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
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
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
What brand is your primary cell phone? If you do not know, please choose “don’t know.” (select one)
Alcatel
Apple/iPhone
Kyocera
LG
Motorola
Nokia
OnePlus
Samsung
Other (Please specify: _________)
Don’t know
[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
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
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
In what language did you get this test alert?
English
Spanish
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]
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]
[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
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
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
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
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
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
Did you get this test alert multiple times on your primary cell phone?
Yes
No
Don’t know
(Prior to the test alert on June 18, 2023), have/had you ever heard of Wireless Emergency Alerts (WEA)?
Yes
No
Don’t know
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
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
How old are you?
[NUMERIC FILL]
Are you Hispanic or Latino? Please check all that apply.
Yes, Hispanic or Latino
No, not Hispanic or Latino
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
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):
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):
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
How many total people – adults and children – currently live in your household, including yourself? Please enter a number.
[DROP FILL]
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
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
FEMA Form FF-302-FY-22-101
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |