Document
ASPA_CET Weekly Survey_W23_FINAL
ICR 202112-0990-005 · OMB 0990-0476 · Object 117282601.
This document may belong to an older filing. More recent activity for OMB 0990-0476:
Document Viewer [docx]
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | ASPA_CET Weekly Survey_W23_FINAL |
| Author | Lindsey Strausser |
| Last Modified By | Writer |
| File Modified | 2021-07-14 |
| File Created | 2026-08-25 |
| Conversion State | complete |
Extracted Text
CET – Annotated Questionnaire (Wave 23) Note: The questions below are the proposed questions for the twenty-third wave of the Weekly Current Events Tracker (CET). Questions highlighted in yellow will be asked every week; questions highlighted in blue will be rotated into the survey on a monthly basis; and questions highlighted in green are meant to be asked in Wave 23 only or are being asked again to update data on a variable of interest. We will be fielding the Public Health Information & Messaging module, and new questions around perceptions of FDA approval, health behaviors, vaccination program outcomes, as well as knowledge of one-dose outcomes. ASPA will provide OMB with updates to the questionnaire for subsequent Waves. Standard Questions Modular Questions One-Time or Repeat Questions Being Asked Again to Update Data For the next section we would like to talk about current events. // Page Break // //BASE: All respondents// Item #: Q1 Question type: Single punch // Soft Prompt: “We would like your response to this question.” // hhs_fam: How familiar are you with the U.S. Department of Health and Human Services (HHS)? Variable Label: hhs_fam: Familiarity with HHS Value Value Label 1 Not at all familiar 2 Slightly familiar 3 Moderately familiar 4 Very familiar -99 Refused // Page Break // //BASE: hhs_fam= 2, 3, 4, OR -99// Item #: Q2 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // hhs_trust. How much trust do you have in the U.S. Department of Health and Human Services (HHS) to provide you with accurate information about the coronavirus or COVID-19? Variable Label: hhs_trust: Trust in HHS Value Value Label 1 None at all 2 Not very much 3 A fair amount 4 A great deal -99 Refused -100 Valid skip // Page Break // //BASE: All respondents// Item #: Q3 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // beh1_cet. Food and Drug Administration (FDA)-authorized vaccines to prevent COVID-19 are now 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 // Page Break // //BASE: beh1_cet =0 OR -99// Item #: Q4 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // beh2a_cet. What is the likelihood that you will get a COVID-19 vaccine? Variable Label: beh2a: Intention to get vaccinated 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 // Page Break // //BASE: beh1_cet =1// Item #: Q5 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // beh2b_cet. What is the likelihood that you will complete COVID-19 vaccination? Variable Label: BEH2b_CET: Intention to complete vaccination Value Value Label 1 Very unlikely 2 Somewhat unlikely 3 Neither likely nor unlikely 4 Somewhat likely 5 Very likely -99 Refused // Page Break // //BASE: beh1_cet =0 OR -99// Item #: Q6 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // beh3a_cet. Food and Drug Administration (FDA)-authorized vaccines to prevent COVID-19 are now available at no cost. How soon will you get vaccinated? For this question, assume there is enough vaccine so that everyone who wants it can get it. Variable Label: BEH3a_CET: Wait to get vaccinated 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 // Page Break // //PROGRAMMING NOTE: beh1_cet =1// Item #: Q7 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // beh3b_cet. Food and Drug Administration (FDA)-authorized vaccines to prevent COVID-19 are now available at no cost. How soon will you get the second required dose? For this question, assume there is enough vaccine so that everyone who wants it can get it. Variable Label: BEH3b_CET: Wait to complete vaccination Value Value Label 1 I will get the second required dose as soon as I can 2 I will wait to get the second required dose for one or more reasons 3 I will never get the second required COVID-19 dose -99 Refused -100 Valid Skip // Page Break // //BASE beh3a_cet =2// Item #: Q8-Q10 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // beh4_cet. You responded that you will wait to get a COVID-19 vaccine. For each of the following statements, is this a reason why you would wait to get a COVID-19 vaccine? Select yes or no for each item. Variable Label: beh4_cet: Reasons: Waiting to get vaccinated //PROGRAMMING NOTE: RANDOMIZE BEH4_1_CET-BEH4_10_CET Variable Name Variable Text Variable Label beh4_1_cet I will wait because of my age. beh4_1_cet: Age beh4_2_cet I will wait because of my health status, allergies, or medical history. beh4_2_cet: Health beh4_12_cet I want to know if the vaccines are effective at preventing COVID-19 in the short-term. beh4_12_cet: Short-term effectiveness beh4_13_cet I want to know if the vaccines are effective at preventing COVID-19 in the long-term (i.e., whether booster shots will be required). beh4_13_cet: Long-term effectiveness beh4_14_cet I do not trust the vaccines. beh4_14_cet: Lack of trust beh4_15_cet I do not think I am at risk of getting COVID-19. beh4_15_cet: Lack of COVID-19 concern beh4_16_cet I want to know if the vaccines are effective at protecting people from COVID-19 variants. beh4_16_cet: Effectiveness against variants beh4_4_cet I am pregnant or expect to become pregnant. beh4_4_cet: Pregnant beh4_5_cet I want to talk to my doctor first. beh4_5_cet: Talk to doctor first beh4_6_cet I want to compare the effectiveness of the different vaccines. beh4_6_cet: Compare vaccines beh4_7_cet I want to see if my friends and family get the vaccine. beh4_7_cet: Friends/family beh4_8_cet I want to see if others who get the vaccine first develop any side effects. beh4_8_cet: Side effects beh4_9_cet I want to make sure it is safe for people like me first. beh4_9_cet: Confirm safety beh4_10_cet I want to hear from leaders in my community about the vaccine first. beh4_10_cet: Hear from leaders beh4_11_cet Other beh4_11_cet: Other Value Value Label 0 No 1 Yes -99 Refused -100 Valid skip // Page Break // //BASE: All respondents// Item #: Q11 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // vaccine_attitudes. How do you feel about vaccines, in general? Variable Label: vaccine_attitudes: CDC vaccine attitude question Value Value Label 1 1 – Very negative 2 2 – 3 3 – 4 4 – 5 5 – 6 6 – 7 7 – Very positive -99 Refused // Page Break // //PROGRAMMING NOTE: All respondents Item #: Q12-Q15 Question Type: Grid // Soft Prompt: “We would like your response to this question.” // info_source. On average, how often do you seek out information about the COVID-19 pandemic and/or information about COVID-19 vaccines from the following sources (e.g., by visiting a website or social media page, following their updates or Tweets, turning on the TV, opening a newspaper, turning on a podcast, etc.)? //PROGRAMMING NOTE: RANDOMIZE info_source1-info_source20// Variable Name Variable Text Variable Label info_source1 Your State Government info_source1: Source of Vaccine: Your State Government info_source2 The U.S. Department of Health and Human Services (HHS) info_source2: HHS info_source3 The Centers for Disease Control and Prevention (CDC) info_source3: CDC info_source4 U.S. Federal public health officials info_source4: Federal health officials info_source5 The U.S. Food and Drug Administration (FDA) info_source5: FDA info_source6 Pharmaceutical companies info_source6: Pharma info_source7 Local public health officials (e.g., state, county, city, or town) info_source7: Local public health officials info_source8 The American Medical Association info_source8: AMA info_source9 Medical websites, like WebMD or the Mayo Clinic info_source9: Medical websites info_source10 Celebrities or social media influencers info_source10: Influencers info_source11 The White House info_source11: White House info_source12 Cable TV news (e.g., CNN, Fox News, MSNBC) info_source12: Cable TV news info_source13 Your local TV news station(s) info_source13: Local TV info_source14 Your local newspaper(s) info_source14: Local newspaper(s) info_source15 Large national newspaper(s) (e.g., Washington Post, Wall Street Journal, New York Times) info_source15: National newspapers info_source16 Digital or print magazines (e.g., National Geographic, The Atlantic, Newsweek, Reader’s Digest, etc.) info_source16: Magazines info_source17 Radio (e.g., news stations, talk shows) info_source17: Radio info_source18 Podcasts info_source18: Podcasts info_source19 Your local hospital leadership (e.g., Chief Medical Officer) info_source19: Hospital leadership info_source20 Other (Please specify) info_source20: Other Value Value Label 1 Never 2 Once or twice a month 3 Once a week 4 A couple times per week 5 Once a day 6 A couple times per day -99 Refused -100 Valid skip // Page Break // //BASE: All respondents// Item #: Q16 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // info_frequency. Compared to other public health issues, how