COVID-19 Attitudes and Beliefs Survey (CABS)

ASPA COVID-19 Public Education Campaign Evaluation Surveys

ASPA_OutcomeEval_AQ_Wave2_V2_clean

COVID-19 Attitudes and Beliefs Survey (CABS)

OMB: 0990-0475

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COVID-19 Attitudes and Beliefs Survey (CABS)




COVID-19 Attitudes and Beliefs Survey (CABS)



Welcome



// Display OMB number and exp in the bottom right off all screens //

OMB No. 0990-0475

Exp. Date 07/31/2021



You have been selected to participate in a national survey about COVID-19. The purpose of this survey is to help better understand U.S. adults’ experience, opinions, behaviors, and their trusted information sources related to COVID-19. You will receive 18,000 AmeriPoints, or $18, to complete this survey, which will take about 35-minutes to complete. If you complete this survey, you will also be invited to take follow-up surveys on this topic four additional times over the next year and a half, each with an incentive of 18,000 AmeriPoints, In total, you will earn 100,000 AmeriPoints, or $100, for completing all six surveys. Importantly, you must complete each of these surveys in order to be invited to the next one.



This survey will provide important feedback on six main topics, including:

  • Your interests and intentions about the recommended actions advised by health officials

  • Your opinions on COVID-19

  • Views on science, research, and medical professionals

  • Public health education campaigns

  • How COVID-19 has impacted your life

  • More about you and other health conditions



You will be shown a privacy statement and additional information about the purpose of this survey and how your survey responses will be used. You will then be asked for your consent to proceed with the survey.



[Continue]



For question or concerns about this survey, email: [email protected]



Privacy Advisory



This survey does not collect or use personally identifiable information (PII) such as your name, date of birth, or contact information. As with all AmeriSpeak surveys, responding to this survey is voluntary. Your responses will be treated as confidential and will be maintained in a secure dataset. There is no penalty to you if you choose not to respond. However, we encourage you to answer all questions so that the data will be complete and will represent the typical attitudes and beliefs of all Americans.





Frequently Asked Questions (FAQ)

// FAQs should link to their corresponding page positions below. “TOP” buttons should link back to top of FAQ //

Why is this study being conducted?

Why should I participate?

Do I have to answer all questions?

Can I save my answers and return to the survey later?

Will my answers be kept private?

Can I withdraw answers once I have started the survey?

What are the costs and benefits of participating?

How will my responses be used?

Will I see the results of the survey?



Why is this study being conducted? Top

  • This study is being conducted to understand changes over time of people’s opinions of, experience with, and behaviors related to COVID-19 as well as exposure to and trust of sources on COVID-19 information.





Why should I participate? Top

  • By participating in this survey, you will contribute to fighting the spread of COVID-19. You may also learn more about COVID-19 and ways you can help slow the spread of COVID-19 as a result of information you learn by taking part in this survey.



Do I have to answer all questions? Top

  • No, as with all AmeriSpeak surveys, it is not necessary to answer every question. Your participation in this study is completely voluntary. This means that you are free to withdraw from this survey at any time or to skip any questions. There is no penalty to you if you choose not to respond.

  • Some questions in this survey will ask about your personal experiences with COVID-19, and you have the right to skip these questions. Additionally, if you experience any distress while taking this survey, you may contact the (1) Substance Abuse and Mental Health Services Administration (SAMHSA) Disaster Distress Helpline (1-800-985-5990) or the (2) Suicide Prevention Lifeline (1-800-273-8255), which both offer free 24/7 support services.

  • At the bottom of your survey screen, you have two control buttons: Continue (>>), and Previous (<<). Use these buttons to navigate through the survey or to skip questions.



Can I save my answers and return to the survey later? Top

  • Yes. If you exit the survey, your progress will be saved. To return to the survey, use the same survey link provided to you. When you return to the survey website, you will be directed to the place in the survey where you had stopped. Use the control buttons, Continue, and Previous, to navigate through the survey to return to unanswered questions.





Will my answers be kept private? Top

  • As with all AmeriSpeak surveys, responses will remain private to the extent allowable by law. None of the information you provide will be used to contact you, or will be used in future research or distributed to another investigator for future studies. Survey responses will be aggregated (combined), and only group statistics will be reported. You will not be identified even if the results of this study are published.



Can I withdraw answers once I have started the survey? Top

  • If you wish to withdraw your answers, please notify the survey helpdesk by sending an email to [email protected].



What are the costs and benefits of participating? Top

  • There is no cost to you for participating in this study.

  • This study is for research purposes only. There is no direct benefit to you for taking part in this study. Any compensation you receive is a small token to thank you for participating, if you choose to do so.

  • If you decide to participate, you will receive $10 for the first survey and $18 each for the remaining 5 surveys.



How will my responses be used? Top

  • Your responses will be used to inform a public education campaign on scientifically proven behaviors on how to decrease COVID-19 infection rates. This is your chance to be heard on issues that directly affect you. Although your survey responses will be kept confidential, summarized responses may be released to the public.



Will I see the results of the survey? Top

  • Results from this study might appear in professional journals or scientific conferences or might be submitted in a report to Congress. No individual participants will be identified or linked to the results. We will not disclose your identity in any report or presentation.





Contact Us

During this study, if you have any questions or concerns about this survey, such as payment questions or technical issues you may experience, please email [email protected].



An external institutional review board (IRB), which is an independent committee established to help protect the rights of research subjects, has approved this study. If you have questions about your rights as a research subject, contact the IRB at:

By mail:

BRANY IRB

1981 Marcus Avenue, Suite 210

Lake Success, NY 11042

Or call toll free: 516-470-6900

Or by email: [email protected]



Please reference the following number when contacting the Study Subject Adviser: 20-077-821.





COVID-19 Attitudes and Beliefs Survey (CABS)



Thank you for your participation in this survey. If you are willing to take part in this study, please click “continue” below to begin the survey.



[Continue]



Section 1: Your Interest and Intentions About the Actions Recommended by Health Officials



COVID-19 Vaccines

The following questions will ask about your actions and beliefs about COVID-19 vaccines. The U.S. Food and Drug Administration (FDA) has authorized several vaccines that protect against COVID-19 and we want to learn more about your beliefs and plans related to these vaccines. For the following questions, please assume there are enough vaccines so that everyone who wants a COVID-19 vaccine can get one.



[Page Break]



Item #: BEH1

Question type: Single punch

Variable Name: BEH1

Variable Text: U.S. Food and Drug Administration (FDA)-authorized vaccines to prevent COVID-19 are available at no cost. Have you received a COVID-19 vaccine?

Variable Label: BEH1: Vaccination behavior

Value

Value Label

0

No, I have not received a COVID-19 vaccine.

1

Yes, but I have only received one shot out of the two required shots.

2

Yes, I have received all of the required shots.

-99

REFUSED





Item #: BEH2

Question type: Single punch

Variable Name: BEH2

Variable Text: What is the likelihood that you will get a COVID-19 vaccine?

Variable Label: BEH2: Intention to get vaccinated

// Ask if BEH1 (Vaccination behavior) = 0 ("No…”) or -99 (“REFUSED”) or 1 (“Yes, but I have only received one shot…”) //

// PIPE: “complete COVID-19 vaccination” to replace “get a COVID-19 vaccine” if BEH1 = 1. //

Value

Value Label

1

Very unlikely

2

Somewhat unlikely

3

Neither likely nor unlikely

4

Somewhat likely

5

Very likely

-99

REFUSED

-100

VALID SKIP





Item #: BEH3a

Question type: Single punch

Variable Name: BEH3a

Variable Text: Food and Drug Administration (FDA)-authorized vaccines to prevent COVID-19 are available at no cost. How soon will you get vaccinated? For this question, assume there are enough vaccines so that everyone who wants a vaccine can get it.

Variable Label: BEH3a: Wait to get vaccinated

// Ask if BEH1 (Vaccination behavior) = 0 ("No…”) or -99 (“REFUSED”). //

Value

Value Label

1

I will get a vaccine as soon as I can.

2

I will wait to get a vaccine for one or more reasons.

3

I will never get a COVID-19 vaccine.

-99

REFUSED

-100

VALID SKIP



Item #: BEH3b

Question type: Single punch

Variable Name: BEH3b

Variable Text: Food and Drug Administration (FDA)-authorized vaccines to prevent COVID-19 are available at no cost. How soon will you get the second required shot? For this question, assume there are enough vaccines so that everyone who wants a vaccine can get it.

Variable Label: BEH3b: Wait to complete vaccination

// Ask if BEH1 (Vaccination behavior) = 1 (“Yes, but I have only received one shot…”) //

Value

Value Label

1

I will get the second required shot as soon as I can.

2

I will wait to get the second required shot for one or more reasons.

3

I will never get the second required COVID-19 shot.

-99

REFUSED

-100

VALID SKIP





Item #: BEH3c

Question type: Single punch

Variable Name: BEH3c

Variable Text: You responded that you will wait to get [IF BEH3a=2 INSERT: a COVID-19 vaccine] [IF BEH3b=2 INSERT: the second required shot]. How long will you wait?

Variable Label: BEH3c: Length of vaccination wait

// Ask if BEH3a (Wait to get vaccinated) = 2 (“I will wait…”) or BEH3b (Wait to complete vaccination) = 2 (“I will wait…”//

Value

Value Label

1

0-3 months

2

4-6 months

3

7-12 months

4

1 year to less than 3 years

5

3 years or more

-99

REFUSED

-100

VALID SKIP


















Item #: BEH4

Question type: Grid

Variable Text: You responded that you will wait to get a COVID-19 vaccine. For each of the following statements, is this a reason why you will wait to get a COVID-19 vaccine? Select yes or no for each item.

// Randomize order of subitems. //

// Ask if BEH3a (Wait to get vaccinated) = 2 ("I will wait to get a vaccine for one or more reasons.”) //

// Include soft prompt if BEH4_11 (Other) = 1 (“Yes”), but no text is entered. //

Variable Name

Variable Text

Variable Label







BEH4_3

I want to know if the vaccine is effective first.

BEH4_3: Reasons for waiting - Confirm effectiveness




BEH4_5

I want to talk to my doctor first.

BEH4_5: Reasons for waiting - Talk to doctor first

BEH4_6

I want to compare the effectiveness of the different vaccines.

BEH4_6: Reasons for waiting - Compare vaccines

BEH4_7

I want to see if my friends and family get the vaccine.

BEH4_7: Reasons for waiting - Friends/family

BEH4_8

I want to see if others who get the vaccine first develop any problems.

BEH4_8: Reasons for waiting - Side effects

BEH4_9

I want to make sure it is safe for people like me first.

BEH4_9: Reasons for waiting - Confirm safety




BEH4_12

I already had COVID-19.

BEH4_12: Reason for waiting - Had COVID

BEH4_13

I want to wait until more is known about the long-term effects of the vaccines.

BEH4_13: Reasons for waiting - Long-term effects

BEH4_14

I am healthy and don’t think my body needs a COVID-19 vaccine.

BEH4_14: Reasons for waiting - I am healthy

BEH4_15

I want to wait to see if a COVID-19 vaccine will be mandatory for my work, school, or other activities.

BEH4_15: Reasons for waiting - Mandatory

BEH4_16

I want to wait until I have time to take off work/school.

BEH4_16: Reasons for waiting - Time

BEH4_11

Other [TEXTBOX]

BEH4_11: Reasons for waiting - Other



Value

Value Label

0

No

1

Yes

-99

REFUSED

-100

VALID SKIP





Item #: BEH4a

Question type: Single punch

Variable Name: BEH4a

Variable Text: Food and Drug Administration (FDA)-authorized vaccines to prevent COVID-19 are available at no cost. How important is it for you to choose which vaccine you get? For this question, assume there are enough vaccines so that everyone who wants a COVID-19 vaccine can get it.

Variable Label: BEH4a: Importance of vaccine choice

// Ask if BEH3a (Wait to get vaccinated) = 1 (“I will get a vaccine as soon as I can.”), 2 ("I will wait to get a vaccine for one or more reasons.”), or -99 (“REFUSED”) //

Value

Value Label

1

Not at all important

2

Slightly important

3

Somewhat important

4

Quite important

5

Very important

-99

REFUSED

-100

VALID SKIP



Item #: BEH5

Question type: Single punch

Variable Name: BEH5

Variable Text: Food and Drug Administration (FDA)-authorized vaccines to prevent COVID-19 are available at no cost but may need to be given again each year (similar to the flu shot). How likely would you be to get a COVID-19 vaccine? For this question, assume there are enough vaccines so that everyone who wants a COVID-19 vaccine can get it.

Variable Label: BEH5: Intention to get vaccinated annually

Value

Value Label

1

Very unlikely

2

Somewhat unlikely

3

Neither likely nor unlikely

4

Somewhat likely

5

Very likely

-99

REFUSED





Item #: BEH6

Question type: Single punch

Variable Name: BEH6

Variable Text: Which of the following best describes your current status on the vaccinations recommended by your health care provider (e.g., primary care doctor)?

Variable Label: BEH6: Past vaccine behaviors

Value

Value Label

1

I am current on all vaccinations.

2

I am current on some vaccinations.

3

I am not current on any vaccinations.

4

I am uncertain

-99

REFUSED



Item #: BEH6a

Question type: Single punch

Variable Name: BEH6a

Variable Text: Have you tried to schedule an appointment to get a COVID-19 vaccine?

Variable Label: BEH6a: Scheduled COVID vaccine appointment

// Ask if BEH1 (Vaccination behavior) = 0 ("No…”) or -99 (“REFUSED”). //

Value

Value Label

0

No

1

Yes

-99

REFUSED

-100

VALID SKIP



Item #: BEH6b

Question type: Single punch

Variable Name: BEH6b

Variable Text: How easy or difficult was it for you to schedule an appointment to get a COVID-19 vaccine?

Variable Label: BEH6b: Ease of scheduling COVID vaccine appointment

// Ask if BEH6a (Scheduled COVID vaccine appointment) = 1 (“Yes”). //

Value

Value Label

1

Very difficult

2

Somewhat difficult

3

Neither difficult nor easy

4

Somewhat easy

5

Very easy

-99

REFUSED

-100

VALID SKIP



Item #: BEH7

Question type: Grid

Variable Text: The following question asks about your thoughts and behaviors about a COVID-19 vaccine. How much do you agree or disagree with the following statements? Select one response for each item.

// Ask if BEH1 (Vaccination behavior) = 0 ("No…”) or -99 (“REFUSED”) or 1 (“Yes, but I have only received one shot…”) //

Variable Name

Variable Text

Variable Label

BEH7_1

In the next year, it is mostly up to me whether I get a COVID-19 vaccine or not.

BEH7_1: Up to me – get vaccine

BEH7_2

In the next year, it would be easy for me to get a COVID-19 vaccine.

BEH7_2: Easy for me – get vaccine

BEH7_3

In the next year, I intend to get a COVID-19 vaccine.

BEH7_3: Intend – get vaccine



Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED

-100

VALID SKIP



[Page Break]



Face Mask Wearing



The following questions will ask about your actions and beliefs related to wearing a face mask, meaning a face covering that covers your nostrils, mouth, and chin, and which can include items such as a cloth face mask, an N95 respirator, or a disposable face mask.



[Page Break]



Item #: BEH8

Question type: Single punch

Variable Name: BEH8

Variable Text: How often do you wear a face mask when you are outside of your home and in public?

Variable Label: BEH8: Wear mask

Value

Value Label

1

Never

2

Rarely

3

Sometimes

4

Very often

5

Always

-99

REFUSED



Item #: BEH8a

Question type: Single punch

Variable Name: BEH8a

Variable Text: When you wear a face mask, how frequently do you "double mask" or wear two masks at a time?

Variable Label: BEH8a: Wear double-mask

// Ask if BEH8 (Wear mask) = 2-5 (“Rarely” – “Always”). //

Value

Value Label

1

Never

2

Rarely

3

Sometimes

4

Very often

5

Always

-99

REFUSED

-100

VALID SKIP



Item #: BEH9

Question type: Grid

Variable Text: There are some public places that individuals may avoid in order to limit the spread of COVID-19. In the past 7 days, have you visited or engaged in any of the following activities? Select yes or no for each item.

Variable Name

Variable Text

Variable Label

BEH9_1

Indoor dining at a restaurant

BEH9_1: Past 7-day - Indoor dining

BEH9_2

Outdoor dining at a restaurant

BEH9_2: Past 7-day - Outdoor dining

BEH9_3

Gym

BEH9_3: Past 7-day - Gym

BEH9_4

Indoor religious service

BEH9_4: Past 7-day - Indoor religious service

BEH9_5

Exercising outside

BEH9_5: Past 7-day - Exercising outside

BEH9_6

Grocery shopping

BEH9_6: Past 7-day - Grocery shopping

BEH9_7

Bars and clubs

BEH9_7: Past 7-day - Bars/clubs

BEH9_8

School or college

BEH9_8: Past 7-day - School/college

BEH9_9

Attending a sporting event

BEH9_9: Past 7-day - Sporting event

BEH9_10

Parks or beaches

BEH9_10: Past 7-day - Parks/beaches

BEH9_11

Public transportation (e.g., buses, subway)

BEH9_11: Past 7-day - Public transportation

BEH9_12

Close contact with individuals outside household

BEH9_12: Past 7-day - Close contact

BEH9_13

Gatherings with 10 or more people including those from outside of your household

BEH9_13: Past 7-day - Gatherings with 10+ people

BEH9_14

Traveled by airplane

BEH9_14: Past 7-day – Airplane



Value

Value Label

0

No

1

Yes

-99

REFUSED





Item #: BEH10

Question type: Grid

Variable Text: For places you indicated that you have visited in the past 7 days, please indicate how often you wore a mask in the following statements.

Variable Label: BEH10: Locations: Masks

// Ask if corresponding subitem from BEH9 = 1 (“Yes”). //

Variable Name

Variable Text

Variable Label

BEH10_1

Indoor dining at a restaurant (except when eating/drinking)

BEH10_1: Mask use frequency - Indoor dining

BEH10_2

Outdoor dining at a restaurant (except when eating/drinking)

BEH10_2: Mask use frequency - Outdoor dining

BEH10_3

Gym

BEH10_3: Mask use frequency - Gym

BEH10_4

Indoor religious service

BEH10_4: Mask use frequency - Indoor religious service

BEH10_5

Exercising outside

BEH10_5: Mask use frequency - Exercising outside

BEH10_6

Grocery shopping

BEH10_6: Mask use frequency - Grocery shopping

BEH10_7

Bars and clubs

BEH10_7: Mask use frequency - Bars/clubs

BEH10_8

School or college

BEH10_8: Mask use frequency - School/college

BEH10_9

Attending a sporting event

BEH10_9: Mask use frequency - Sporting event

BEH10_10

Parks or beaches

BEH10_10: Mask use frequency - Parks/beaches

BEH10_11

Public transportation (e.g., buses, subway)

BEH10_11: Mask use frequency - Public transportation

BEH10_12

Close contact with individuals outside household

BEH10_12: Mask use frequency - Close contact

BEH10_13

Gatherings with 10 or more people including those from outside of your household

BEH10_13: Mask use frequency - Gatherings with 10+ people

[IF BEH9_14=1] BEH10_14

On an airplane

BEH10_14: Mask use frequency - Airplane





Value

Value Label

1

Never

2

Rarely

3

Sometimes

4

Most of the time

5

Always

-99

REFUSED

-100

VALID SKIP





Item #: BEH11

Question type: Grid

Variable Text: The following question asks about your thoughts and behaviors about wearing a face mask to prevent COVID-19 from spreading. How frequently do you do the following? Select one response for each item.

// Randomize order of subitems. //

// Ask if BEH8 (Wear mask) = 2-5 (“Rarely” – “Always”). //

Variable Name

Variable Text

Variable Label

BEH11_1

Adjust your face mask while wearing it

BEH11_1: Adjust mask

BEH11_2

Share your face mask with others (e.g., friends, family) [Reverse Coded]

BEH11_2: Share mask

BEH11_3

Cover your chin, mouth, and nostrils with your face mask

BEH11_3: Cover face with mask



Value

Value Label

1

Never

2

Rarely

3

Sometimes

4

Very often

5

Always

-99

REFUSED

-100

VALID SKIP









Item #: BEH13

Question type: Single punch

Variable Name: BEH13

Variable Text: How long do you plan to maintain your current level of face mask wearing?

Variable Label: BEH13: Sustain mask wearing

// Ask if BEH8 (Wear mask) = 2-5 (“Rarely” – “Always”). //

Value

Value Label

1

Until I receive a COVID-19 vaccine

2

Until most people receive a COVID-19 vaccine, including me

3

Until local, state, or federal mandates no longer require me to wear a face mask

4

Until after most people receive a COVID-19 vaccine and face masks are no longer required

-99

REFUSED

-100

VALID SKIP





Item #: BEH14

Question type: Grid

Variable Text: The following question asks about your thoughts and behaviors about wearing a face mask to prevent the spread of COVID-19. How much do you agree or disagree with the following statements? Select one response for each item.

Variable Name

Variable Text

Variable Label

BEH14_1

It is mostly up to me whether I wear a face mask or not.

BEH14_1: Up to me – wear mask

BEH14_2

It is easy for me to wear a face mask.

BEH14_2: Easy for me – wear mask

BEH14_3

In the next week, I intend to wear a face mask.

BEH14_3: Intend – wear mask





Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED



[Page Break]



Social Distancing



The following questions will ask about your actions and beliefs related to social distancing, which includes limiting your exposure to individuals outside of your household, maintaining physical distance while in public (i.e., staying at least 6 feet apart from other people), avoiding indoor spaces when you are with people from outside of your household, and avoiding crowds.



[Page Break]



Item #: BEH15

Question type: Single punch

Variable Name: BEH15

Variable Text: How often do you maintain a social distance of at least 6 feet from others when outside your home in public? Exclude members from your household when responding.

Variable Label: BEH15: Social distanced

Value

Value Label

1

Never

2

Rarely

3

Sometimes

4

Very often

5

Always

-99

REFUSED





Item #: BEH16

Question type: Single punch

Variable Name: BEH16

Variable Text: In the last 7 days, how many people outside of your household have you been closer to than 6 feet for more than a few seconds? Exclude members from your household when responding.

Variable Label: BEH16: Past 7-day close contact

Value

Value Label

0

None

1

1 person

2

2–3 people

3

4–5 people

4

6–9 people

5

10–25 people

6

More than 25 people

-99

REFUSED





Item #: BEH17

Question type: Single punch

Variable Name: BEH17

Variable Text: In the last 7 days, how many times were you in a room with a group of more than 10 people? Exclude your household and your visits to the supermarket or pharmacy to get essential food or medicine.

