Screener

Focus Group Screener.pdf

Focus Groups

Screener

OMB: 3041-0136

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CPSC Refining Messaging for Seated-Infant Products Focus Group Study
SCREENER – Focus Groups
SECTION 1: INTRODUCTION
Hello, my name is
, and I am calling on behalf of Fors Marsh Group, an independent
research firm. We will be conducting focus groups for a federal public health agency about “Seated
Infant products.” . Focus groups will last about 90 minutes. As a thank you for participating in the
study, participants will receive $90 via TangoCard, which can be redeemed for a gift card.
[REPEAT INTRO IF CALL WAS TRANSFERRED]
May I ask you a few questions to see if you are qualified to participate in the study?

Yes

[ ]

[CONTINUE]

No

[ ]

[THANK AND
END]

Great! Before we begin, you should know that there are no wrong answers to the questions I’m
going to ask you. You also don’t have to answer any questions if you don’t want to. If an answer
leads to me ending the call, that is because we are looking for a diverse set of people, and we may
already have enough similar candidates for this study. Any questions before we begin?

1

SECTION 2: SCREENER AND DEMOGRAPHIC QUESTIONS
PLEASE USE THE TERMINATION LANGUAGE BELOW FOR ANY RESPONSE THAT
LEADS TO THE ANSWER OPTION “[THANK AND END].”

1. In the past 5 years, have you or a member of your immediate family worked in any of
the fields, companies, or organizations listed below?
A market research or marketing
company

[ ]

[THANK AND
END]

A health care company or
organization

[ ]

[THANK AND
END]

Childcare (e.g., daycare
employee, babysitter/nanny)

[ ]

[THANK AND
END]

Children’s product manufacturer

[ ]

[THANK AND
END]

Refused

[ ]

[THANK AND
END]

2. When, if ever, was the last time you participated in a marketing research or survey
research study?

Within the past 3 months

[ ]

[THANK AND
END]

More than 3 months ago

[ ]

[CONTINUE]

Never

[ ]

[CONTINUE]

[ ]

[THANK AND
END]

Refused

2

3. Which of the following currently applies to you? You can select more than one answer.
I am married.

[ ]

I have children.

[ ]

I have
grandchildren.

[ ]

I live alone.

[ ]

I am single.

[ ]

I live with
roommates.

[ ]

Refused

[ ]

ONLY CONTINUE TO Q4 IF YES TO
CHILDREN OR GRANDCHILDREN. IF
NO TO CHILDREN OR
GRANDCHILDREN, THANK AND
END.

[THANK AND END]

4. Are you a primary guardian of your child or children, or grandchild or grandchildren)?
Yes

[ ]

[CONTINUE] GO TO Q5

No

[ ]

[THANK AND END]

Refused

[ ]

[THANK AND END]

5. Do you provide care for your child/children/grandchild/grandchildren?
Yes, I provide care for
my
child/children/grandchild/ [ ]
grandchildren at least 3
days a week.

[CONTINUE] GO TO Q6

No, I provide care for my
child/children/grandchild/
[ ]
grandchildren less than 3
days a week.

[THANK AND END]

Refused

[THANK AND END]

[ ]

3

6. How old will your youngest [child/children/grandchild/grandchildren] be in January
2022?
Child/Grandchild [Open text box] months old
Age ranges for eligibility:
0–6 months; 6-12 months
IF CHILD OR GRANDCHILD IS BETWEEN 0–12 MONTHS, GO TO Q7. IF CHILD
OR GRANDCHILD IS OLDER THAN 12 MONTHS, THANK AND END.
If >12 months, [THANK AND END]
IF ELIGIBLE, GO TO Q7.

7. Do you have any other children for whom you are the primary caregiver?
Yes

[ ]

[CONTINUE] GO TO Q8

No

[ ]

[CONTINUE] GO TO Q9

Refused

[ ]

[CONTINUE] GO TO Q9

8. How old are the other children for whom you are a primary caregiver?

Child/Grandchild 1

[Open text box] years old

Child/Grandchild 2

[Open text box] years old

Child/Grandchild 3

[Open text box] years old

Child/ Grandchild 4 [Open text box] years old
4

GO TO Q9

READ: Great. I have a few more questions to ensure that we speak to a variety of people during
our focus groups.
9. How would you describe your gender?
Male

[ ]

Female

[ ]

Other

[ ]

Refused

[ ]

[CONTINUE]

10. What is your age?
years old
//PROGRAMMING NOTE: This box should appear on screen with “years old” written after
it
Note to recruiter: Please record age-range category.
18–24 years old

[ ]

25–34 years old

[ ]

35–44 years old

[ ]

45–54 years old

[ ]

55–64 years old

[ ]

65–74 years old

[ ]

75 years or older

[ ]
5

[CONTINUE]

Refused

[ ]

11. Which of the following categories includes your race? You may select one or more races.
American Indian or Alaska Native

[ ]

Asian

[ ]

Black or African American

[ ]

Native Hawaiian or other Pacific Islander

[ ]

White

[ ]

Some other race [Record]

[ ]

Multiple races

[ ]

Refused

[ ]

[CONTINUE]

12. Are you Hispanic or Latino?
Yes

[ ]

No

[ ]

Refused

[ ]

[CONTINUE]

13. In your household [when your child or grandchild is at your house], who typically puts
your infant [child/grandchild] to bed? (Can choose more than one answer)
Myself

[ ]

Spouse

[ ]

Other

[ ]

Refused

[ ]

[CONTINUE]

//PROGRAMMERS NOTE: Allow multi-punch//

6

14. In your household, are you the primary purchaser of your [children’s/grandchildren’s]
nursery products?
Yes, I am the
primary
[ ]
purchaser.

[CONTINUE]

Yes, but I
share being
the primary
purchaser
[ ]
with another
primary
caregiver.
No, I am not
the primary [ ]
purchaser.
Refused

[ ]

7

SECTION 3: INVITATION TO PARTICIPATE IN A FOCUS GROUP
Thank you for taking the time to speak with me today. We would like to invite you to
participate in a focus group. The focus group will be audio and video recorded. You may
not participate in this study if you are not willing to be recorded.
The focus group will be scheduled the week of X and will last approximately 90 minutes.
Your opinions are very important to us. To thank you for your participation, you will be
given a $90 TangoCard (e.g., gift card, voucher).
People who have been invited previously to participate in this type of project have found
the experience to be enjoyable and informative.

Are you interested in participating in this study?

Yes

[ ]

> CONTINUE

No

[ ]

> TERMINATE

READ: Great! If you would like to provide your email address, I can send you a confirmation with
a location and time. Otherwise, do you have a pen and paper? I can provide the information to you
now.
Email address
[

] Open ended

8


File Typeapplication/pdf
File TitlePRA for OMB
AuthorDeepti Joshi
File Modified2021-11-04
File Created2021-11-04

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