Creative Testing Experiment Questionaire

ASPA COVID-19 Public Education Campaign Market Research

0990-0476 Creative Testing Experiment Questionnaire_Boosters_06162022

Creative Testing Experiment Questionaire

OMB: 0990-0476

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Creative Testing Experiment Questionnaire: Boosters

Welcome



You have been selected to take this survey about public health educational material. The primary purpose of this survey is to help assess, among a large group of U.S. adults, perceptions of public health educational material that looks like what you would see in an advertisement. The survey will also assess experience and behaviors, and trusted information sources related to public health educational material.

Most people take about 20 minutes to complete the survey.

As mentioned, this survey will show you public health educational material and then ask you some questions about it. The educational material will require you to listen and/or view the content—please make sure you have the volume of your device turned to a level that will allow you to hear the content clearly.

We also have some additional information available to you about this survey. Select the additional pages you would like to read below, if any. You will then be shown a privacy statement before proceeding with the survey.



[Checkbox] Frequently Asked Questions

[Checkbox] Contact Us



Thank you for your time and participation.

[Continue]



For question or concerns about this survey, visit: https://prodegesupport.zendesk.com/hc/en-us/requests/new?ticket_form_id=360001213252



Privacy Advisory

This survey does NOT collect or use personally identifiable information (PII) such as your name, date of birth, or contact information. Responding to this survey is voluntary. Your responses will be treated as confidential and will be maintained in a secure dataset. There is no penalty to you if you choose not to respond. However, we encourage you to answer all questions so that the data will be complete and will represent typical attitudes and beliefs of all Americans.



Frequently Asked Questions (FAQ)

Why is this study being conducted?

Why should I participate?

Do I have to answer all questions?

Can I save my answers and return to the survey later?

Will my answers be kept private?

Can I withdraw answers once I have started the survey?

What are the costs and benefits of participating?

How will my responses be used?

Will I see the results of the survey?

Why is this study being conducted?

  • This study is being conducted to understand people’s opinions of, experience with, and behaviors related to public health educational materials, as well as reactions to advertisements about public health topics.



Why should I participate?

  • By participating in this survey, you will contribute to a better understanding of public health topics. You may also learn more about public health topics as a result of information you learn by taking part in this survey.



Do I have to answer all questions?

  • No, it is not necessary to answer every question. Your participation in this study is completely voluntary. This means that you are free to withdraw from this survey at any time or to skip any questions. There is no penalty to you if you choose not to respond.

  • Some questions in this survey will ask about your personal experiences with COVID-19, which may be uncomfortable to answer. You have the right to skip these questions. Additionally, if you experience any distress taking this survey, you may contact the 1) SAMHSA Disaster Distress Helpline (1-800-985-5990) or the 2) Suicide Prevention Lifeline (1-800-273-8255), which both offer free 24/7 support services.

  • At the bottom of your survey screen, you have one control button: Continue (>>). Use this button to navigate through the survey or skip questions.



Will my answers be kept private?

  • Responses will remain private to the extent allowable by law. None of the information you provide will be used to contact you for or will be used in future research or distributed to another investigator for future studies. Survey responses will be aggregated (combined), and only group statistics will be reported. You will not be identified even if the results of this study are published.



Can I withdraw answers once I have started the survey?

  • If you wish to withdraw your answers, please notify the survey helpdesk by visiting: https://prodegesupport.zendesk.com/hc/en-us/requests/new?ticket_form_id=360001213252.



What are the costs and benefits of participating?

  • There is no cost to you for participating in this study.

  • This study is for research purposes only. There is no direct benefit to you for taking part in this study. Any compensation you receive is a small token to thank you for participating, if you choose to do so.

  • If you decide to participate and qualify for the study, you will receive $5.00 for completing the survey.



How will my responses be used?

  • Your responses will be used to inform a public education campaign. This is your chance to be heard on issues that directly affect you. While your survey responses will be kept private, summarized responses may be released to the public.



Will I see the results of the survey?

  • Results from this study might appear in professional journals or scientific conferences or might be submitted in a report to Congress. No individual participants will be identified or linked to the results. We will not disclose your identity in any report or presentation.



Contact Us

If you have questions or concerns about this survey, such as payment questions or technical issues you may experience, please visit https://prodegesupport.zendesk.com/hc/en-us/requests/new?ticket_form_id=360001213252.

An external institutional review board (IRB), which is an independent committee established to help protect the rights of research subjects, has approved this study. If you have any questions about your rights as a research subject, contact the IRB at:

By mail:

BRANY IRB

1981 Marcus Avenue, Suite 210

Lake Success, NY 11042


• Or call toll free: 516-318-6877

• Or by email: [email protected]

• Or by visiting this website: www.branyirb.com/concerns-about-research.

Please reference the following number when contacting the Study Subject Adviser: [21-001-821].



[TERMINATION LANGUAGE]

We’re sorry, but you are not eligible for this study. There are many possible reasons why people are not eligible for this study. These reasons were decided earlier by the researchers. However, thank you for your interest in this study and for taking the time to answer our questions today.



SECTION 1: DEMOGRAPHICS (SAMPLE BALANCING)

[PROGRAMMING NOTE: DISPLAY TEXT] This first series of questions is for informational purposes and to determine if you are qualified to participate in this study.


Item #: DEM2

Question Type: Single Punch

Variable Name: Sex

Variable Text: What sex were you assigned at birth?

Variable Label: Sex

//PROGRAMMING NOTE: ROTATE RESPONSE OPTIONS 1-2//

Value

Value Label

1

Male

2

Female


Item #: DEM5

Question Type: Numeric Open End

Variable Name: ZIP Code

Variable Text: In what ZIP code do you live?

Variable Label: ZIP

//PROGRAMMING NOTE: ONLY ALLOW FIVE DIGITS, CODE INTO STATE AND CENSUS REGIONS//



Item #: DEM6

Question Type: Numeric Open End

Variable Name: Age

Variable Text: What is your age?

Variable Label: Age

//PROGRAMMING NOTE: SET RANGE AS: 0–115, CONTINUE IF DEM3=18+, OTHERWISE DISPLAY TERMINATION LANGUAGE IMMEDIATELY AND TERMINATE//

//PROGRAMMING NOTE: HARD PROMPT: Please enter your age in years using numbers.//



Item #: DEM11

Question Type: Single Punch

Variable Name: Hispanic/Latino

Variable Text: Are you of Hispanic, Latino, or Spanish origin?

Variable Label: Hispanic/Latino Ethnicity

//PROGRAMMING NOTE: SKIP IF SCREENED_SPANISH=1//

Value

Value Label

1

Yes

2

No


Item #: DEM12

Question Type: Multi Punch

Variable Name: Race

Variable Text: What is your race? Please select all that apply.

Variable Label: Race

Variable Name

Text

Variable Label

RACE_1

White

RACE_1 White

RACE_2

Black or African American

RACE_2 Black or African American

RACE_3

American Indian or Alaska Native

RACE_3 American Indian or Alaska Native

RACE_4

Asian (e.g., Asian Indian, Chinese, Filipino, Japanese, Korean, Vietnamese)

RACE_4 Asian

RACE_5

Native Hawaiian or other Pacific Islander (e.g., Native Hawaiian Samoan, Chamorro, Tongan, Fijian, Marshallese)

RACE_5 Native Hawaiian or other Pacific Islander


Value

Value Label

0

Yes (Selected)

1

No (Not selected)



Item #: DEM13

Question Type: Single Punch

Variable Name: Education

Variable Text: What is the highest level of school you have completed?

Variable Label: Education Completion

Value

Value Label

1

8th grade or less

2

9th grade

3

10th grade

4

11th grade

5

12th grade—no diploma

6

High school diploma

7

High school equivalent (GED)

8

Some college, no degree

9

Associate degree

10

Bachelor’s degree

11

Master’s degree

12

Professional or doctorate degree



Item #: DEM1

Question Type: Multi Punch

Variable Name: Employment Status

Variable Text: Which statement best describes your current employment status?

Variable Label: Employment Status

//PROGRAMMING NOTE: Make DEM1_4 and DEM1_5 exclusive from one another. Also make all working and not working options exclusive from one another.

Variable Name

Text

Variable Label

DEM1_1

Working – as a paid employee

DEM7_1: Employee paid

DEM1_2

Working – self-employed

DEM7_2: Employee self

DEM1_9

Working – part-time

DEM7_9: Employee part_time

DEM1_10

Stay at home parent/guardian

DEM7_10: Home parent

DEM1_11

Student – not working

DEM7_11: Student NW

DEM1_12

Student – working part-time

DEM7_12: Student PTW

DEM1_3

Not working – on temporary layoff from a job

DEM7_3: Temp unemployed

DEM1_4

Not working – looking for work

DEM7_4: Looking

DEM1_5

Not working – retired

DEM7_5: Retired

DEM1_6

Not working – disabled

DEM7_6: Disabled

DEM1_7

Not working – other [Specify]

DEM7_7: Other

DEM1_8

Other [Specify]

DEM7_8: Other NS



Value

Value Label

0

Yes (Selected)

1

No (Not selected)


Item #: DEM14

Question Type: Multi Punch

Variable Name: Employment Type

Variable Text: In the last five years, have you or a member of your immediate family worked in any of the following fields, companies, or organizations? Select all that apply.

Variable Label: Employment Type

//PROGRAMMING NOTE: IF YES TO OPTIONS 1-4, DISPLAY TERMINATION LANGUAGE AND TERMINATE//

Variable Name

Text

Variable Label

DEM14_1

Market or public opinion research

DEM8_1: Marketing

DEM14_2

An advertising, public relations, or marketing agency

DEM8_2: Advertising

DEM14_3

News, radio, TV, print, media

DEM8_3: Media

DEM14_4

For the U.S. Federal government

DEM8_4: US Government

DEM14_5

As a healthcare provider or medical professional (e.g., physician, nurse)

DEM8_5: Health

DEM14_6

At a healthcare company

DEM8_6: Healthcare

DEM14_7

None of these

DEM8_7: None


Value

Value Label

0

Yes (Selected)

1

No (Not selected)



Item #: BEH0

Question type: Single punch

Variable Name: BEH0

Variable Text: Have you participated in a COVID-19 vaccine clinical trial?

Variable Label: BEH0: COVID-19 vaccine clinical trial participation

//PROGRAMMING NOTE: IF BEH0=1, DISPLAY TERMINATION LANGUAGE AND TERMINATE//

Value

Value Label

0

No

1

Yes




SECTION 2: ELIGIBILITY AND INTENTIONS TO RECEIVE A COVID-19 BOOSTER

[PROGRAMMING NOTE: DISPLAY TEXT] The following questions will ask about your actions and beliefs about COVID-19 boosters. The U.S. Food and Drug Administration (FDA) has authorized boosters that protect against COVID-19, and we want to learn more about your beliefs and plans related to this booster. For the following questions, please assume there are enough boosters so that everyone who wants one can get one.

//PROGRAMMING NOTE: ASK QUESTIONS IN SECTION 2 TO ALL GROUPS//


Item #: BEH1

Question type: Single punch

Variable Name: BEH1

Variable Text: Food and Drug Administration (FDA)-authorized and FDA-approved vaccines to prevent COVID-19 are now available at no cost. Have you received a COVID-19 vaccine?

Variable Label: BEH1: Vaccination behavior

//TERMINATE AT END OF SCREENER IF BEH1=0 or BEH1=1//

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

Item #: BSTR1_Uptake_2

Question Type: Single punch

Variable Name: BSTR1_Uptake
Variable Text: U.S. health officials and medical experts now recommend COVID-19 vaccine booster shots. Have you received a COVID-19 vaccine booster shot?

Variable Label: BSTR1_Uptake_2: Booster uptake – April 2022 guidance
//Ask if BEH1 = 2 //

//PROGRAMMING NOTE: DISPLAY TERMINATION LANGUAGE AT END OF SCREENER IF BSTR1_Uptake_2=1,2//

Value

Value Label

0

No, I have not received a booster shot.

1

Yes, I have received 1 booster shot.

2

Yes, I have received 2 booster shots.

-100

Valid skip




Item #: BEH5b

Question type: Single punch

Variable Name: BEH5b

Variable Text: What is the likelihood that you will get a COVID-19 vaccine booster shot?

Variable Label: BEH5b: Intention to get booster shot

//Ask only if BSTR1_Uptake_2=0//

Value

Value Label

1

Very unlikely

2

Somewhat unlikely

3

Neither likely nor unlikely

4

Somewhat likely

5

Very likely

-100

Valid skip





Item #: BEH5c

Question type: Single punch

Variable Name: BEH5c

Variable Text: You responded that you have not received a COVID-19 booster shot. Boosters are now available to you at no cost. How soon will you get the booster shot?

Variable Label: BEH5c: Wait to get booster shot

//ASK BSTR1_Uptake_2=0//

//PROGRAMMING NOTE: DISPLAY TERMINATION LANGUAGE AT END OF SCREENER IF BEH5c=3//

Value

Value Label

1

I will get the booster shot as soon as I can and am eligible

2

I will wait to get the booster shot for one or more reasons

3

I will never get the booster shot

-100

Valid skip


END OF SCREENER: //Programming Note: If participants pass the above questions, show consent form here. If they do not pass, show termination language here.//



Item #: BEH5d

Question type: Single punch

Variable Name: BEH5d

Variable Text: You responded that you will wait to get the booster shot. How long will you wait?

Variable Label: BEH5d: Length of booster shot wait

//Ask if BEH5c = 2 (I will wait to get the booster shot for one or more reasons)//

Value

Value Label

1

A few weeks

2

A few months

3

1 year

4

1 year to less than 3 years

5

3 years or more

-99

REFUSED

-100

VALID SKIP



SECTION 3: KNOWLEDGE

//PROGRAMMING NOTE: ASK QUESTIONS IN SECTION 3 TO ALL GROUPS//


Item #: KNOW1

Question Type: Single Punch

Variable Name: KNOW1

Variable Text. Please indicate which of the following best represents your level of knowledge about COVID-19 boosters.

Variable label: KNOW1: Level of knowledge

Value

Value Label

01

I know nothing at all about COVID-19 boosters.

02

I know only a slight amount about COVID-19 boosters.

03

I know some about COVID-19 boosters.

04

I know a good bit about COVID-19 boosters.

05

I know a lot about COVID-19 boosters.

-99

Refused




Item #: KNOW2

Question Type: Open end

Variable Name: KNOW2

Variable Text. Reflecting on what you have seen, read, or heard about COVID-19 boosters, please list any/all benefits of the booster that you remember. Use one line for each benefit you remember. Use as many lines as you need.

Variable label: KNOW2: Pretest Unaided Benefits

//Limit to 1,000 characters.//

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.













SECTION 4: BOOSTER MESSAGING

//PROGRAMMING NOTE: EACH PARTICIPANT WILL BE RANDOMLY ASSIGNED TO 1 OF 5 CONDITIONS AS LISTED BELOW.//


CONDITIONS:

  1. BOOSTER VIDEO

  2. TRUSTED MESSENGER VIDEO

  3. STATIC IMAGE

  4. CAROUSEL IMAGE

  5. CONTROL (dummy video)



[PROGRAMMING NOTE: DISPLAY TEXT TO EACH PARTICIPANT.] Now, you are going to see some of the public education materials, which may include information on the COVID-19 booster. Then, we will ask you some questions about what you viewed. The material will require you to listen and/or view the media content—please make sure you have the volume of your device turned to a level that will allow you to hear the content clearly.


Click the continue button when you are ready to view the message. You will automatically proceed to the next screen once the message is finished.



STIMULI VIEWING CONFIRMATION


Item #: ADXX1

Question type: Single punch

Variable Name: ADXX1

Variable Text: Were you able to see this ad on your computer?

Variable Label: ADXX1: Viewing confirmation

Value 

Value Label 

0

No [Go to DEMO and termINATE]

1

Yes

-99 

Refused [Go to DEMO and termINATE]



Item #: ADXX2

Question type: Single punch

Variable Name: ADXX2

Variable Text: Were you able to hear this ad on your computer?

Variable Label: ADXX2: Viewing confirmation

//PROGRAMMING NOTE: SHOW ONLY IF CONDITION=1, 2, or 5 (VIDEO AD)//

Value 

Value Label 

0

No [Go to DEMO and termINATE]

1

Yes

-99 

Refused [Go to DEMO and termINATE]



Item #: ADXX11

Question type: Single punch

Variable Name: ADXX11

Variable Text: Had you seen this advertisement before today?

Variable Label: ADXX1: Exposure

Value 

Value Label 

0

No

1

Yes

2

Unsure

-99 

Refused 


Item #: ADXX3

Question type: Open-end

Variable Name: ADXX3

Variable Text: What was the main message of this ad? Please be as specific as possible.

Variable Label: ADXX3: OE comprehension

//Limit to 1,000 characters. //

Shape1





Item #: ADXX4

Question type: Single punch

Variable Name: ADXX4

Variable Text: How difficult was it, if at all, to understand the main message of this ad?

Variable Label: ADXX4: Difficulty of ad 


Value 

Value Label 

Not at all difficult

Slightly difficult

Moderately difficult

Very difficult

Extremely difficult

-99 

Refused 


Item #: ADXX5

Question type: Single punch

Variable Name: ADXX5

Variable Text: How complicated would you say the information in the message was, if at all?

Variable Label: ADXX5: Complicated

Value 

Value Label 

Not at all complicated

Slightly complicated

Moderately complicated

Very complicated

Extremely complicated

-99 

Refused 



Item #: ADXX6

Question type: Single punch

Variable Name: ADXX6

Variable Text: How believable, if at all, do you find this message?

Variable Label: ADXX6: Believability

Value

Value Label

1

Not at all believable

2

Not too believable 

3

Somewhat believable

4

Very believable 

5

Extremely believable 

-99

Refused


Item #: ADXX31

Question type: Single punch

Variable Name: ADXX31

Variable Text: Did you learn anything new from the ad?

Variable Label: ADXX31: Learn

Value

Value Label

1

Yes

2

No

3

Not sure

-99

Refused


Item #: ADXX31a

Question type: Open-end

Variable Name: ADXX31a

Variable Text: You said that you learned something new from the ad. Please describe what you learned. Be as specific as possible.

Variable Label: ADXX30a: Learned OE

//PROGRAMMING NOTE: ONLY SHOW IF ADXX31=1//

//Limit to 1,000 characters. //

Shape2





Item #: ADXX10

Question type: Single punch

Variable Text: How much do you agree or disagree with the following statements?

//PROGRAMMING NOTE: Randomize subitems//

//PROGRAMMING NOTE: INSERT INTO ADXX10_6 “get a covid-19 booster shot when it is available to me” if participant saw CONDITION 1,2,3,4. insert into adxx10_6 “SAFELY SERVE AND STORE FOOD” if participant saw CONDITION 5.

Variable Name

Variable Text

Variable Label

ADXX10_1

This message grabbed my attention.

ADXX10_1: Attention

ADXX10_2

This message is powerful.

ADXX10_2: Powerful

ADXX10_3

This message is worth remembering.

ADXX10_3: Remember

ADXX10_4

This message is informative.

ADXX10_4: Informative

ADXX10_5

This message is meaningful to me.

ADXX10_5: Meaningful

ADXX10_6

This message is convincing as a reason to [PIPE TEXT].

ADXX10_6: Convincing

ADXX10_7

The message provided information that I already know.

ADXX10_7: Redundant


Value 

Value Label 

Strongly disagree 

Disagree 

Neither agree nor disagree 

Agree 

Strongly agree 

-99 

Refused 


Item #: ADXX10a

Question type: Open-end

Variable Name: ADXX10a

Variable Text: You [PIPE IN ANSWER FROM ADXX10_6] that this ad was convincing as a reason to [PIPE IN “GET A COVID-19 BOOSTER SHOT WHEN IT IS AVAILABLE TO ME” IF PARTICIPANT SAW CONDITION 1,2,3, OR 4. PIPE IN “SAFELY SERVE AND STORE FOOD” IF PARTICIPANT SAW CONDITION 5].. Please describe the main reasons why you [PIPE IN ANSWER FROM ADXX10_6] with this statement.

Variable Label: ADXX10a: Convincing

//Limit to 1,000 characters. //

Shape3





Item #: ADXX30

Question type: Single punch

Variable Text: How much do you agree or disagree with the following statements?

//PROGRAMMING NOTE: Randomize subitems//

ADXX30_1

I like the look of the ad.

ADXX30_1: Look

ADXX30_2

I like the feel of the ad.

ADXX30_2: Feel


Value 

Value Label 

Strongly disagree 

Disagree 

Neither agree nor disagree 

Agree 

Strongly agree 

-99 

Refused 



Item #: ADXXReal

Question type: Single punch

Variable Text: How much do you agree or disagree with the following statements?

//PROGRAMMING NOTE: Randomize subitems//

Variable Name

Variable Text

Variable Label

ADXXReal_1

This message is authentic.

ADXXReal_1: Authentic

ADXXReal_2

This message is genuine.

ADXXReal_2: Genuine

ADXXReal_3

This message is honest.

ADXXReal_3: Honest

ADXXReal_4

This message is unbiased.

ADXXReal_4: Unbiased

ADXXReal_7

This message is not realistic.