Variable Label: BEH17: Past 7-day gatherings 10+ people

Value

Value Label

0

0 times

1

1 time

2

2 times

3

3 times

4

4 times

5

5 or more times

-99

REFUSED





Item #: BEH18

Question type: Single punch

Variable Name: BEH18

Variable Text: How long do you plan to maintain your current level of social distancing?

Variable Label: BEH18: Sustain distancing

Value

Value Label

1

Until I receive a COVID-19 vaccine

2

Until most people receive a COVID-19 vaccine, including me

3

Until local, state, or federal mandates no longer require me to social distance

4

Until after most people receive a COVID-19 vaccine and social distancing is no longer required

-99

REFUSED





Item #: BEH19

Question type: Grid

Variable Text: The following question asks about your thoughts and behaviors about social distancing to prevent the spread of COVID-19. How much do you agree or disagree with the following statements? Select one response for each item.

Variable Name

Variable Text

Variable Label

BEH19_1

It is mostly up to me whether I maintain social distancing or not.

BEH19_1: Up to me - social distance

BEH19_2

It is easy for me to maintain social distancing.

BEH19_2: Easy for me - social distance

BEH19_3

In the next week, I intend to practice social distancing.

BEH19_3: Intend - social distance



Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED



[Page Break]





Item #: BEH23

Question type: Single punch

Variable Name: BEH23

Variable Text: Are you the parent or guardian of a child under 18 years old?

Variable Label: BEH23: Children under 18

Value

Value Label

0

No

1

Yes

-99

REFUSED



Item #: BEH24

Question type: Single punch

Variable Name: BEH24

Variable Text: How many children do you have under 18 years old?

Variable Label: BEH24: Number of children under 18

// Ask if BEH23 (Children under 18) = 1 (“Yes”) or -99 (“REFUSED”) //

Value

Value Label

0-20


-99

REFUSED

-100

VALID SKIP



Item #: BEH25

Question type: Single punch

Variable Name: BEH25

Variable Text: Some of the following questions are only for children of specific ages. So that we can more accurately ask you appropriate questions, please provide the month and year in which [IF BEH24>1 INSERT: each of your children was born] [IF BEH24=1 INSERT: your child was born]. We do not require their exact birthdate, and this data will only be used for research purposes.

Variable Label: BEH25: Birth month of children under 18

// Ask if BEH24 (Number of children under 18) 1 or = -99 (“REFUSED”) //

// DOUBLE PROMPT //

// DROPDOWNS FOR MONTH AND YEAR. //

// SHOW DROPDOWNS EQUAL TO NUMBER OF RESPONSES GIVEN AT BEH24. //

// ASSOCIATE EACH DROPDOWN FOR BEH26 WITH A NUMBERBOX RESPONSE FOR BEH25. //



DROPDOWNS:

  1. [IF BEH24>0] Your [IF BEH24>1 INSERT: oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  2. [IF BEH24>1] Your [IF BEH24=2 INSERT: youngest] [IF BEH24>2 INSERT: second oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  3. [IF BEH24>2] Your [IF BEH24=3 INSERT: youngest] [IF BEH24>3 INSERT: third oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  4. [IF BEH24>3] Your [IF BEH24=4 INSERT: youngest] [IF BEH24>4 INSERT: fourth oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  5. [IF BEH24>4 Your [IF BEH24=5 INSERT: youngest] [IF BEH24>5 INSERT: fifth oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  6. [IF BEH24>5 Your [IF BEH24=6 INSERT: youngest] [IF BEH24>6 INSERT: sixth oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  7. [IF BEH24>6] Your [IF BEH24=7 INSERT: youngest] [IF BEH24>7 INSERT: next oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  8. [IF BEH24>7] Your [IF BEH24=8 INSERT: youngest] [IF BEH24>8 INSERT: next oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  9. [IF BEH24>8] Your [IF BEH24=9 INSERT: youngest] [IF BEH24>9 INSERT: next oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  10. [IF BEH24>9] Your [IF BEH24=10 INSERT: youngest] [IF BEH24>10 INSERT: next oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  11. [IF BEH24>10] Your [IF BEH24=11 INSERT: youngest] [IF BEH24>11 INSERT: next oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  12. [IF BEH24>11] Your [IF BEH24=12 INSERT: youngest] [IF BEH24>12 INSERT: next oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  13. [IF BEH24>12] Your [IF BEH24=13 INSERT: youngest] [IF BEH24>13 INSERT: next oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  14. [IF BEH24>13] Your [IF BEH24=14 INSERT: youngest] [IF BEH24>14 INSERT: next oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  15. [IF BEH24>14 Your [IF BEH24=15 INSERT: youngest] [IF BEH24>15 INSERT: next oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  16. [IF BEH24>15] Your [IF BEH24=16 INSERT: youngest] [IF BEH24>16 INSERT: next oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  17. [IF BEH24>16] Your [IF BEH24=17 INSERT: youngest] [IF BEH24>17 INSERT: next oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  18. [IF BEH24>17] Your [IF BEH24=18 INSERT: youngest] [IF BEH24>18 INSERT: next oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  19. [IF BEH24>18] Your [IF BEH24=19 INSERT: youngest] [IF BEH24>19 INSERT: next oldest] child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]

  20. [IF BEH24>19] Your youngest child under 18 [MONTH DROPDOWN][YEAR DROPDOWN]



MONTH DROPDOWN VALUES:

Value

Value Label

1-12

January-December

-99

REFUSED

-100

VALID SKIP





YEAR DROPDOWN VALUES:

Value

Value Label

2002-2021


-99

REFUSED

-100

VALID SKIP





COMPUTE CHILD_AGE_x FOR BEH25_1-BEH25_20.

COMPUTE CHILD_AGE_x=CALCULATED AGE IN YEARS BASED ON MONTH AND YEAR PROVIDED. ASSUME BIRTHDAY IS THE 15TH OF EACH MONTH.





Item #: BEH26

Question type: Single punch

Variable Name: BEH26

Variable Text: We understand that you might feel uncomfortable providing the birth month and year of your [IF BEH24=1,-99 INSERT: child; IF BEH24=2-20 INSERT: children] under 18.

[SPACE]

So that we can ask you accurate questions, can you please let us know how old [IF BEH24=1,-99 INSERT: is; IF BEH24=2-20 INSERT: are] your [IF BEH24=1,-99 INSERT: child; IF BEH24=2-20 INSERT: children]?

Variable Label: BEH26: Age of children under 18

// Ask if any BEH25_1-BEH25_20_(Birth month of children under 18) = -99 (“REFUSED”) //

// DOUBLE PROMPT //

// NUMBERBOXES, RANGE 0-18 //

// SHOW NUMBER OF NUMBERBOXES EQUAL TO BEH24 RESPONSE (0-20). //



NUMBERBOXES:

  1. [IF BEH24>0] Your [IF BEH24>1 INSERT: oldest] child under 18 [NUMBERBOX]

  2. [IF BEH24>1] Your [IF BEH24=2 INSERT: youngest] [IF BEH24>2 INSERT: second oldest] child under 18 [NUMBERBOX]

  3. [IF BEH24>2] Your [IF BEH24=3 INSERT: youngest] [IF BEH24>3 INSERT: third oldest] child under 18 [NUMBERBOX]

  4. [IF BEH24>3] Your [IF BEH24=4 INSERT: youngest] [IF BEH24>4 INSERT: fourth oldest] child under 18 [NUMBERBOX]

  5. [IF BEH24>4 Your [IF BEH24=5 INSERT: youngest] [IF BEH24>5 INSERT: fifth oldest] child under 18 [NUMBERBOX]

  6. [IF BEH24>5 Your [IF BEH24=6 INSERT: youngest] [IF BEH24>6 INSERT: sixth oldest] child under 18 [NUMBERBOX]

  7. [IF BEH24>6] Your [IF BEH24=7 INSERT: youngest] [IF BEH24>7 INSERT: next oldest] child under 18 [NUMBERBOX]

  8. [IF BEH24>7] Your [IF BEH24=8 INSERT: youngest] [IF BEH24>8 INSERT: next oldest] child under 18 [NUMBERBOX]

  9. [IF BEH24>8] Your [IF BEH24=9 INSERT: youngest] [IF BEH24>9 INSERT: next oldest] child under 18 [NUMBERBOX]

  10. [IF BEH24>9] Your [IF BEH24=10 INSERT: youngest] [IF BEH24>10 INSERT: next oldest] child under 18 [NUMBERBOX]

  11. [IF BEH24>10] Your [IF BEH24=11 INSERT: youngest] [IF BEH24>11 INSERT: next oldest] child under 18 [NUMBERBOX]

  12. [IF BEH24>11] Your [IF BEH24=12 INSERT: youngest] [IF BEH24>12 INSERT: next oldest] child under 18 [NUMBERBOX]

  13. [IF BEH24>12] Your [IF BEH24=13 INSERT: youngest] [IF BEH24>13 INSERT: next oldest] child under 18 [NUMBERBOX]

  14. [IF BEH24>13] Your [IF BEH24=14 INSERT: youngest] [IF BEH24>14 INSERT: next oldest] child under 18 [NUMBERBOX]

  15. [IF BEH24>14 Your [IF BEH24=15 INSERT: youngest] [IF BEH24>15 INSERT: next oldest] child under 18 [NUMBERBOX]

  16. [IF BEH24>15] Your [IF BEH24=16 INSERT: youngest] [IF BEH24>16 INSERT: next oldest] child under 18 [NUMBERBOX]

  17. [IF BEH24>16] Your [IF BEH24=17 INSERT: youngest] [IF BEH24>17 INSERT: next oldest] child under 18 [NUMBERBOX]

  18. [IF BEH24>17] Your [IF BEH24=18 INSERT: youngest] [IF BEH24>18 INSERT: next oldest] child under 18 [NUMBERBOX]

  19. [IF BEH24>18] Your [IF BEH24=19 INSERT: youngest] [IF BEH24>19 INSERT: next oldest] child under 18 [NUMBERBOX]

  20. [IF BEH24>19] Your youngest child under 18 [NUMBERBOX]


Value

Value Label

0-17


-99

REFUSED

-100

VALID SKIP



IF MISSING CHILD_AGE_x, CHILD_AGE_x= BEH26_x



[Page Break]



// Ask if BEH24 (Number of children under 18) 1 or = -99 (“REFUSED”) //



Your Children and COVID-19 Vaccines



The following questions will ask about your child or children and COVID-19 vaccines. To date, the U.S. Food and Drug Administration (FDA) has authorized several vaccines that protect against COVID-19 for adults and children ages 12 and above, and in the future expects to authorize vaccines for younger children. We want to learn more about your plans related to these vaccines for each of your children to better understand vaccination plans among all Americans. We will not ask for any identifying information about your children, such as their names or dates of birth. For the following questions, please assume there are enough vaccines so that everyone who wants a COVID-19 vaccine can get one.



[IF ANY CHILD_AGE_x =0-18]

[LOOP BEH27-BEH28 FOR EACH DISCRETE VALUE PROVIDED IN CHILD_AGE_x SERIES (E.G., IF CHILD_AGE_1=2 AND CHILD_AGE_2=3 AND CHILD_AGE_3=4, LOOP 3 TIMES. IF CHILD_AGE_1=2 AND CHILD_AGE_2=2 AND CHILD_AGE_3=4, LOOP 2 TIMES.]