often do you seek out information about the COVID-19 pandemic and/or COVID-19 vaccines? Variable Label: info_frequency: Frequency of information seeking Value Value Label 1 Much less 2 Slightly less 3 About the same 4 Slightly more 5 Much more -99 Refused // Page Break // //BASE: All respondents// Item #: Q17 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // campaign. How familiar are you with the U.S. Department of Health and Human Services’ (HHS) COVID-19 Public Education Campaign "We Can Do This"? Variable Label: campaign: Familiarity with “We Can Do This” campaign Value Value Label 1 Not at all familiar 2 Slightly familiar 3 Moderately familiar 4 Very familiar -99 Refused // Page Break // //BASE: campaign=2-4// Item #: Q18 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // campaign_source. Where have you seen or heard information about the U.S. Department of Health and Human Services’ (HHS) COVID-19 Public Education Campaign "We Can Do This"? Please select all that apply. Variable Label: campaign_source: Campaign information source Value Value Label 1 Radio 2 Website 3 Television 4 Social media 5 Podcast 6 Billboard 7 Other -99 Refused -100 Valid skip // Page Break // //BASE: All respondents// Item #: Q19 Question Type: Multi punch // Soft Prompt: “We would like your response to this question.” // parent. Are you the parent of a child or children in the following age groups? Variable Label: parent: Parent of children in following age groups Value Value Label 1 Younger than 6 months old 2 6 months to <2 years old 3 2 to 5 years old 4 6 to 11 years old 5 12 to 15 years old 6 16 to 17 years old 99 None of the above, I do not have children in those age groups [EXCLUSIVE] -99 Refused // Page Break // //BASE: Parent= 5-6// Item #: Q20 Question Type: Single punch grid // Soft Prompt: “We would like your response to this question.” // child_vaxxed_2. Has your child(ren) in the following age group(s) received a COVID-19 vaccine? Note: If you have more than one child in the same age group, please answer for at least one of them. Variable Label: child_vaxxed_2: Child vaccinated //PROGRAMMING NOTE: PIPE 5 AND/OR 6 responses from parent// Value Value Label child_vaxxed_2_5 12 to 15 years old child_vaxxed_5: 12 to 15 years old child_vaxxed_2_6 16 to 17 years old child_vaxxed_6: 16 to 17 years old -99 Refused Value Value Label 0 No, has not received a COVID-19 vaccine 1 Yes, but has only received one shot out of the two required shots 2 Yes, has received all of the required shots -99 Refused // Page Break // // BASE: All respondents// Item #: Q21 Question Type: Single punch grid // Soft Prompt: “We would like your response to this question.”// approval2. Pfizer and Moderna have recently applied for full approval from the FDA for their COVID-19 vaccines. In order to granted full approval from the FDA, six months of safety data is reviewed, more manufacturing controls are put in place, and routine inspections of vaccine production facilities are conducted. Please indicate how much you agree or disagree with the following statements. //PROGRAMMING NOTE: RANDOMIZE ORDER OF SUBITEMS IN THE GRID.// Variable Name Variable Text Variable Label approval2_1 I think the FDA approval process for the COVID-19 vaccines is independent and free of outside pressure or political influence. approval2_1: Independent review approval2_2 If a COVID-19 vaccine is fully approved by the FDA, companies, businesses, and schools should be allowed to impose vaccination mandates. approval2_2: Mandates allowed approval2_3 Because six months of safety data is required for full FDA approval (compared to two months for an Emergency Use Authorization), I would have more confidence that there are not long-terms side effects from the COVID-19 vaccines. approval2_3: Confidence in long-term safety approval2_4 The FDA should move quicker to approve the COVID-19 vaccines. approval2_4: FDA move quicker approval2_5 I think more people will get vaccinated when the FDA fully approves the COVID-19 vaccines. approval2_5: Increase uptake Value Value Label 1 Strongly disagree 2 Disagree 3 Neither agree nor disagree 4 Agree 5 Strongly agree -99 Refused // Page Break // // BASE: All respondents// Item #: Q22 Question Type: Single punch grid // Soft Prompt: “We would like your response to this question.”// vacc_prog_eval. An analysis of the U.S. COVID-19 vaccination campaign was recently conducted by The Commonwealth Fund, an independent health care research organization. Please indicate how positively or negatively you feel about the following findings from their report. //PROGRAMMING NOTE: RANDOMIZE ORDER OF SUBITEMS IN THE GRID.