ADXXReal_7: Realistic


Value 

Value Label 

Strongly disagree 

Disagree 

Neither agree nor disagree 

Agree 

Strongly agree 

-99 

Refused 


SECTION 5: POST-TEST ATTITUDES AND INTENTIONS


//PROGRAMMING NOTE: ALL RESPONDENTS SHOULD BE SHOWN THE QUESTIONS IN THIS SECTION.//


[PROGRAMMING NOTE: DISPLAY TEXT] Next, we will ask you a few questions about the COVID-19 booster shot.



Item #: ADXX32 

Question Type: Single punch 

Variable Text: How much do you agree or disagree with the following statements about COVID-19 vaccines and boosters?  

//PROGRAMMING NOTE: RANDOMIZE VARIABLES IN GRID//  

//PROGRAMMING NOTE: ASK TO ALL GROUPS//

Variable Name 

Variable Text 

Variable Label 

ADXX32_1

The need for COVID-19 booster shots indicates that vaccines do not work. 

ADXX32_1: Vaccine proof

ADXX32_2

Protection from COVID-19 after vaccination can decrease over time. 

ADXX32_2: Protection

ADXX32_3

Boosters can keep your COVID-19 vaccine effective longer. 

ADXX32_3: Effective

ADXX32_4

Boosters can help protect you from new COVID-19 variants. 

ADXX32_4: Variant protection

ADXX32_5

COVID-19 vaccines and boosters help protect from severe illness, hospitalization, and death from COVID-19. 

ADXX32_5: Illness protection

ADXX32_6

Boosters are not needed because natural immunity is enough to protect against new COVID-19 variants.

ADXX32_6: Natural immunity

ADXX32_7

Boosters can cause infertility.

ADXX32_7: Infertility

ADXX32_8

Boosters will give me COVID-19.

ADXX32_8: COVID

ADXX32_9

Sometimes people who got a vaccine and booster can still get COVID-19.

ADXX32_9: Still get COVID


 

Value  

Value Label  

1  

Strongly disagree  

Disagree 

Somewhat disagree  

4  

Neither agree nor disagree   

Somewhat agree  

Agree 

Strongly agree  

99  

I don’t know  

-99  

Refused  


Item #: ADXX8

Question type: Grid

Variable Text: How likely are you to do each of the following?

//PROGRAMMING NOTE: RANDOMIZE SUBITEMS//

Variable Name

Variable Text

Variable Label

ADXX 8_1

Look for more information about the COVID-19 booster shot

ADXX8_1: More info

ADXX8_2

Get a COVID-19 booster shot at no cost when you are eligible

ADXX8_2: Vaccine

ADXX8_3

Visit vaccines.gov to find a booster shot near you

ADXX8_3: Website

ADXX8_4

Talk to your doctor about the COVID-19 booster shot

ADXX8_4: Doctor

ADXX8_5

Talk about the COVID-19 booster shot with those in your immediate social network (e.g., friends, family, colleagues)

ADXX8_5: Friends

ADXX8_6

Share the information in the message with a friend or family member who wants to know more about COVID-19 boosters.

ADXX8_6: Share

ADXX8_7

Visit cdc.gov/coronavirus to get vaccine facts

ADXX8_7: CDC website


Value

Value Label

1

Very unlikely

2

Somewhat unlikely

3

Neither

4

Somewhat likely

5

Very likely

-99

Refused


Item #: BEH4a

Question type: Grid

Variable Text: You responded that you are [PIPE IN ANSWER FROM ADXX8_2 IF RESPONSE =1 OR 2] to get a COVID-19 booster shot. For each of the following statements, is this a reason why you are [PIPE IN ANSWER FROM ADXX8_2 IF RESPONSE =1 OR 2] to get a COVID-19 booster shot? Select yes or no for each item.

//PROGRAMMING NOTE: Randomize order of subitems.//

//PROGRAMMING NOTE: ONLY ASK IF ADXX8_2 = 1, 2.

Variable Name

Variable Text

Variable Label

BEH4a_3

I want to know if the booster shot is effective first.

BEH4a_3: Reasons for waiting - Confirm effectiveness

BEH4a_5

I want to talk to my doctor first.

BEH4a_5: Reasons for waiting - Talk to doctor first

BEH4a_6

I want to compare the effectiveness of the different booster shots.

BEH4a_6: Reasons for waiting - Compare booster shots

BEH4a_7

I want to see if my friends and family get the booster shot.