[LOOPS ARE ASSOCIATED WITH ONLY ONE CHILD_AGE_x VALUE UNLESS THERE ARE DUPLICATE VALUES IN CHILD_AGE_x SERIES. DUPLICATE VALUES WILL ALL BE COMBINED INTO ONE LOOP, SHOWN IN THE CHILD_AGE_x SEQUENCE FOR THE FIRST INSTANCE OF THAT VALUE]

[CREATE DOV_DUPE_x. IF LOOP IS FOR A SINGLE VALUE IN THE CHILD_AGE_x SERIES, DOV_DUPE_x=0. IF LOOP IS FOR MULTIPLE DUPLICATE VALUES OF CHILD_AGE_x, DOV_DUPE_x=1]



[Page Break]



The following questions are about your [INSERT_CHILD_AGE_x]-year-old child [IF DOV_DUPE_x=0 INSERT: child] [IF DOV_DUPE_x=1 INSERT: children].



[Page Break]



Item #: BEH27

Question type: Single punch

Variable Name: BEH27

Variable Text: [IF DOV_DUPE_x=0 INSERT: Has] [IF DOV_DUPE_x=1 INSERT: Have] your [INSERT_CHILD_AGE_x]-year-old [IF DOV_DUPE_x=0 INSERT: child] [IF DOV_DUPE_x=1 INSERT: children] received a COVID-19 vaccine?

Variable Label: BEH27: Vaccine uptake for child

// Ask if CHILD_AGE_x=12-17 //

Value

Value Label

0

No, my [INSERT_CHILD_AGE_x]-year-old [IF DOV_DUPE_x=0 INSERT: child has] [IF DOV_DUPE_x=1 INSERT: children have] not received a COVID-19 vaccine.

1

Yes, but my [INSERT_CHILD_AGE_x]-year-old [IF DOV_DUPE_x=0 INSERT: child has] [IF DOV_DUPE_x=1 INSERT: children have] only received one shot out of the two required shots.

2

Yes, my [INSERT_CHILD_AGE_x]-year-old [IF DOV_DUPE_x=0 INSERT: child has] [IF DOV_DUPE_x=1 INSERT: children have] received all of the required shots.

[IF DOV_DUPE_x=1] 3

Other [TEXTBOX]

-99

REFUSED

-100

VALID SKIP



Item #: BEH28

Question type: Single punch

Variable Name: BEH28

Variable Text: [IF CHILD_AGE_X<12 INSERT: Food and Drug Administration (FDA)-authorized vaccines to prevent COVID-19 will eventually be available at no cost to children.] What is the likelihood that you will get your [INSERT CHILD_AGE_x]-year-old [IF DOV_DUPE_x=0 INSERT: child] [IF DOV_DUPE_x=1 INSERT: children] vaccinated [IF CHILD_AGE_X<12 INSERT: when they are eligible for vaccination]?

Variable Label: BEH28: Intention to vaccinate child

// Ask if CHILD_AGE_X<12 OR BEH27=0 //

Value

Value Label

1

Very unlikely

2

Somewhat unlikely

3

Neither likely nor unlikely

4

Somewhat likely

5

Very likely

-99

REFUSED

-100

VALID SKIP



Item #: BEH29

Question type: Single punch

Variable Name: BEH29

Variable Text: [IF CHILD_AGE_X<12 INSERT: Food and Drug Administration (FDA)-authorized vaccines to prevent COVID-19 will eventually be available at no cost to children.] How soon will you get your [INSERT CHILD_AGE_x]-year-old [IF DOV_DUPE_x=0 INSERT: child] [IF DOV_DUPE_x=1 INSERT: children] vaccinated? For this question, assume there are enough vaccines so that everyone who wants a COVID-19 vaccine can get it.

Variable Label: BEH28: Intention to vaccinate child

// Ask if CHILD_AGE_X<12 OR BEH27=0 //

Value

Value Label

1

I will get my [INSERT_CHILD_AGE_x]-year-old[IF DOV_DUPE_x=0 INSERT: child] [IF DOV_DUPE_x=1 INSERT: children] vaccinated against COVID-19 as soon as I can.

2

I will wait to get my [INSERT_CHILD_AGE_x]-year-old[IF DOV_DUPE_x=0 INSERT: child] [IF DOV_DUPE_x=1 INSERT: children] vaccinated against COVID-19 for one or more reasons.

3

I will never get my [INSERT_CHILD_AGE_x]-year-old[IF DOV_DUPE_x=0 INSERT: child] [IF DOV_DUPE_x=1 INSERT: children] vaccinated against COVID-19.

-99

REFUSED

-100

VALID SKIP





Item #: BEH30

Question Type: Grid

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

// Ask if BEH24 (Number of children under 18) 1. //

Variable Name

Variable Text

Variable Label

BEH30_1

COVID-19 vaccines are important for my child/children’s health.

BEH30_1: Vaccine important for child’s health

BEH30_2

Getting COVID-19 vaccines is a good way to protect my child/children from disease.

BEH30_2: Vaccine good way to protect child

BEH30_3

COVID-19 vaccines are effective for children.

BEH30_3: Vaccine effective for child

BEH30_4

Having my child/children vaccinated against COVID-19 is important for the health of others in my community.

BEH30_4: Vaccinating child important for community

BEH30_5

Generally I do what my doctor or health care provider recommends about vaccines for my child/children

BEH30_5: Generally follow doctor recommendation for child vaccines



Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED

Section 2: Your Opinions on COVID-19



This section asks for your opinion on statements related to COVID-19, social distancing (keeping at least a 6-foot distance from others outside of your household), and wearing a face mask.



[Page Break]



Item #: ATT1

Question Type: Grid

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

Variable Name

Variable Text

Variable Label

ATT1_1

It is important for me to get a COVID-19 vaccine.

ATT1_1: Important for me to get all of the recommended COVID-19 vaccines

ATT1_2

It is important for everyone to get a COVID-19 vaccine.

ATT1_2: Important for everyone to get all of the recommended COVID-19 vaccines

ATT1_3

Getting a COVID-19 vaccine helps reduce the spread of COVID-19.

ATT1_3: Getting all recommended vaccines helps reduce COVID-19



Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED





Item #: ATT2

Question Type: Grid

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

Variable Name

Variable Text

Variable Label

ATT2_1

It is important for me to wear a face mask when I am out in public.

ATT2_1: Important for me to wear mask out in public

ATT2_2

It is important for everyone to wear a face mask when they are out in public.

ATT2_2: Important for everyone to wear mask out in public

ATT2_3

Wearing a face mask helps reduce the spread of COVID-19.

ATT2_3: Wearing mask helps reduce COVID-19



Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED





Item #: ATT3

Question Type: Grid

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

Variable Name

Variable Text

Variable Label

ATT3_1

It is important for me to social distance when I am out in public.

ATT3_1: Important for me to social distance out in public

ATT3_2

It is important for everyone to social distance when they are out in public.

ATT3_2: Important for everyone to social distance out in public

ATT3_3

Maintaining a social distance helps reduce the spread of COVID-19.

ATT3_3: Social distancing helps reduce COVID-19



Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED









Item #: ATT5

Question Type: Grid

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

// Randomize order of subitems. //

Variable Name

Variable Text

Variable Label

ATT5_1

COVID-19 is probably a hoax.

ATT5_1: COVID-19 probably hoax

ATT5_2

Public health officials are exaggerating the seriousness of COVID-19.

ATT5_2: Health officials exaggerating seriousness of COVID-19




ATT5_4

There are people who want the pandemic to continue for their own personal gain.

ATT5_4: Continue pandemic for personal gain

ATT5_5

COVID-19 was created in a lab.

ATT5_5: COVID-19 created in lab

ATT5_6

COVID-19 is more dangerous than the flu.

ATT5_6: COVID-19 not more dangerous than flu







ATT5_9

The media portrays news about the COVID-19 vaccines accurately.

ATT5_9: Media accuracy



Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED





Item #: ATT6

Question Type: Grid

Variable Text: How much do you agree or disagree that each of the following actions are effective at keeping you safe from COVID-19? Select one response for each item.

// Randomize order of subitems. //

Variable Name

Variable Text

Variable Text

ATT6_1

Wearing a face mask

ATT6_1: Wearing face mask keeps safe from COVID-19




ATT6_3

Maintaining a social distance

ATT6_3: Maintaining social distance keeps safe from COVID-19

ATT6_4

Receiving a COVID-19 vaccine

ATT6_4: Receiving vaccine keeps safe from COVID-19



Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED







Item #: ATT8

Question Type: Grid

Variable Text: Do you think COVID-19 is transmitted in the following ways? Select yes or no for each item.

// Randomize order of subitems. //

Variable Name

Variable Text

Variable Label

ATT8_1

Close contact with an infected person who has symptoms

ATT8_1: Transmitted through close contact with symptomatic, infected person

ATT8_2

Close contact with an infected person even if they are not showing symptoms of infection

ATT8_2: Transmitted through close contact with asymptomatic, infected person

ATT8_3

Contact with surfaces that an infected person has touched

ATT8_3: Transmitted through contact with surfaces infected person has touched

ATT8_4

Contact with someone who previously had COVID-19

ATT8_4: Transmitted through contact with someone who had COVID-19

ATT8_5

Through the air while outdoors and in close contact with an infected person

ATT8_5: Transmitted t hrough the air outdoors

ATT8_6

Through the air while indoors and in close contact with an infected person

ATT8_6: Transmitted t hrough the air indoors



Value

Value Label

0

No

1

Yes

-99

REFUSED





Item #: ATT9

Question Type: Grid

Variable text: How much do you agree or disagree with the following statements about COVID-19? Select one response for each item.

// Randomize order of subitems. //

Variable Name

Variable Text

Variable Label

ATT9_1

I would accept a COVID-19 vaccine offered during a regularly scheduled appointment with my health care provider.

ATT9_1: Would get vaccine at regular doctor’s appointment

ATT9_2

I am worried that a COVID-19 vaccine could give me COVID-19.

ATT9_2: Worried vaccine will give me COVID-19

ATT9_3

I would rather build immunity by exposure to an infected individual than receive a COVID-19 vaccine.


ATT9_3: Rather build immunity by exposure

ATT9_4

I would get a COVID-19 vaccine if it would help life return to normal more quickly.

ATT9_4: Would get vaccine for return to normal

ATT9_5

I am worried about side effects of a COVID-19 vaccine for myself.

ATT9_5: Worried about side effects

ATT9_6

I am worried that side effects of a COVID-19 vaccine could be worse than COVID-19 itself.

ATT9_6: Side effects worse than COVID-19

ATT9_7

I am worried that a COVID-19 vaccine would not protect me against new strains or variants of the virus.

ATT9_7: Worried about protection against variants



Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED





Item #: ATT10

Question Type: Grid

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

// Randomize order of subitems. //

Variable Name

Variable Text

Variable Label

ATT10_1

A COVID-19 vaccine will allow me to spend more time with my loved ones.

ATT10_1: Vaccine allows more time with loved ones

ATT10_2

A COVID-19 vaccine will allow me to return to normal day-to-day activities.

ATT10_2: Vaccine allows normal day-to-day activities

ATT10_3

A COVID-19 vaccine will improve the economy.

ATT10_3: Vaccine will improve the economy

ATT10_4

A COVID-19 vaccine will allow schools and businesses to reopen.

ATT10_4: Vaccine allows schools/businesses to reopen

ATT10_5

The benefits of a COVID-19 vaccine outweigh any risks associated with it.

ATT10_5: Benefits of vaccine outweigh risks



Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED





Item #: ATT11

Question Type: Grid

Variable text: How much do you agree or disagree with the following statements about vaccines in general? Select one response for each item.

// Randomize order of subitems. //

Variable Name

Variable Text

Variable Label

ATT11_1

I am completely confident that vaccines are safe.

