interview. Will you be able to meet
both of these requirements?
Yes

[ ]

> CONTINUE

No

[ ]

> TERMINATE

4. Would you be willing and able to participate in this study via a webcam or smartphone camera?
Yes

[ ]

> CONTINUE

No

[ ]

> TERMINATE

5. Have you received one or more doses of an authorized COVID-19 vaccine?
Yes

[ ]

> CONTINUE

No

[ ]

> TERMINATE

6. If the COVID-19 vaccine you received requires a second dose, do you intend to get the second dose
of the vaccine?
Yes

[ ]

> CONTINUE

No

[ ]

> TERMINATE

Already received second dose/not required to get a
second dose

[ ]

> CONTINUE

7. What is your race? Please select all that apply. [RECRUIT A MIX]
White

[ ]

> CONTINUE

Black or African American

[ ]

> CONTINUE

American Indian or Alaska Native

[ ]

> CONTINUE

Asian (e.g., Asian Indian, Chinese, Filipino, Japanese,
Korean, Vietnamese)

[ ]

> CONTINUE

Native Hawaiian or other Pacific Islander (e.g., Native
Hawaiian Samoan, Chamorro, Tongan, Fijian,
Marshallese)

[ ]

> CONTINUE

Yes

[ ]

> CONTINUE

No

[ ]

> CONTINUE

8. Are you of Hispanic, Latino, or Spanish origin?

2

IRB APPROVED
04/22/2021

9. What is your gender?
Male

[ ]

> CONTINUE

Female

[ ]

> CONTINUE

Prefer to self-describe (specify)

[ ]

> CONTINUE

10. What is your age? _______________ [RECORD VERBATIM, SORT INTO GROUPS, TERMINATE
<18]
Note to recruitment: Recruit a mix of ages.
11. What city and state do you live in? CITY: ________________
Note to recruitment: Recruit a mix of locations.

STATE:_____________________

12. What is the highest level of school you have completed? [RECRUIT A MIX]
Some high school or less (no diploma)

[ ]

> CONTINUE

High school diploma or equivalent (GED)

[ ]

> CONTINUE

Some college, no degree

[ ]

> CONTINUE

Associate degree

[ ]

> CONTINUE

Bachelor’s degree

[ ]

> CONTINUE

Master’s degree

[ ]

> CONTINUE

Professional or doctorate degree

[ ]

> CONTINUE

13. Which of the following best describes you? Please select all that apply. [RECRUIT A MIX]
Employed full-time

[ ]

> CONTINUE

Employed part-time

[ ]

> CONTINUE

Self-employed

[ ]

> CONTINUE

Not employed, but looking for work

[ ]

> CONTINUE

Not employed, and not looking for work

[ ]

> CONTINUE

Stay-at-home parent

[ ]

> CONTINUE

Student

[ ]

> CONTINUE

Retired

[ ]

> CONTINUE

14. When it comes to overall public policy from the federal government, do you consider yourself liberal,
conservative, or somewhere in between?
Very liberal

[ ]

> CONTINUE

Somewhat liberal

[ ]

> CONTINUE

Neutral

[ ]

> CONTINUE

3

IRB APPROVED
04/22/2021

Somewhat conservative

[ ]

> CONTINUE

Very conservative

[ ]

> CONTINUE

Prefer not to answer

[ ]

> CONTINUE

15. Last year—that is, in 2020—what was your total household income from all sources, before taxes?
[RECRUIT A MIX, ENSURE ROBUST REPRESENTATION OF <$50K]
Less than $15,000

[ ]

> CONTINUE

$15,000 to $24,999

[ ]

> CONTINUE

$25,000 to $34,999

[ ]

> CONTINUE

$35,000 to $49,999

[ ]

> CONTINUE

$50,000 to $74,999

[ ]

> CONTINUE

$75,000 to $99,999

[ ]

> CONTINUE

$100,000 to $149,999

[ ]

> CONTINUE

$150,000 to $199,999

[ ]

> CONTINUE

$200,000 and over

[ ]

> CONTINUE

Don’t know/Refused

[ ]

> CONTINUE

Thank you for taking the time to answer these questions. We will be in touch with additional information on
the study. The virtual focus group will last no longer than 90 minutes. Thank you again for your time and
we will send additional information soon.

4


File Typeapplication/pdf
AuthorMicrosoft Office User
File Modified2021-04-01
File Created2020-11-20

© 2024 OMB.report | Privacy Policy