BEH4a_7: Reasons for waiting - Friends/family

BEH4a_8

I want to see if others who get a booster shot first develop any problems.

BEH4a_8: Reasons for waiting - Side effects

BEH4a_9

I want to make sure it is safe for people like me first.

BEH4a_9: Reasons for waiting - Confirm safety

BEH4a_12

I already had COVID-19.

BEH4a_12: Reason for waiting - Had COVID

BEH4a_13

I want to wait until more is known about the long-term effects of the booster shots.

BEH4a_13: Reasons for waiting - Long-term effects

BEH4a_14

I am healthy and don’t think my body needs a COVID-19 booster shot.

BEH4a_14: Reasons for waiting - I am healthy

BEH4a_15

I want to wait to see if a COVID-19 booster shot will be mandatory for my work, school, or other activities.

BEH4a_15: Reasons for waiting - Mandatory

BEH4a_16

I want to wait until I have time to take off work/school.

BEH4a_16: Reasons for waiting - Time

BEH4a_17

I want to wait to see how effective the booster shot is against COVID-19 variants, such as the Omicron variant.

BEH4a_17: Reasons for waiting - Variants

BEH4a_18

I don’t want to have to keep getting booster shots.

BEH4a_18: Reasons for waiting - Booster shots

BEH4a_19

I had a reaction or bad experience after the COVID-19 vaccine.

BEH4a_19: Reasons for waiting – Bad reaction

BEH4a_11

Other [TEXTBOX]

BEH4a_11: Reasons for waiting - Other



Value

Value Label

0

No

1

Yes

-99

REFUSED

-100

VALID SKIP



SECTION 6: FINAL DEMOS

[PROGRAMMING NOTE: DISPLAY TEXT] These final questions are about your background, which may be important when understanding your COVID-19 experience.


Item #: DEM7

Question Type: Open-End Numeric

Variable Name: DEM7

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

Variable Label: DEM7: Total number of people in household



Item #: DEM8

Question Type: Open-End Numeric

Variable Name: DEM8

Variable Text: How many people under 18 years-old currently live in your household? Please enter a number.

Variable Label: DEM8: Number of minors living in household

//PROGRAMMING NOTE: Response must be a numerical number between 0-99. If DEM7=1, autopunch DEM8 as “0” and go to DEM9. Response from DEM8 must be LESS than the number in DEM7//




Item #: DEM16

Question Type: Single Punch

Variable Name: DEM16

Variable Text: In general, do you think of yourself as…?
Variable Label:
DEM16: Political_View

//Programming Note: For half of participants, show reverse order for answer options.//

Value

Value Label

1

Extremely liberal

2

Liberal

3

Slightly liberal

4

Moderate, middle of the road

5

Slightly conservative

6

Conservative

7

Extremely conservative





Item #: DEM10

Question Type: Single Punch

Variable Name: DEM10

Variable Text: Last year, that is in 2021, what was your total household income from all sources, before taxes?

Variable Label: DEM10: Family income

Value

Value Label

1

Less than $15,000

2

$15,000 to $24,999

3

$25,000 to $34,999

4

$35,000 to $49,999

5

$50,000 to $74,999

6

$75,000 to $99,999

7

$100,000 to $149,999

8

$150,000 to $199,999

9

$200,000 and over

-99

Don’t know/Refused



Item #: DEM4

Question Type: Single Punch

Variable Name: DEM4

Variable Text: Are you now covered by any form of health insurance or health plan? A health plan would include any private insurance plan through your employer or a plan that you purchased yourself, as well as a government program like Medicare or Medicaid.
Variable Label:
DEM4: Health insurance status

Value

Value Label

0

No

1

Yes

2

Unsure

-99

Refused



Item #: DEM4b

Question Type: Single Punch

Variable Name: DEM4b

Variable Text: Which of the following is your main source of health insurance coverage?
Variable Label:
DEM4b: Insurance_Type

//Programming Note: Ask if DEM4 (Health Insurance) = 1 (Yes).//

Value

Value Label

0

A plan through your employer

1

A plan through your spouse's employer

2

A plan you purchased yourself directly from an insurance company

3

Medicare or Medicaid

6

TRICARE or other military health care

7

VA (including those who have ever used or enrolled for VA health care)

8

Indian Health Service

-99

Refused

-100

Valid Skip




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