ATT11_1: Vaccines are safe

ATT11_2

Vaccinations are effective.

ATT11_2: Vaccines are effective

ATT11_3

I am confident that public authorities decide to approve vaccines when it is in the best interest of the community.

ATT11_3: Confident in public authorities

ATT11_4

Diseases that have a vaccine (e.g., shingles, pneumonia) are not so bad that I need to get a vaccine for them.

ATT11_4: Diseases with vaccines not severe

ATT11_5

This is a quality control check. Please check “Disagree” for this item.

ATT11_5: QC check

ATT11_6

When I think about getting vaccinated, I weigh the benefits and risks to make the best decision possible.

ATT11_6: Weigh benefits and risks

ATT11_7

When everyone is vaccinated, I do not have to get vaccinated, too.

ATT11_7: When everyone is vaccinated, I don’t have to get vaccinated

ATT11_8

I get vaccinated because it protects people with a weaker immune system.

ATT11_8: Protects others with weak immune system



Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED





Item #: ATT12

Question Type: Grid

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

// Randomize order of subitems. //

Variable Name

Variable Text

Variable Label

ATT12_1

Concerns regarding COVID-19 are overblown.

ATT12_1: Concerns are overblown

ATT12_2

There is currently too much panic around COVID-19.

ATT12_2: Too much panic

ATT12_3

COVID-19 is not as dangerous as the media claims it to be.

ATT12_3: Not as dangerous as media claims

ATT12_4

People should not be worried about COVID-19.

ATT12_4: People shouldn’t be worried about COVID-19









Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED





Item #: ATT13a

Question Type: Grid

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

Variable Name

Variable Text

Variable Label

ATT13a_1

People who are important to me will receive a COVID-19 vaccine.

ATT13a_1: People important to me will receive a vaccine

ATT13a_2

People who are important to me wear a face mask when they are out in public.

ATT13a_2: People important to me will wear a face mask

ATT13a_3

People who are important to me maintain a social distance from individuals outside of their household.

ATT13a_3: People important to me will maintain social distance






Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED





Item #: ATT13b

Question Type: Grid

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

Variable Name

Variable Text

Variable Label

ATT13b_1

People who are important to me believe that I should receive a COVID-19 vaccine.

ATT13b_1: People important to me think I should receive a vaccine

ATT13b_2

People who are important to me believe that I should wear a face mask when I am out in public.

ATT13b_2: People important to me think I should wear a face mask

ATT13b_3

People who are important to me believe that I should maintain a social distance from individuals outside of my household.

ATT13b_3: People important to me think I should maintain social distance






Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED





Item #: ATT13c

Question type: Single punch

Variable Name: ATT13c

Variable Text: How many people in your immediate social network (e.g., friends, family, colleagues) have received a COVID-19 vaccine?

Variable Label: ATT13c: Immediate social network vaccinated

Value

Value Label

0

None of them

1

A few of them

2

Some of them

3

Most of them

4

All of them

-77

Don’t know

-99

REFUSED



Item #: ATT14

Question Type: Grid

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

// Randomize order of subitems. //

Variable Name

Variable Text

Variable Label

ATT14_1

Getting all of the recommended vaccines is the right thing to do.

ATT14_1: Get all recommended vaccines is right thing to do

ATT14_2

Wearing a face mask is the right thing to do.

ATT14_2: Wear mask is right thing to do

ATT14_3

Social distancing is the right thing to do.

ATT14_3: Social distancing is right thing to do






Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED





Item #: ATT15

Question Type: Grid

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

// Randomize order of subitems. //

Variable Name

Variable Text

Variable Label

ATT15_1

I have heard enough about how important it is to follow the COVID-19 health guidelines.

ATT15_1: Have heard enough

ATT15_2

After hearing them for months, messages about COVID-19 seem repetitive.

ATT15_2: Messages are repetitive

ATT15_3

I am burned out from hearing that COVID-19 is a serious problem.

ATT15_3: Burned out from hearing about COVID-19

ATT15_4

I want more information regarding COVID-19.

ATT15_4: Want more information



Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED



[Page Break]



Section 3: Views on Science, Research, and Medical Professionals



The following questions will ask about your trust in individuals in the science, research, and medical fields.



[Page Break]



Item #: SCI1

Question Type: Grid

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

// Randomize order of subitems. //

Variable Name

Variable Text

Variable Label

SCI1_1

When scientists change their minds about a scientific idea it diminishes my trust in their work. [Reverse coded]

SCI1_1: Scientists changing minds reduces trust

SCI1_2

Scientists ignore evidence that contradicts their work. [Reverse coded]

SCI1_2: Scientists ignore contradictory evidence

SCI1_3

We can trust scientists to share their discoveries even if they do not like their findings.

SCI1_3: Trust scientists to share findings they don’t like

SCI1_4

We should trust the work of scientists.

SCI1_4: Should trust work of scientists

SCI1_5

We cannot trust scientists because they are biased in their perspectives. [Reverse coded]

SCI1_5: Scientists are biased

SCI1_6

Today's scientists will sacrifice the well-being of others to advance their research. [Reverse coded]

SCI1_6: Scientists will sacrifice well-being of others

Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED





Item #: SCI2

Question Type: Grid

Variable Text: How much do you agree or disagree with the following statements regarding government public health experts? A government public health expert is a person with a degree and career in protecting and promoting community health and who works for a government agency such as the Centers for Disease Control and Prevention (CDC) or the U.S. Food and Drug Administration (FDA). Select one response for each item.

// Randomize order of subitems. //

Variable Name

Variable Text

Variable Label

SCI2_1

I trust the information I receive from government public health experts.

SCI2_1: Trust experts

SCI2_2

Government public health experts have their own agenda.

SCI2_2: Experts have agenda

SCI2_3

Government public health experts have my best interests in mind.

SCI2_3: Experts have my best interests in mind

SCI2_4

Information provided by government public health experts changes too often for me. [Reverse coded]

SCI2_4: Information from experts changes too often

SCI2_5

Information provided by governmental public health experts has been helpful to me in the past.

SCI2_5: Information from experts has been helpful

SCI2_6

I have been misled by government public health experts in the past. [Reverse coded]

SCI2_6: Misled by experts



Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED





Item #: SCI3

Question type: Single punch

Variable Text: This question is for quality control purposes. Please select “Disagree” from the list below.

Variable Label: SCI3: Attention check

Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED

Section 4: Public Health Campaigns



The following questions will ask about your familiarity with public health campaigns and media content related to COVID-19.



[Page Break]



On the next screen you will be asked to listen to a short audio clip. Please make sure you are on a device that has speakers, and that you are able to turn them on now.



[Page Break]



Item #: CAM1

Question type: Single punch 

Variable Name: CAM1

Variable Text: In the past four months, have you seen or heard any media content from the U.S. Department of Health and Human Services (HHS) COVID-19 Public Education Campaign? Campaign content would have included the statement “We Can Do This” or “Juntos Sí Podemos” (in Spanish). Some content would have included the images or clip below.



Below is an audiovisual clip from the campaign. Please make sure your speakers are on and the volume is turned up. You will be able to proceed to the next page after playing the audiovisual clip. Please click on the button below to play the audiovisual clip.



[Insert CABS Wave 2 Campaign Clip_English_Its Time_Power_Video Combined_Resized]



 

Variable Label: CAM1: Campaign awareness 

 // Soft Prompt: “We would like your response to this question.” //

Value

Value Label

0

No

1

Yes

-99

REFUSED





Item #: CAM2

Question type: Single punch 

Variable Name: CAM2

Variable Text: In the past four months, how frequently have you seen or heard any media content from the HHS COVID-19 Public Education Campaign? Campaign content would have referred to HHS and may have included the statement “We Can Do This” or “Juntos Sí Podemos” (in Spanish). Some content would have included the images or clip below.



Below is an audiovisual clip from the campaign. Please make sure your speakers are on and the volume is turned up. You will be able to proceed to the next page after playing the audiovisual clip. Please click on the button below to play the audiovisual clip.

[Insert CABS Wave 2 Campaign Clip_English_Its Time_Power_Video Combined_Resized]

 

 Variable Label: CAM2: Campaign awareness frequency

// Soft Prompt: “We would like your response to this question.” //

// Ask if CAM1 (Campaign awareness) = 1 (“Yes”). //

Value

Value Label

1

Never 

2

Rarely 

3

Sometimes 

4

Often 

5

Very often 

-99

REFUSED

-100

VALID SKIP





Item #: CAMCHCK

Question type: Single punch

Variable Name: CAMCHCK

Variable Text: Did you have any trouble listening to the audiovisual clip?

Variable Label: CAMCHCK 

Value

Value Label

1

Yes

2

No

-99

REFUSED





Item #: CAMCHCK2

Question type: Open-End Text

Variable Name: CAMCHCK2

Variable Text: Can you explain what issues you had with the audiovisual clip?

Variable Label: CAMCHCK2

// Ask if CAMCHCK = 1 (“Yes”). //






Item #: CAM3

Question type: Single punch

Variable Name: CAM3

Variable Text: How believable do you find the information from the HHS COVID-19 Public Education Campaign?

Variable Label: CAM3: Believability of campaign 

// Ask if CAM1 (Campaign awareness) = 1 (“Yes”). // 

Value

Value Label

1

Very unbelievable 

2

Unbelievable 

3

Neither believable nor unbelievable 

4

Believable 

5

Very believable 

-99

REFUSED

-100

VALID SKIP





Item #: CAM4

Question type: Single punch

Variable Name: CAM4

Variable Text: Do you agree or disagree with the following statement? The HHS COVID-19 Public Education Campaign media content is for everyone, including me.

Variable Label: CAM4: Relevance of campaign

// Ask if CAM1 (Campaign awareness) = 1 (“Yes”). //

Value

Value Label

1

Strongly disagree 

2

Disagree 

3

Neither agree nor disagree 

4

Agree 

5

Strongly agree 

-99

REFUSED

-100

VALID SKIP







Item #: CAM5

Question type: Single punch

Variable Name: CAM5

Variable Text: Do you agree or disagree with following statement? The HHS COVID-19 Public Education Campaign media content grabbed my attention.

Variable Label: CAM5: Attention grabbing of campaign  

// Ask if CAM1 (Campaign awareness) = 1 (“Yes”). //

Value

Value Label

1

Strongly disagree 

2

Disagree 

3

Neither agree nor disagree 

4

Agree 

5

Strongly agree 

-99

REFUSED

-100

VALID SKIP





Item #: CAM6

Question type: Single punch 

Variable Name: CAM6

Variable Text: After seeing or hearing this media content, did you feel more negative, more positive, or no different about a COVID-19 vaccine?

 Variable Label: CAM6 valence of campaign

// Ask if CAM1 (Campaign awareness) = 1 (“Yes”). //

Value

Value Label

1

Negative

2

Positive

3

No different

-99

REFUSED

-100

VALID SKIP





Item #: CAM7

Question type: Single punch 

Variable Name: CAM7

Variable Text: After seeing or hearing this media content, did you talk about it with those in your immediate social network (e.g., friends, family, colleagues)?

 Variable Label: CAM7: Discussed campaign

// Ask if CAM1 (Campaign awareness) = 1 (“Yes”). //

Value

Value Label

0

No

1

Yes

-99

REFUSED

-100

VALID SKIP





Item #: CAM8

Question Type: Single Punch

Variable Name: CAM28

Variable Text: After seeing or hearing this media content, did you post about it or share it on social media?

Variable Label: CAM8: Social media sharing

// Ask if CAM1 (Campaign awareness) = 1 (“Yes”). //

Value

Value Label

0

No

1

Yes

-99

REFUSED

-100

VALID SKIP





Item #: CAM9

Question type: Single punch 

Variable Name: CAM9

Variable Text: In the last four months, have you seen or heard any media content from the Persist to Protect campaign? Campaign content would have included the statement ”Persist to Protect” and may have included the images below. 

[Collage of ads example] 

 

// Soft Prompt: “We would like your response to this question.” //

Variable Label: CAM9: Fake campaign awareness 

Value

Value Label

0

No

1

Yes

-99

REFUSED





Item #: CAM10

Question type: Single punch 

Variable Name: CAM10

Variable Text: In the past four months, how frequently have you seen or heard any media content from the Persist to Protect campaign? Campaign content would have included the statement “Persist to Protect” and may have included the images below. 

Variable Label: CAM10: Fake Campaign awareness frequency

// Soft Prompt: “We would like your response to this question.” //

// Ask if CAM9 (Fake campaign awareness) = 1 (“Yes”). //

Value

Value Label

1

Never 

2

Rarely 

3

Sometimes 

4

Often 

5

Very often 

-99

REFUSED

-100

VALID SKIP





Item #: CAM11

Question type: Single punch

Variable Name: CAM11

Variable Text: How believable do you find the information from the Persist to Protect campaign?

Variable Label: CAM11: Believability of fake campaign 

// Ask if CAM9 (Fake campaign awareness) = 1 (“Yes”). //

Value

Value Label

1

Very unbelievable 

2

Unbelievable 

3

Neither believable nor unbelievable 

4

Believable 

5

Very believable 

-99

REFUSED

-100

VALID SKIP





Item #: CAM12

Question type: Single punch

Variable Name: CAM12

Variable Text: Do you agree or disagree with the following statement? The Persist to Protect campaign media content is for everyone, including me.

Variable Label: CAM12: Relevance of fake campaign

// Ask if CAM9 (Fake campaign awareness) = 1 (“Yes”). //

Value

Value Label

1

Strongly disagree 

2

Disagree 

3

Neither agree nor disagree 

4

Agree 

5

Strongly agree 

-99

REFUSED

-100

VALID SKIP





Item #: CAM13

Question type: Single punch

Variable Name: CAM13

Variable Text: Do you agree or disagree with the following statement? The Persist to Protect campaign media content grabbed my attention.

Variable Label: CAM13: Attention grabbing of fake campaign  

// Ask if CAM9 (Fake campaign awareness) = 1 (“Yes”). //

Value

Value Label

1

Strongly disagree 

2

Disagree 

3

Neither agree nor disagree 

4

Agree 

5

Strongly agree 

-99

REFUSED

-100

VALID SKIP







Item #: CAM16

Question Type: Grid

Variable Text: In the last week, have you used the following government sources to get information about COVID-19? Select yes or no for each item.

Variable Name

Variable Text

Variable Label

CAM16_1

Official U.S. government websites

CAM16_1: Past 7-day info from official government websites

CAM16_2

The President of the United States/The White House

CAM16_2: Past 7-day info from President/White House

CAM16_3

U.S. Department of Health and Human Services (HHS)

CAM16_3: Past 7-day info from HHS

CAM16_4

U.S. Food and Drug Administration (FDA)

CAM16_4: Past 7-day info from FDA

CAM16_5

World Health Organization (WHO)

CAM16_5: Past 7-day info from WHO

CAM16_6

U.S. Centers for Disease Control and Prevention (CDC)

CAM16_6: Past 7-day info from CDC

CAM16_7

Dr. Fauci/Dr. Collins/National Institute of Allergy and Infectious Diseases (NIAID)

CAM16_7: Past 7-day info from Fauci/Collins/NIAID

CAM16_8

The Surgeon General of the United States

CAM16_8: Past 7-day info from Surgeon General

CAM16_9

My state, county, or city health department

CAM16_9: Past 7-day info from State/County/ City health department

CAM16_10

My State Governor

CAM16_10: Past 7-day info from Governor

CAM16_11

National Institute of Health (NIH)

CAM16_11: Past 7-day info from NIH

CAM16_12

U.S. Military/Department of Defense

CAM16_12: Past 7-day info from DoD

CAM16_13

U.S. Department of Veterans Affairs

CAM16_13: Past 7-day info from USVA



Value

Value Label

0

No

1

Yes

-99

REFUSED





Item #: CAM17

Question Type: Grid

Variable Text: In the last week, have you used the following news media sources to get information about COVID-19? Select yes or no for each item.

// Randomize order of subitems. //

Variable Name

Variable Text

Value Label

CAM17_1

Fox News

CAM17_1: Past 7-day info from Fox

CAM17_2

Breitbart News

CAM17_2: Past 7-day info from Breitbart

CAM17_3

One America News (OAN)

CAM17_3: Past 7-day info from OAN

CAM17_4

New York Post

CAM17_4: Past 7-day info from NY Post

CAM17_5

Wall Street Journal

CAM17_5: Past 7-day info from WSJ

CAM17_6

ABC News

CAM17_6: Past 7-day info from ABC

CAM17_7

NBC News

CAM17_7: Past 7-day info from NBC

CAM17_8

CBS News

CAM17_8: Past 7-day info from CBS

CAM17_9

MSNBC

CAM17_9: Past 7-day info from MSNBC

CAM17_10

CNN

CAM17_10: Past 7-day info from CNN

CAM17_11

New York Times

CAM17_11: Past 7-day info from NY Times

CAM17_12

NPR / PBS

CAM17_12: Past 7-day info from NPR/PBS



Value

Value Label

0

No

1

Yes

-99

REFUSED





Item #: CAM18

Question Type: Grid

Variable Text: In the last week, have you used the following social media sources to get information about COVID-19? Select yes or no for each item.

// Randomize order of subitems except for CAM18_8 (“Other [TEXTBOX]”) //

// Include soft prompt if CAM18_8 (Other) = 1 (“Yes), but no text is entered. //

Variable Name

Variable Text

Variable Label

CAM18_1

Facebook

CAM18_1: Past 7-day info from Facebook

CAM18_2

Twitter

CAM18_2: Past 7-day info from Twitter

CAM18_3

Instagram

CAM18_3: Past 7-day info from Instagram

CAM18_4

Snapchat

CAM18_4: Past 7-day info from Snapchat

CAM18_5

YouTube

CAM18_5: Past 7-day info from YouTube

CAM18_6

TikTok

CAM18_6: Past 7-day info from TikTok

CAM18_7

Reddit

CAM18_7: Past 7-day info from Reddit

CAM18_8

Other [TEXTBOX]

CAM18_8: Past 7-day info from Other [Specify]



Value

Value Label

0

No

1

Yes

-99

REFUSED







Item #: CAM19a

Question Type: Single Punch

Variable Name: CAM19a

Variable Text: Before today, have you heard of the website vaccines.gov?

Variable Label: CAM19a: vaccines.gov site awareness

Value

Value Label

0

No

1

Yes

-99

REFUSED





Item #: CAM19b

Question Type: Single-Punch

Variable Name: CAM19b

Variable Text: Before today, have you visited the website vaccines.gov?

Variable Label: CAM19b: vaccines.gov site visit

// Ask if CAM19a (vaccines.gov site awareness) = 1 (“Yes”). //

Value

Value Label

0

No

1

Yes

-99

REFUSED

-100

VALID SKIP





Item #: CAM19c

Question Type: Grid

Variable Text: How much do you agree or disagree with the following statements about the website vaccines.gov? Select one response for each item.

// Ask if CAM19b (vaccines.gov site visit) = 1 (“Yes”) //

// Randomize order of subitems. //

Variable Name

Variable Text

Variable Label

CAM19c_1

The information on the website is believable.

CAM19c_1: vaccines.gov site is believable

CAM19c_2

The information on the website is helpful.

CAM19c_2: vaccines.gov site is helpful

CAM19c_3

The website allows me to take action.

CAM19c_3: vaccines.gov site allows me to take action

CAM19c_4

I like the website.

CAM19c_4: I like the vaccines.gov website





Value

Value Label

Strongly Disagree

Disagree

Neither Agree/Disagree

Agree

Strongly Agree

-99

REFUSED

-100

VALID SKIP



Item #: CAM20a

Question Type: Single Punch

Variable Name: CAM20a

Variable Text: Before today, have you heard of the CDC phone number, 800-CDC-INFO (800-232-4636), for scheduling vaccine appointments?

Variable Label: CAM20a: CDC phone awareness

Value

Value Label

0

No

1

Yes

-99

REFUSED





Item #: CAM20b

Question Type: Single-Punch

Variable Name: CAM20b

Variable Text: Before today, have you called the CDC phone number, 800-CDC-INFO (800-232-4636), to schedule a vaccine appointment?

Variable Label: CAM20b: CDC phone called

// Ask if CAM20a (CDC phone awareness) = 1 (“Yes”). //

Value

Value Label

0

No

1

Yes

-99

REFUSED

-100

VALID SKIP





Item #: CAM20c

Question Type: Grid

Variable Text: What is the likelihood that you will call the CDC phone number, 800-CDC-INFO (800-232-4636), to schedule a vaccine appointment?

// Ask if CAM20b (CDC phone called) = 0 (“No”) AND BEH1 (Vaccination behavior) = 0 (“No…”) or -99 (“REFUSED) //

Variable Label: CAM20c: CDC phone intent

Value

Value Label

Very unlikely

Somewhat unlikely

Neither likely nor unlikely

Somewhat likely

Very likely

-99

REFUSED

-100

VALID SKIP



Item #: CAM21a

Question Type: Single Punch

Variable Name: CAM21a

Variable Text: Before today, have you heard of the CDC text messaging number, GETVAX (438829), for scheduling vaccine appointments?

Variable Label: CAM21a: CDC short code awareness

Value

Value Label

0

No

1

Yes

-99

REFUSED





Item #: CAM21b

Question Type: Single-Punch

Variable Name: CAM21b

Variable Text: Before today, have you texted the CDC text messaging number, GETVAX (438829), to schedule a vaccine appointment?

Variable Label: CAM21b: CDC short code

// Ask if CAM21a (CDC short code awareness) = 1 (“Yes”). //

Value

Value Label

0

No

1

Yes

-99

REFUSED

-100

VALID SKIP





Item #: CAM21c

Question Type: Grid

Variable Text: What is the likelihood that you will text the CDC text messaging number, GETVAX (438829), to schedule a vaccine appointment?

// Ask if CAM21b (CDC short code) = 0 (“No”) AND BEH1 (Vaccination behavior) = 0 (“No…”) or -99 (“REFUSED”) //

Value

Value Label

Very unlikely

Somewhat unlikely

Neither likely nor unlikely

Somewhat likely

Very likely

-99

REFUSED

-100

VALID SKIP



Item #: CAM22

Question Type: Grid

Variable Text: How much do you trust each of the following sources to provide accurate COVID-19 information? Select one response for each item.

