FDA Quick Turnaround Survey
Introduction
Thank you for your willingness to complete the survey. Your contribution is important to us.
This survey asks about consumer awareness and perceptions of, and behaviors during, food and/or cosmetics related outbreaks and recalls and will help inform FDA communications during such events. The survey will take about 15 minutes to complete.
Taking part is voluntary and you do not have to answer any questions you do not want to. We respect your privacy. Your personal information will remain secure to the fullest extent allowable by law and will not be linked to your answers or used in any report.
There are no known risks for participation in this research study. All information you provide will be treated as secure. We take every precaution to protect your information and limit the small risk that others may gain access to your responses. In the rare case of a breach, steps will be taken to notify participants. There are no direct benefits to you for participating in this study. However, you will be helping with an important research study.
This study is being conducted by Westat, a survey research organization, on behalf of the U.S. Food and Drug Administration (FDA). If you have any questions about this research, including why it is being conducted or how the results will be used, 1-855-658-0334 or email [email protected]. If you have questions about your role as a research participant, please contact the Westat Human Subjects Protections Office at 1-888-920-7631.
OMB No: 0910-0876 Expiration Date: 10/31/2025
PUBLIC Disclosure Burden Statement: Public reporting burden for
this collection of information is estimated to average 1 minute per
response for this screener, including the time for reviewing
instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the
collection of information. An agency may not conduct or
sponsor, and a person is not required to respond to, a collection of
information unless it displays a currently valid OMB control number.
Send comments regarding this burden estimate or any other aspect of
this collection of information, including suggestions for reducing
this burden, to: [email protected].
Food
and Drug Administration
CFSAN/PRA Comments/HFS-24
5001
Campus Dr.
College Park, MD 20740-3835
Screener
Do you agree to participate in this survey?
○ Yes, I agree to participate in this survey. Continue
○ No, I do not agree to participate in this survey. Terminate
[Programmer: Add page break]
What is your age? [SCREENER] [AGE]
____________________ [Terminate if under 18]
[Programmer: Add page break]
In what country do you live? [COUNTRY]
United States of America Continue
Canada Terminate
Mexico Terminate
Other, please specify: ____________________ Terminate
[Programmer: Add page break]
F20. In what state do you currently live and sleep most of the time?
[Drop down menu of all 50 states and DC]
[Programmer: Add page break]
Are you comfortable reading in English? [SCREENER] [READ_ENG]
Yes Continue
No Terminate
[Programmer: Add page break]
F13. Are you: Mark all that apply
Female
Male
Transgender, non-binary, or another gender
[Programmer: Add page break]
F15. Are you Hispanic or Latino?
Yes
No
[Programmer: Add page break]
F16. What is your race? (Please select one or more)
White
Black or African American
Asian
Native Hawaiian or other Pacific Islander
American Indian or Alaska Native
[Programmer: Add page break]
[TERMINATION TEXT]
Unfortunately, you do not qualify for this particular study. There are a number of reasons people do not qualify. Thank you for your willingness to participate in this survey.
[Programmer: Add page break]
[QUALIFICATION TEXT]
Congratulations, you qualify for the study! We appreciate your willingness to participate.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Wu, Fanfan |
File Modified | 0000-00-00 |
File Created | 2023-08-01 |