// Variable Name Variable Text Variable Label vacc_prog_eval_1 Without a vaccination program, by the end of June 2021 there would have been approximately 279,000 additional deaths and up to 1.25 million additional hospitalizations. vacc_prog_eval_1: Additional deaths vacc_prog_eval_2 If the U.S. had achieved only half the actual pace of vaccination, there would have been nearly 121,000 additional deaths and more than 450,000 additional hospitalizations. vacc_prog_eval_2: Half efficacy vacc_prog_eval_3 If there had been no vaccination program, daily deaths from COVID-19 potentially would have jumped to nearly 4,500 deaths per day during a second “2021 spring surge” — eclipsing the observed daily peak of 4,000 during the first 2020 winter surge. vacc_prog_eval_3: Deaths per day vacc_prog_eval_4 There would have been an additional 26 million cases in the absence of a vaccination program, or nearly 22 million additional cases if the pace had been half as effective as it actually was. vacc_prog_eval_4: Additional cases vacc_prog_eval_5 As of July 2, the U.S. had administered more than 328 million vaccine doses, with 67 percent of adults having received at least one dose. The number of cases has fallen from more than 300,000 per day at the apex of the pandemic in January 2021 to less than 20,000 per day in mid-June. vacc_prog_eval_5: Doses administered Value Value Label 1 Very negatively 2 Negatively 3 Neutral 4 Positively 5 Very positively -99 Refused // Page Break // // BASE: All respondents// Item #: Q23 Question Type: Single punch grid // Soft Prompt: “We would like your response to this question.”// health_beh. Please indicate how often you engage in the following behaviors. //PROGRAMMING NOTE: RANDOMIZE ORDER OF SUBITEMS IN THE GRID.// Variable Name Variable Text Variable Label health_beh_1 Getting a seasonal flu shot. health_beh_1: Flu shot health_beh_2 Eating vegetables at least once per day. health_beh_2: Eating healthy health_beh_3 Getting at least 30 minutes of moderate or vigorous exercise per day. health_beh_3: Getting exercise health_beh_4 Getting a good night’s sleep. health_beh_4: Getting good sleep health_beh_5 Going to regular doctor’s checkups and examinations. health_beh_5: Going to the doctor Value Value Label 1 Never or almost never 2 Sometimes 3 Often 4 Always or almost always -99 Refused // Page Break // // BASE: All respondents// Item #: Q24 Question Type: Single punch grid // Soft Prompt: “We would like your response to this question.”// onedose. Please indicate how much you agree or disagree with the following statements. //PROGRAMMING NOTE: RANDOMIZE ORDER OF SUBITEMS IN THE GRID.// Variable Name Variable Text Variable Label onedose_1 Two doses of an mRNA COVID-19 vaccine are required in order for it to be effective. onedose_1: Two doses required onedose_2 If someone has had COVID-19 already, they only need one dose of an mRNA vaccine. onedose_2: Already had COVID Value Value Label 1 Strongly disagree 2 Disagree 3 Neither agree nor disagree 4 Agree 5 Strongly agree -99 Refused // Page Break // // BASE: All respondents// Item #: Q25 Question Type: Single punch grid // Soft Prompt: “We would like your response to this question.”// ptn_w23 We are interested in your opinion of a few messages about COVID-19 vaccination. For each of the below messages, please indicate how much you agree or disagree with the following statement: “I would share the information in the message with a friend or family member who wants to know more about COVID-19 vaccines.” //PROGRAMMING NOTE: RANDOMIZE ORDER OF SUBITEMS IN THE GRID.// Variable Name Variable Text Variable Label ptn_w23_1 Nearly all cases of COVID-19 occurring now—99 out of every 100 new infections—are among people who have not gotten a vaccine. ptn_w23_1: 99 out of 100 ptn_w23_2 Even young and healthy people who get COVID are at risk of health problems such as losing sense of smell and extreme fatigue for many months. ptn_w23_2: Young people have symptoms ptn_w23_3 18-29-year-olds are now more likely to get COVID than any other age group. ptn_w23_3: Young people most likely to get COVID ptn_w23_4 If you’ve already had COVID-19, vaccination strengthens your protection against reinfection and the Delta variant. ptn_w23_4: Vaccination fights Delta ptn_w23_5 The Delta variant is a serious risk to the health of people who haven’t been vaccinated against COVID. ptn_w23_5: Delta is a serious risk Value Value Label 1 Strongly disagree 2 Disagree 3 Neither agree nor disagree 4 Agree 5 Strongly agree