Variable Name

Variable Text

Variable Label

CAM22_1

Official U.S. government websites

CAM22_1: Trust in Official government websites

CAM22_2

The President of the United States/The White House

CAM22_2: Trust in President/White House

CAM22_3

U.S. Department of Health and Human Services (HHS)

CAM22_3: Trust in HHS

CAM22_4

U.S. Food and Drug Administration (FDA)

CAM22_4: Trust in FDA

CAM22_5

World Health Organization (WHO)

CAM22_5: Trust in WHO

CAM22_6

U.S. Centers for Disease Control and Prevention (CDC)

CAM22_6: Trust in CDC

CAM22_7

Dr. Fauci/Dr. Collins/National Institute of Allergy and Infectious Diseases (NIAID)

CAM22_7: Trust in Fauci/Collins/NIAID

CAM22_8

The Surgeon General of the United States

CAM22_8: Trust in Surgeon General

CAM22_9

My state, county, or city health department

CAM22_9: Trust in State/County/ City health department

CAM22_10

My State Governor

CAM22_10: Trust in Governor

CAM22_11

National Institute of Health (NIH)

CAM22_11: Trust in NIH

CAM22_12

U.S. Military/Department of Defense

CAM22_12: Trust in DoD

CAM22_13

U.S. Department of Veterans Affairs

CAM22_13: Trust in USVA



Value

Value Label

1

Not at all

2

Somewhat

3

Mostly

4

Completely

-99

REFUSED





Item #: CAM23

Question Type: Grid

Variable Text: How much do you trust each of the following sources to provide accurate COVID-19 information? Select one response for each item.

// Show grid items in same order as CAM17 (after CAM17 is randomized). //

Variable Name

Variable Text

Value Label

CAM23_1

Fox News

CAM23_1: Trust in Fox

CAM23_2

Breitbart News

CAM23_2: Trust in Breitbart

CAM23_3

One America News (OAN)

CAM23_3: Trust in OAN

CAM23_4

New York Post

CAM23_4: Trust in NY Post

CAM23_5

Wall Street Journal

CAM23_5: Trust in WSJ

CAM23_6

ABC News

CAM23_6: Trust in ABC

CAM23_7

NBC News

CAM23_7: Trust in NBC

CAM23_8

CBS News

CAM23_8: Trust in CBS

CAM23_9

MSNBC

CAM23_9: Trust in MSNBC

CAM23_10

CNN

CAM23_10: Trust in CNN

CAM23_11

New York Times

CAM23_11: Trust in NY Times

CAM23_12

NPR / PBS

CAM23_12: Trust in NPR/PBS



Value

Value Label

1

Not at all

2

Somewhat

3

Mostly

4

Completely

-99

REFUSED





Item #: CAM24

Question Type: Grid

Variable Text: How much do you trust each of the following sources to provide accurate COVID-19 information? Select one response for each item.

// Show grid items in same order as CAM18 (after CAM18 is randomized). //

// Include soft prompt if CAM24_8 (Other) = 1-4 (“Not at all” – “Completely”), but no text is entered. //

Variable Name

Variable Text

Variable Label

CAM24_1

Facebook

CAM24_1: Trust in Facebook

CAM24_2

Twitter

CAM24_2: Trust in Twitter

CAM24_3

Instagram

CAM24_3: Trust in Instagram

CAM24_4

Snapchat

CAM24_4: Trust in Snapchat

CAM24_5

YouTube

CAM24_5: Trust in YouTube

CAM24_6

TikTok

CAM24_6: Trust in TikTok

CAM24_7

Reddit

CAM24_7: Trust in Reddit

CAM24_8

Other [TEXTBOX]

CAM24_8: Trust in Other



Value

Value Label

1

Not at all

2

Somewhat

3

Mostly

4

Completely

-99

REFUSED





Item #: CAM25

Question Type: Single Punch

Variable Name: CAM25

Variable Text: How often, if ever, do you think governmental public health organizations (HHS, CDC, FDA, etc.) get the facts right about the COVID-19 outbreak?

Variable Label: CAM25: Government information accuracy

Value

Value Label

1

Never

2

Hardly ever

3

Sometimes

4

Most of the time

5

Almost all the time

-99

REFUSED







Item #: CAM27

Question Type: Single Punch

Variable Name: CAM27

Variable Text: How hopeful are you that the U.S. will get COVID-19 under control in the next 6 months?

Variable Label: CAM27: Under control in six months

Value

Value Label

1

Not hopeful at all

2

Hardly hopeful

3

Somewhat hopeful

4

Hopeful

5

Very hopeful

-99

REFUSED





Item #: CAM28

Question Type: Single Punch

Variable Name: CAM28

Variable Text: How hopeful are you that the U.S. will get COVID-19 under control in the next year?

Variable Label: CAM28: Under control in next year

Value

Value Label

1

Not hopeful at all

2

Hardly hopeful

3

Somewhat hopeful

4

Hopeful

5

Very hopeful

-99

REFUSED

Section 5: Your COVID-19 Experience



The following questions will ask about your experience with COVID-19.



[Page Break]



Item #: COV1

Question type: Single punch

Variable Name: COV1

Variable Text: Have you ever been tested to find out if you have COVID-19?

Variable Label: COV1: Ever tested for COVID

Value

Value Label

0

No

1

Yes

2

I do not want to share this information

-99

REFUSED







Item #: COV8

Question type: Grid

Variable Text: Have any of the following people in your life tested positive for COVID-19? Select yes or no for each item.

// Randomize order of subitems except for COV8_8 (Don’t know anyone who tested positive). //

Variable Name

Variable Text

Variable Label

COV8_1

I have tested positive for COVID-19.

COV8_1: I tested positive

COV8_2

An immediate member of my household has tested positive for COVID-19.

COV8_2: Household member tested positive

COV8_3

An extended family member outside of my household has tested positive for COVID-19.

COV8_3: Extended family member tested positive

COV8_4

A friend outside of my household has tested positive for COVID-19.

COV8_4: Friend tested positive

COV8_5

A roommate who lives with me has tested positive for COVID-19.

COV8_5: Roommate tested positive

COV8_6

A coworker has tested positive for COVID-19.

COV8_6: Coworker tested positive

COV8_7

A friend of a friend has tested positive for COVID-19.

COV8_7: Friend of a friend tested positive

COV8_8

I do not know anyone who has tested positive for COVID-19.

COV8_8: Don’t know anyone who tested positive



Value

Value Label

0

No

1

Yes

60

I do not want to share this information.

-99

REFUSED





Item #: COV9

Question type: Dropdown / Open-End Numeric

Variable Name: COV9

Variable Text: What month did you first test positive for COVID-19?

Variable Label: COV9: Tested date

// Limit year input to 2019 onwards. //

// Ask if COV8_1 (I tested positive) = 1 (“Yes”). //

Shape5 Shape4

Year (Open-End)

Month (Dropdown)









Value

Value Label

-99

REFUSED

-100

VALID SKIP







Item #: COV13

Question type: Single punch

Variable Name: COV13

Variable Text: How severe was your COVID-19 infection?

Variable Label: COV13: Severity of your COVID

// Ask if COV8_1 (I tested positive) = 1 (“Yes”). //

Value

Value Label

1

No symptoms or mild symptoms

2

Moderate symptoms, but did not seek health care

3

Moderate symptoms and sought health care

4

Severe symptoms and/or hospitalization

-99

REFUSED

-100

VALID SKIP





Item #: COV14

Question type: Single punch

Variable Name: COV14

Variable Text: How much do you agree or disagree that you are fully recovered from your COVID-19 infection?

Variable Label: COV14: recovered from COVID

// Ask if COV8_1 (I tested positive) = 1 (“Yes”). //

Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED

-100

VALID SKIP









Item #: COV16

Question type: Single punch

Variable Name: COV16

Variable Text: Do you know anyone in your immediate social network (e.g., friends, family, colleagues) who has been hospitalized for COVID-19?

Variable Label: COV16: Know anyone in social network hospitalized for COVID

// Ask if COV15 (Hospitalized for COVID) = 1 (“Yes”). //

Value

Value Label

0

No

1

Yes

60

I do not want to share this information.

-99

REFUSED

-100

VALID SKIP







Item #: COV18

Question type: Single punch

Variable Name: COV18

Variable Text: Of the people you know who have had COVID-19, has anyone in your immediate social network (e.g., friends, family, colleagues) died as a result of COVID-19?

Variable Label: COV18: Know anyone in social network died from COVID

// Ask if COV17 (Died from COVID) = 1 (“Yes”). //

Value

Value Label

0

No

1

Yes

60

I do not want to share this information.

-99

REFUSED

-100

VALID SKIP





Item #: COV20

Question Type: Grid

Variable Text. Have you taken the following actions because of the spread of COVID-19? Select yes or no for each item.

// Randomize order of subitems. //

Variable Name

Variable Text

Variable Label

COV20_1

I have stopped shaking hands with people.

COV20_1: Stopped shaking hands

COV20_2

I have stopped hugging and kissing close friends or relatives.

COV20_2: Stopped hugging/kissing

COV20_3

I have limited my use of public transportation (e.g., buses, ridesharing services).

COV20_3: Limited public transportation

COV20_4

I have stayed home instead of going to work, school, or other regular activities.

COV20_4: Stayed home

COV20_5

I have avoided places where many people gather, such as shopping centers, markets, movie theaters, sporting events, or restaurants.

COV20_5: Avoided places with large gatherings

COV20_6

I have avoided attendance at religious places of worship.

COV20_6: Avoided religious places of worship

COV20_7

I have avoided family or personal events, such as parties, wedding ceremonies, or funeral services.

COV20_7: Avoided family/personal events

COV20_8

I have stopped traveling outside my local community.

COV20_8: Stopped traveling outside of local community

COV20_9

I have limited the number of trips to the grocery store.

COV20_9: Limited trips to grocery store

COV20_10

I have avoided traveling by airplane.

COV20_10: Avoided airplanes



Value

Value Label

0

No

1

Yes

-99

REFUSED





Item #: COV23

Question type: Grid

Variable Text: Have you experienced any of the following symptoms in the past 2 weeks? Select one response for each item.

// Randomize order of subitems. //

Variable Name

Variable Text

Variable Label

COV23_1

Feeling nervous, anxious, or on edge

COV23_1: Past 2 weeks - Nervous

COV23_2

Not being able to stop or control worrying

COV23_2: Past 2 weeks - Worried

COV23_3

Feeling down, depressed, or hopeless

COV23_3: Past 2 weeks - Depressed

COV23_4

Little interest or pleasure in doing things

COV23_4: Past 2 weeks - Little interest/pleasure in things



Value

Value Label

1

Not at all

2

Several days

3

More than half the days

4

Nearly every day

-99

Refusal





Item #: COV24

Question Type: Grid

Variable Text: How much do you agree or disagree with the following statements? Select one response for each item.

// Randomize order of subitems. //

Variable Name

Variable Text

Variable Label

COV24_1

I worry a lot about COVID-19.

COV24_1: Worry a lot about COVID

COV24_2

I am afraid of dying because of COVID-19.

COV24_2: Afraid of losing life due to COVID

COV24_3

I am afraid of losing my family members because of COVID-19.

COV24_3: Afraid of family members dying due to COVID

COV24_4

When watching news and stories about COVID-19 on social media, I become nervous or anxious.

COV24_4: Watching news makes me nervous about COVID



Value

Value Label

1

Strongly disagree

2

Disagree

3

Neither agree nor disagree

4

Agree

5

Strongly agree

-99

REFUSED









Section 6: Other Health Conditions



The following questions will ask about other health conditions that may be important when understanding your COVID-19 experience.



[Page Break]



Item #: MOB1

Question Type: Grid

Variable Text: People with certain health conditions may be more at risk of serious illness when contracting COVID-19. Has a health care provider (e.g., primary care doctor) ever told you that you have any of the following conditions? Select yes or no for each item.

