FEMA Form FF-302-F Wireless Emergency Alert (WEA) Test Survey

Survey Following the National Test of the Wireless Emergency Alert (WEA) System

FF-302-FY-22-101_OMB final

OMB: 1660-0157

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Survey Following the National Test of the Wireless Emergency Alert (WEA) System


OMB Control Number: 1660 - NW151 (Temporary #)


Attachment A


WEA National Test Survey Instrument


2022_11_04


NOTE: This survey is designed with a 2023 national test in mind, with exact date yet to be determined. To facilitate review, we have inserted a hypothetical national test date and time of June 18, 2023, 6:00 PM EST.



Screener


  1. Do you currently have a working cell phone?

  • Yes

  • No à If No, Code Ineligible

  • Don’t know à If Don’t know, Code Ineligible


Phone and Carrier


  1. If you have multiple cell phones, answer the following questions for what you consider your primary cell phone, or the one you use the most.



What is the carrier for your primary cell phone? That is, what company provides your cell phone service? If you do not know, please choose “don’t know.” (select one)

  • AT&T

  • Boost

  • Cricket

  • Metro by T-Mobile

  • Straight Talk

  • T-Mobile/Sprint

  • TracFone

  • US Cellular

  • Verizon

  • Other (Please specify: _________)

  • Don’t Know


  1. What brand is your primary cell phone? If you do not know, please choose “don’t know.” (select one)

  • Alcatel

  • Apple/iPhone

  • Google

  • Kyocera

  • LG

  • Motorola

  • Nokia

  • OnePlus

  • Samsung

  • Other (Please specify: _________)

  • Don’t know


  1. [Q4, Q4B, and Q4C ARE CONDITIONAL BASED ON RESPONSE TO Q3. NOKIA IS SHOWN AS AN EXAMPLE]


[If brand=Nokia] What kind of Nokia phone do you have? If you do not know, please choose “don’t know.” (select one)

  • 3.1

  • C2 Tava or C5 Endi

  • Journey

  • Lumia

  • Maui or Myra

  • Wonder

  • Other (Please specify: _______)

  • Don’t know


4B. [If Nokia=1 3.1] What kind of Nokia 3.1 phone do you have? If you do not know, please choose “don’t know.” (select one)

  • 3.1 A

  • 3.1 C

  • 3.1 Plus

  • Other (Please specify: _______)

  • Don’t know


4C. [If Nokia=3 Journey] What kind of Nokia Journey phone do you have? If you do not know, please choose “don’t know.” (select one)

  • Journey L

  • Journey V

  • Other (Please specify: _______)

  • Don’t know



  1. How confident were you in selecting what kind of phone you have?

  • Very confident

  • Somewhat confident

  • A bit confident

  • Not at all confident


WEA Performance


  1. A test alert was sent on June 18, 2023 at 6:00 PM EST by the Federal Emergency Management Agency (FEMA) to cell phones across the United States. It looked similar to one of the following.

[show labeled graphics of short and long versions of the test alert. Images will include alterative text for screen readers.]


Did you get this test alert on your primary cell phone?

  • Yes, short version

  • Yes, long version

  • No à If No, Go To Question 9

  • Don’t Know à If Don’t Know, Go To Question 9


  1. In what language did you get this test alert?

    • English

    • Spanish


  1. This alert was sent on June 18, 2023 at 6:00 PM EST, but you may have gotten it later. Approximately when did you first notice this test alert on your primary cell phone?

ENTER DATE: [DROP DOWN: June 18 (Sunday), June 19 (Monday), June 20 (Tuesday), DK]

ENTER HOUR: [DROP DOWN MENU, INCLUDE DK OPTION]

ENTER MINUTE: [DROP DOWN MENU OF 15-MINUTE INCREMENTS, INCLUDE DK OPTION]

ENTER AM/PM: [DROP DOWN MENU, INCLUDE DK OPTION]


ENTER TIME ZONE: [DROP DOWN MENU, INCLUDE DK OPTION]



  1. To better understand how well test alerts work in different locations, we would like to know generally where you were when (IF Q6=YES: you first noticed this test alert on your primary cell phone/IF Q6=NO or DK: when the test alert was sent on June 18, 2023 at 6:00 PM EST). If you do not know exactly, please provide as much information as you can.

