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ASPA_CET_Weekly Survey_03_05_21_FINAL
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | ASPA_CET_Weekly Survey_03_05_21_FINAL |
| Author | Lindsey Strausser |
| Last Modified By | Writer |
| File Modified | 2021-03-01 |
| File Created | 2026-09-13 |
| Conversion State | complete |
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CET – Annotated Questionnaire (Wave 6) Note: The questions below are the proposed questions for the sixth 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 6 only. This week, we have added questions that address current perceptions of the COVID-19 pandemic and returning to pre-pandemic activities. Standard Questions Modular Questions One-Time Questions HHS Familiarity & Perceptions For the next section we would like to talk about current events. // Page Break // 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 //PROGRAMMING NOTE: IF hhs_fam = 1, SKIP TO pandem_percep// // Page Break // 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 // Item #: Q3 Question Type: Grid // Soft Prompt: “We would like your response to this question.” // pandem_percep. How much do you agree or disagree with the following statements in regard to the COVID-19 pandemic? //PROGRAMMING NOTE: RANDOMIZE Variable Name Variable Text Variable Label pandem_percep_1 The number of COVID-19 cases per day in the U.S. will decline over the coming months. pandem_percep_1: Cases Decline pandem_percep_2 There will be another spike in COVID-19 cases in the U.S. before the end of 2021. pandem_percep_2: Spike in Cases pandem_percep_3 The number of people I know personally that were diagnosed with COVID-19 in 2021 has decreased. pandem_percep_3: Know Personally pandem_percep_4 I feel better about the COVID-19 pandemic today than I did in 2020. pandem_percep_4: Feel Better pandem_percep_5 I am less concerned about getting diagnosed with COVID-19 today than I was in 2020. pandem_percep_5: Less Concerned Value Value Label 1 Strongly disagree 2 Disagree 3 Neither agree nor disagree 4 Agree 5 Strongly agree -99 Refused // Page Break // Item #: Q4-Q6 Question Type: Grid // Soft Prompt: “We would like your response to this question.” // misinform. How much do you agree or disagree with the following statements? //PROGRAMMING NOTE: RANDOMIZE misinform_1 to misinform_15. Split grid across three pages (every 5 questions) misinform_1 If someone has ever had a severe allergic reaction to any ingredient in a COVID-19 vaccine, they should not get that specific vaccine. misinform_1: Vaccine allergies misinform_2 If someone gets COVID-19 and recovers, they don't need to get a COVID-19 vaccine. misinform_2: Already had COVID-19 misinform_3 Getting a COVID-19 vaccine can give you COVID-19. misinform_3: Give you COVID-19 misinform_4 People don’t need to wear a mask after they get a COVID-19 vaccine. misinform_4: Don’t need mask misinform_5 In order to be authorized for use, the COVID-19 vaccines must go through extensive testing over three phases of clinical trials with thousands of participants. misinform_5: Vaccines extensively tested misinform_6 The COVID-19 vaccines include microchips used to track people. misinform_6: Microchips misinform_7 COVID-19 vaccines will alter my DNA. misinform_7: Alter DNA misinform_8 COVID-19 vaccines can cause infertility or miscarriage. misinform_8: Infertility or miscarriage misinform_9 Natural immunity is healthier and more effective than vaccine-induced immunity. misinform_9: Natural immunity misinform_10 If everyone around me is immune, then I don't need to be vaccinated. misinform_10: Everyone is immune misinform_11 Vaccines can cause autism. misinform_11: Autism misinform_12 Once you receive the COVID-19 vaccine, you're immune for life. misinform_12: Immune for life misinform_13 If I got the flu shot this year, I don't need a COVID-19 vaccine. misinform_13: Flu shot misinform_14 COVID-19 vaccines can cause a short fever, headache, fatigue, sore arm or chills, especially after the second dose. Other reactions are extremely rare. misinform_14: Minor side effects misinform_15 The COVID-19 virus is mutating. Early research is finding that the current vaccines can still protect against most of the new COVID-19 strains or variants. misinform_15: Vaccines protect against variants Value Value Label 1 Strongly disagree 2 Disagree 3 Neither agree nor disagree 4 Agree 5 Strongly agree -99 Refused // Page Break // Item #: Q7 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // BEH1_CET. A Food and Drug Administration (FDA)-authorized vaccine to prevent COVID-19 is 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 // //PROGRAMMING NOTE: DISPLAY IF BEH1_CET=0 OR -99// Item #: Q8 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 // Page Break // //PROGRAMMING NOTE: DISPLAY IF BEH1_CET=1// Item #: Q9 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 // //PROGRAMMING NOTE: DISPLAY IF BEH1_CET=0 OR -99// Item #: Q10 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // BEH3a_CET. A Food and Drug Administration (FDA)-authorized vaccine to prevent COVID-19 is 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: DISPLAY IF BEH1_CET=1// Item #: Q11 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // BEH3b_CET. A Food and Drug Administration (FDA)-authorized vaccine to prevent COVID-19 is 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 // //PROGRAMMING NOTE: DISPLAY IF BEH3b_CET =2// Item #: Q12-Q14 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 BEH3_1_CET-BEH3_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_3_CET I want to know if the vaccine is effective first. BEH4_3_CET: Confirm effectiveness 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 problems. 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 // Item #: Q15 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // watch_pub_vacc. Have you watched videos or seen pictures of someone else getting a COVID-19 vaccine? Variable Label: watch_pub_vac: Watched public vaccination? Value Value Label 0 No 1 Yes -99 Refused // Page Break // //PROGRAMMING NOTE: SHOW IF watch_pub_vacc = 1 // Item #: Q16-Q17 Question Type: Grid // Soft Prompt: “We would like your response to this question.” // type_pub_vacc. Who did you see get vaccinated? Select all that apply. //PROGRAMMING NOTE: RANDOMIZE type_pub_vacc_1 to type_pub_vacc_7. // type_pub_vacc _1 Member(s) of the U.S. congress type_pub_vacc _1: Congress type_pub_vacc _2 Local/state politician(s) type_pub_vacc _2: Local politician type_pub_vacc _3 Doctor(s), nurse(s), or other health care worker(s) type_pub_vacc _3: Nurse/health care worker type_pub_vacc _4 Public health official(s) (e.g., Dr. Anthony Fauci) type_pub_vacc _5: Public health official type_pub_vacc _5 President Biden type_pub_vacc _6: President type_pub_vacc _6 Vice President Harris type_pub_vacc _7: Vice President type_pub_vacc _7 A celebrity, artist, musician, athlete, or other “influencer” type_pub_vacc _8: Influencer type_pub_vacc _8 Other type_pub_vacc _9: Other Value Value Label 0 No 1 Yes -99 Refused // Page Break // //PROGRAMMING NOTE: SHOW IF LEAST ONE ITEM FROM type_pub_vacc=1. PIPE “YES” RESPONSES // Item #: Q18-Q19 Question Type: Grid // Soft Prompt: “We would like your response to this question.” // imp_pub_vacc. Please consider how seeing the following people get vaccinated made you feel about getting a COVID-19 vaccine yourself. Did seeing these vaccinations make you more likely, less likely, or not affect whether you would get the vaccine? //PROGRAMMING NOTE: MATCH ORDER OF type_pub_vacc_1 to type_pub_vac_8. // imp_pub_vacc _1 Member(s) of the U.S. congress type_pub_vacc _1: Congress imp_pub_vacc _2 Local/state politician(s) type_pub_vacc _2: Local politician imp_pub_vacc _3 Doctor(s), nurse(s), or other health care worker(s) type_pub_vacc _3: Nurse/health care worker imp_pub_vacc _4 Public health official(s) (e.g., Dr. Anthony Fauci) type_pub_vacc _4: Doctor imp_pub_vacc _5 President Biden type_pub_vacc _6: President imp_pub_vacc _6 Vice President Harris type_pub_vacc _7: Vice President imp_pub_vacc _7 A celebrity, artist, musician, or other "influencer." type_pub_vacc _8: Influencer imp_pub_vacc _8 Other type_pub_vacc _9: Other Value Value Label 1 Made me less likely to get the vaccine 2 Didn’t affect whether I would get the vaccine 3 Made me more likely to get the vaccine 99 Refused -100 Valid skip // Page Break // //PROGRAMMING NOTE: IF BEH1_CET=0 OR -99 THEN 25% shown jj_effect_mild, 25% shown jj_effect_severe, 25% shown jj_dose, 25% shown jj_variants// // Page Break // Item #: Q20 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // jj_effect_mild. The Johnson & Johnson COVID-19 vaccine was just authorized for use by the Food and Drug Administration (FDA). The Johnson & Johnson vaccine is 66% percent effective at preventing mild to moderate cases of COVID-19. If the Johnson & Johnson vaccine were offered to you immediately and at no cost, how likely would you be to get the vaccine? Variable Label: vacc_total: Vaccine likelihood with actual vaccine total Value Value Label 1 1 – Not at all likely 2 2 – 3 3 – 4 4 – Moderately likely 5 5 – 6 6 – 7 7 – Extremely likely -99 Refused Item #: Q21 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // jj_effect_severe. The Johnson & Johnson COVID-19 vaccine was just authorized for use by the Food and Drug Administration (FDA). The Johnson & Johnson vaccine is 85% percent effective at preventing severe cases of COVID-19. If the Johnson & Johnson vaccine were offered to you immediately and at no cost, how likely would you be to get the vaccine? Variable Label: vacc_total: Vaccine likelihood with actual vaccine total Value Value Label 1 1 – Not at all likely 2 2 – 3 3 – 4 4 – Moderately likely 5 5 – 6 6 – 7 7 – Extremely likely -99 Refused Item #: Q22 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // jj_dose. The Johnson & Johnson COVID-19 vaccine was just authorized for use by the Food and Drug Administration (FDA). The Johnson & Johnson vaccine only requires one dose. If the Johnson & Johnson vaccine were offered to you immediately and at no cost, how likely would you be to get the vaccine? Variable Label: vacc_total: Vaccine likelihood with actual vaccine total Value Value Label 1 1 – Not at all likely 2 2 – 3 3 – 4 4 – Moderately likely 5 5 – 6 6 – 7 7 – Extremely likely -99 Refused Item #: Q23 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // jj_variants. The Johnson & Johnson COVID-19 vaccine was just authorized for use by the Food and Drug Administration (FDA). The Johnson & Johnson vaccine was tested in countries with emerging COVID-19 variants and is equally effective against new COVID-19 variants in the United States, Brazil, and South Africa. If the Johnson & Johnson vaccine were offered to you immediately and at no cost, how likely would you be to get the vaccine? Variable Label: vacc_total: Vaccine likelihood with actual vaccine total Value Value Label 1 1 – Not at all likely 2 2 – 3 3 – 4 4 – Moderately likely 5 5 – 6 6 – 7 7 – Extremely likely -99 Refused Item #: Q24 Question Type: Single punch // Soft Prompt: “We would like your response to this question.” // vacc_trust. How much trust do you have that an FDA-authorized COVID-19 vaccine may be safe and effective for you to get? Variable Label: vacc_trust: Trust in Safety of Vaccine Value Value Label 1 None at all 2 Not very much 3 A fair amount 4 A great deal -99 Refused