// Randomize order of subitems except for MOB1_19 (“Other, please specify:”) and MOB1_20 (“None of the above”). //

// Deselect other items if MOB1_20 is selected and vice versa. //

Variable Name

Variable Text

Variable Label

MOB1_1

High blood pressure or hypertension

MOB1_1: High blood pressure

MOB1_2

Diabetes or high blood sugar

MOB1_2: Diabetes

MOB1_3

High blood cholesterol level

MOB1_3: High cholesterol

MOB1_4

Cancer or a malignant tumor, excluding minor skin cancer

MOB1_4: Cancer

MOB1_5

Lung disease such as chronic bronchitis or emphysema

MOB1_5: Lung disease

MOB1_6

A heart attack, coronary heart disease, angina, congestive heart failure, or other heart problems

MOB1_6: Heart attack

MOB1_7

A stroke

MOB1_7: Stroke

MOB1_8

Any emotional, nervous, or psychiatric problem

MOB1_8: Psychiatric problem

MOB1_9

Alzheimer’s disease

MOB1_9: Alzheimer’s

MOB1_10

Dementia, senility or any other serious memory impairment

MOB1_10: Dementia

MOB1_11

Arthritis or rheumatism

MOB1_11: Arthritis/rheumatism

MOB1_12

Asthma

MOB1_12: Asthma

MOB1_13

Cerebrovascular disease (affects blood vessels and blood supply to the brain)

MOB1_13: Cerebrovascular disease

MOB1_14

Chronic kidney disease

MOB1_14: Chronic kidney disease

MOB1_15

Sickle cell disease

MOB1_15: Sickle cell disease

MOB1_16

Liver disease, including end-stage liver disease

MOB1_16: Liver disease

MOB1_17

A compromised immune system

MOB1_17: Compromised immune system

MOB1_18

Overweight or obesity

MOB1_18: Overweight/obesity

MOB1_19

Other, please specify: [TEXTBOX]

MOB1_19: Other health conditions

MOB1_20

None of the above

MOB_1_20: None of the above health conditions



Value

Value Label

0

No

1

Yes

-99

REFUSED





Item #: MOB2

Question Type: Single Punch

Variable Name: MOB2

Variable Text: Are you currently pregnant?

Variable Label: MOB2: Pregnancy status

// Ask if S_GENDER (NORC frame variable) = 2 (Female). //

Value

Value Label

0

Yes

1

No

-99

REFUSED

-100

VALID SKIP







Item #: MOB5

Question Type: Single Punch

Variable Name: MOB5

Variable Text: In general, how would you rate your mental or emotional health?

Variable Label: MOB5: Mental/emotional health

Value

Value Label

1

Poor

2

Fair

3

Good

4

Very Good

5

Excellent

-99

REFUSED





Item #: MOB6

Question Type: Single Punch

Variable Name: MOB6

Variable Text: Have you ever been diagnosed with an anxiety disorder?

Variable Label: MOB6: Anxiety diagnosis

Value

Value Label

0

No

1

Yes

-99

REFUSED





Item #: MOB7

Question Type: Single Punch

Variable Name: MOB7

Variable Text: Have you ever been diagnosed with depression?

Variable Label: MOB7: Depression diagnosis

Value

Value Label

0

No

1

Yes

-99

REFUSED



Section 7: More About You



The following questions will ask about your background, which may be important when understanding your COVID-19 experience.



[Page Break]



Item #: DEM1a

Question Type: Single Punch

Variable Name: DEM1a

Variable Text: Would you say that your primary source of income has changed in the past four months?

Variable Label: DEM1a: Employment status changed

Value

Value Label

0

No

1

Yes

-99

REFUSED



Item #: DEM1

Question Type: Single Punch

Variable Name: DEM1

Variable Text: Which statement best describes your current employment status?

Variable Label: DEM1: Employment status

// Ask if DEM1a (Employment status changed) = 1 (“Yes”) or -99 (“REFUSED”). //

Value

Value Label

1

Working – as a paid employee

2

Working – self-employed

3

Not working – on temporary layoff from a job

4

Not working – looking for work

5

Not working – retired

6

Not working – disabled

7

Not working – other

-99

REFUSED

-100

VALID SKIP





Item #: INDUSTRY20

Question Type: Open-End Text

Variable Name: DEM1

Variable Text: Now we want to ask you about the type of industry you worked in most recently.

[If DEM1=1, 2, -99 (“Working…” or “REFUSED” AND DEM1a (Employment status changed) = 1 (“Yes”) or -99 (“REFUSED”)] What kind of business or industry best describes your current employer or business? Include the main activity, product, or service provided at the location where employed. (For example: elementary school, residential construction). Please enter ‘Never Worked’ if you have never worked.






[IF DEM1=3-7 (“Not working…”) AND DEM1a (Employment status changed) = 1 (“Yes”) or -99 (“REFUSED”)] What kind of business or industry best describes your last employer or business? Include the main activity, product, or service provided at the location where employed. (For example: elementary school, residential construction). Please enter ‘Never Worked’ if you have never worked.

Variable Label: DEM1: Employment status






Item #: DEM1b

Question Type: Open-End Text

Variable Name: DEM1b

Variable Text: [If DEM1=1, 2, -99 (“Working…” or “REFUSED”) AND DEM1a (Employment status changed) = 1 (“Yes”) or -99 (“REFUSED”)] What kind of work do you do for your current main job?

[IF DEM1=3-7 (“Not working…”) AND DEM1a (Employment status changed) = 1 (“Yes”) or -99 (“REFUSED”)] What kind of work did you do for your last main job?

By main job we mean the job at which you usually work the most hours.

Variable Label: DEM1: Employment status

Value

Value Label

60

Never worked (IF DEM1=3-7, -99 (“Not working…”) or “REFUSED”]





Item #: DEM2

Question Type: Open-End Numeric

Variable Name: DEM2

Variable Text: In the past four months, how many hours did you usually work per week?

Variable Label: DEM2: Number of hours worked per week

// Ask if DEM1 = 1 | 2 (“Working…”) AND DEM1a (Employment status changed) = 1 (“Yes”) or -99 (“REFUSED”). //

// Limit to 168 hours (24 hours x 7 days). Do not allow negative numbers. //

Value

Value Label

0-168


-99

REFUSED

-100

VALID SKIP





Item #: DEM3

Question Type: Single Punch

Variable Name: DEM3

Variable Text: Does where you work (e.g., state/territory) designate your occupation as providing “essential” services? “Essential” may vary depending on where you live, but may include those who provide:

  • Public health and safety (janitors and cleaners, registered nurses, police and sheriff’s patrol officers, physicians and surgeons, EMT’s and paramedics, pharmacists)



  • Essential products (cashiers, hand laborers and freight/stock/material movers, delivery truck drivers and driver/sales workers, agricultural workers, food processing workers, postal service workers)



  • Other infrastructure support (general maintenance and repair workers, engineers, electricians, computer support specialists, financial managers, plant and system operators, information security analysts, hazard materials removal workers)

Variable Label: DEM3: Essential service status

// Ask if DEM1 = 1 | 2 (“Working…”) AND DEM1a (Employment status changed) = 1 (“Yes”) or -99 (“REFUSED”). //

Value

Value Label

0

No

1

Yes

-99

REFUSED

-100

VALID SKIP





Item #: DEM4

Question Type: Single Punch

Variable Name: DEM4

Variable Text: Are you now covered by any form of health insurance or health plan? A health plan would include any private insurance plan through your employer or a plan that you purchased yourself, as well as a government program like Medicare or Medicaid.

Variable Label: DEM4: Health insurance status

Value

Value Label

0

No

1

Yes

77

Don’t know

-99

REFUSED





Item #: DEM7

Question Type: Open-End Numeric

Variable Name: DEM7

Variable Text: How many total people – adults and children – currently live in your household, including yourself? Please enter a number.

Variable Label: DEM7: Total number of people in household

// Limit to whole numbers between 0-20. //

Value

Value Label

0-20


-99

REFUSED





Item #: DEM8

Question Type: Open-End Numeric

Variable Name: DEM8

Variable Text: How many people under 18 years-old currently live in your household? Please enter a number.

Variable Label: DEM8: Number of minors living in household

// Ask if DEM7 = 2-20. //

// Response cannot exceed total number of people living in household. //

Value

Value Label

1-19


-99

REFUSED

-100

VALID SKIP





Item #: DEM9

Question Type: Open-end numeric

Variable Name: DEM9

Variable Text: How many people in your household, excluding yourself, work in occupations that are designated as providing “essential” services? “Essential” may vary depending on where you live, but may include those who provide:

  • Public health and safety (janitors and cleaners, registered nurses, police and sheriff’s patrol officers, physicians and surgeons, EMT’s and paramedics, pharmacists)



  • Essential products (cashiers, hand laborers and freight/stock/material movers, delivery truck drivers and driver/sales workers, agricultural workers, food processing workers, postal service workers)



  • Other infrastructure support (general maintenance and repair workers, engineers, electricians, computer support specialists, financial managers, plant and system operators, information security analysts, hazard materials removal workers)

Variable Label: DEM9: Number of essential workers in household (excluding self)

// Ask if DEM7 = 2-20. //

// Response cannot exceed total number of people in household, minus one. //

Value

Value Label

1-19


-99

REFUSED

-100

VALID SKIP





NOTE: The following items in red represent those asked by NORC if not already provided by panel registrants.



Item #: PID1

Question Type: Single Punch

Variable Name: PID1

Variable Text: Do you consider yourself a Democrat, a Republican, an Independent or none of these?

Variable Label:

Value

Value Label

1

Democrat

2

Republican

3

Independent

4

None of these

-99

REFUSED





Item #: PIDA

Question Type: Single Punch

Variable Name: PIDA

Variable Text: Do you consider yourself a strong or not so strong Democrat?

Variable Label:

// Ask if PID1 = 1 (Democrat). //

Value

Value Label

1

Strong Democrat

2

Not so strong Democrat

-99

REFUSED

-100

VALID SKIP





Item #: PIDB

Question Type: Single Punch

Variable Name: PIDB

Variable Text: Do you consider yourself a strong or not so strong Republican?

Variable Label:

// Ask if PID1 = 2 (Republican). //

Value

Value Label

1

Strong Republican

2

Not so strong Republican

-99

REFUSED

-100

VALID SKIP





Item #: PIDi

Question Type: Single Punch

Variable Name: PIDi

Variable Text: Do you lean more toward the Democrats or the Republicans?

Variable Label:

// Ask if PID1 = 3 (Independent) or 4 (None of these) or -99 (REFUSED). //

Value

Value Label

1

Lean Democrat

2

Lean Republican

3

Don’t lean

-99

REFUSED

-100

VALID SKIP





Item #: D3

Question Type: Single Punch

Variable Name: D3

Variable Text: Generally speaking, do you consider yourself to be a liberal, moderate, or conservative?

Variable Label:

Value

Value Label

1

Liberal

2

Moderate

3

Conservative

-99

REFUSED





Item #: D4

Question Type: Single Punch

Variable Name: D4

Variable Text: Do you consider yourself:

Variable Label:

// Ask if D3 = 1 (Liberal). //

Value

Value Label

1

Very liberal

2

Somewhat liberal

-99

REFUSED

-100

VALID SKIP



Item #: D5

Question Type: Single Punch

Variable Name: D5

Variable Text: Do you consider yourself:

Variable Label:

// Ask if D3 = 3 (Conservative). //

Value

Value Label

1

Very conservative

2

Somewhat conservative

-99

REFUSED

-100

VALID SKIP


Shape3


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorColin Macfarlane
File Modified0000-00-00
File Created2021-11-19

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