ENTER STATE: [DROP DOWN MENU, INCLUDE DK OPTION]

ENTER COUNTY: [DROP DOWN MENU, INCLUDE DK and N/A OPTION]

ENTER CITY: [DROP DOWN MENU, INCLUDE DK and N/A OPTION]


  1. [If DK or refuse to County and City in Q9] (IF Q6=YES: When you first noticed this test alert on your primary cell phone/IF Q6=NO or DK: When the test alert was sent (June 18, 2023 at 6:00 PM EST)), were you at your home?

    • Yes

    • No

    • Don’t know


  1. Was your primary cell phone turned on at the time of this test alert on June 18, 2023 at 6:00 PM EST?

    • Yes

    • No à Go to Question 16

    • Don’t know


  1. Were you near your primary cell phone at the time of this test alert on June 18, 2023 at 6:00 PM EST? That is, were you close enough to notice it.

    • Yes

    • No à Go to Question 15

    • Don’t know


  1. Were you using your primary cell phone (for example, on a call or checking email) at the time of this test alert on June 18, 2023 at 6:00 PM EST?

    • Yes

    • No à Go to Question 15

    • Don’t know à Go to Question 15


  1. Were you on a call on your primary cell phone at the time of this test alert on June 18, 2023 at 6:00 PM EST?

    • Yes

    • No

    • Don’t know


  1. Was your primary cell phone connected to WiFi at the time of this test alert on June 18, 2023 at 6:00 PM EST?

    • Yes

    • No

    • Don’t know


SKIP: IF Q6=NO or DK GO TO QUESTION 17


  1. Did you get this test alert multiple times on your primary cell phone?

    • Yes

    • No

    • Don’t know



  1. (Prior to the test alert on June 18, 2023), have/had you ever heard of Wireless Emergency Alerts (WEA)?

    • Yes

    • No

    • Don’t know


  1. Is your primary cell phone opted out of any type of emergency alerts? These alerts may include AMBER or severe weather alerts.


  • Yes

  • No à Go to Question 20

  • I don’t remember à Go to Question 20


  1. Please check all of the alerts that you have opted out of. If you do not remember, please choose “I don’t remember.”

[CONDITIONAL LIST BASED ON PHONE MANUFACTURER]

[APPLE/IPHONE OPTIONS SHOWN AS AN EXAMPLE]


  • AMBER alerts

  • Emergency alerts

  • Public Safety alerts

  • I don’t remember


Basic demographics


  1. How old are you?

[NUMERIC FILL]


  1. Are you Hispanic or Latino? Please check all that apply.

  • Yes, Hispanic or Latino

  • No, not Hispanic or Latino


  1. What is your race? Please check all that apply.

  • American Indian or Alaska Native

  • Asian

  • Black or African American

  • Native Hawaiian or Other Pacific Islander

  • White


  1. What language do you mainly speak at home?

ENTER LANGUAGE: [DROP DOWN MENU, IN ORDER OF PREVALENCE]

English

Spanish

Chinese

American Sign Language

Tagalog

Vietnamese

French

Korean

German

Arabic

Russian

French Creole

Italian

Portuguese

Hindi

Polish

Japanese

Another language not listed above (please specify):


  1. Do you have any of the following? Please check all that apply.


  • I have no disability

  • Deafblind

  • Blind

  • Low Vision or other vision related limitation

  • Deaf

  • Hard of Hearing or other hearing related limitation

  • Lower-body physical limitation, such as difficulty in walking or difficulty climbing stairs, or the use of a wheelchair

  • Upper-body physical limitation, such as difficulty in reaching, carrying, grasping, or manipulating

  • Speech or communication limitation

  • Cognitive or learning disability, such as difficulty with memory, learning, or processing information

  • Emotional, psychiatric, or behavioral disability

  • Other disability not listed above (please describe):


  1. What is your annual household income?

  • Less than $33,000

  • $33,001 - $60,000

  • $60,001 - $122,000

  • $122,001 - $200,000

  • $200,001-$505,000

  • More than $505,000


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

[DROP FILL]


  1. Did you get your cell phone through a subsidy or discount program related to income or through a state, local, or federal program (e.g., Lifeline, iCanConnect, telecommunications equipment distribution program)?

    • Yes

    • No

    • Don’t know


  1. We have fielded this survey to a number of survey panels in the past week. Before now, had you already taken this survey? Your answer to this question will not affect your reward for taking the survey.

    • Yes

    • No

    • Don’t know


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FEMA Form FF-302-FY-22-101

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSteratore, Rachel
File Modified0000-00-00
File Created2023-09-10

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