COVID Public Education Media Opinions Survey
// Display OMB number and exp in the bottom right off all screens //
OMB No. 0990-0476
Exp. Date 03/31/2026
You have been selected to take this survey about COVID. The primary purpose of this survey is to help assess, among a large group of U.S. adults, perceptions of potential COVID public health education media that looks like what you would see in an advertisement. The survey will also assess experience and behaviors, and trusted information sources related to COVID.
Most people take about 20 minutes to complete the survey.
As mentioned, this survey will show you potential COVID media and then ask you some questions about it. The media 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.
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)
//FAQs should link to their corresponding page positions below. “TOP” buttons should link back to top of FAQ//
Why is this study being conducted?
Why should I participate?
Do I have to answer all questions?
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? Top
This study is being conducted to understand people’s opinions of, experience with, and behaviors related to COVID as well as reactions to advertisements about the COVID vaccines.
Why should I participate? Top
By participating in this survey, you will contribute to fighting the spread of COVID. You may also learn more about COVID and ways you can help slow the spread of COVID as a result of the information you learn by taking part in this survey.
Do I have to answer all questions? Top
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, 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? Top
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? Top
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? Top
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, you will receive $5.00 for your time.
How will my responses be used? Top
Your responses will be used to inform a public education campaign on scientifically proven behaviors on the best ways to decrease COVID infection rates. This is your chance to be heard on issues that directly affect you. While your survey responses will be kept confidential, summarized responses may be released to the public.
Will I see the results of the survey? Top
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: [21-011-821].
[TERMINATION LANGUAGE]
We are 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.
//PROGRAMMING NOTE: TERM ALL SCREENING QUESTIONS AT THE END OF SCREENER (NOT AT THE END OF EACH QUESTION) UNLESS OTHERWISE NOTED. ALL SCREENER QUESTIONS ARE REQUIRED.//
[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.
Question Type: Single Punch
Variable Name: Gender
Variable Text: What is your gender?
Variable Label: Gender
//PROGRAMMING NOTE: ROTATE RESPONSE OPTIONS 1-2//
|
Value Label |
1 |
Male |
2 |
Female |
3 |
Non-binary |
4 |
Prefer to self-describe [OPEN END TEXT BOX] |
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//
|
Hid_Region: Code zip as follows (+ separate coding for state):
1. Northeast
2. Midwest
3. South
4. West
Hid_UrbanCity [see urbancity worksheet for codes by zip code]
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 DEM6=18+, OTHERWISE DISPLAY TERMINATION LANGUAGE AND TERMINATE IMMEDIATELY //
|
Hid_Age: Code age as follows:
Hid_Age1: Code age as follows:
18-39
40-49
50-64
65+
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
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 |
1 |
Yes (Selected) |
0 |
No (Not selected) |
Weighting_RaceEth
HISPANIC (EXCLUDING AIAN): DEM12≠3 AND DEM11=1
NH WHITE ALONE: DEM12=1 ONLY AND DEM11=2
NH BLACK ALONE: DEM12=2 ONLY AND DEM11=2
AIAN ALONE OR AIAN MULTI: DEM12=3
NH ASIAN/PI ALONE: DEM12=4,5 ONLY AND DEM11=2
NH OTHER/MULTI(NON-AIAN): DEM12= 2 or more from 1, 2, 4, 5
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’s degree |
10 |
Bachelor’s degree |
11 |
Master’s degree |
12 |
Professional or doctorate degree |
13 |
Other [Specify] |
Hid_Education: Code as follows:
1. HS Grad and Under : Dem13=1-7
2. Some College/Assoc. Degree: Dem13=8-9
3. Bachelor’s Degree: Dem13=10
4. Master’s Degree/Doctorate: Dem13=11/12
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 EMPLOYED PAID |
DEM1_2 |
Working – self-employed |
DEM7_2 EMPLOYED SELF |
DEM1_3 |
Not working – on temporary layoff from a job |
DEM7_3 TEMP UN |
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 |
Value |
Value Label |
1 |
Yes (Selected) |
0 |
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 GOVT |
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 |
1 |
Yes (Selected) |
0 |
No (Not selected) |
[PROGRAMMING NOTE: DISPLAY TEXT]
The U.S. Food and Drug Administration (FDA) has authorized vaccines that protect against COVID, and we want to learn more about your beliefs and plans related to the vaccine.
Item #: BEH1a
Question type: Single punch
Variable Name: BEH1a
Variable Text: Have you received all doses of a primary series of an authorized COVID vaccine? That is, have you received:
Two doses of either the Pfizer or Moderna vaccines,
Two doses of the Novavax vaccine, or
One dose of the Johnson & Johnson vaccine?
Variable Label: BEH1a: Vaccination status
//TERMINATE IF BEH1a=0 (No) or 2 (I don’t know)//
Value |
Value Label |
0 |
No |
1 |
Yes |
2 |
I don’t know |
Item #: BEH1b
Question type: Single punch
Variable Name: BEH1b
Variable Text: Which primary series COVID vaccine did you receive?
Variable Label: BEH1b: Vaccine type
//ASK IF BEH1a=1 (Yes, I have received all required doses of a vaccine).//
//TERMINATE IF BEH1b=5 or 6 (Received “Other” vaccine or don’t remember).//
Value |
Value Label |
1 |
Johnson & Johnson/Janssen |
2 |
Moderna |
3 |
Pfizer-BioNTech |
4 |
Novavax |
5 |
Other |
6 |
I don’t remember |
-100 |
VALID SKIP |
Item #: BEH1c
Question type: Dropdown Selection
Variable Name: BEH1c
Variable Text: In which month and year did you received your final dose in your primary vaccine series? Final vaccine dose refers to either:
The second dose of the Pfizer or Moderna vaccine,
The second dose of the Novavax vaccine, or
A single dose of the Johnson & Johnson vaccine.
Please do not consider booster shots for this question. If you do not remember the specific month, give your best guess.
Variable Label: BEH1c: Vaccine date
//ASK IF BEH1b=1, 2, 3, or 4 (I have completed a primary series of J&J, Moderna, Pfizer, or Novavax).//
Value |
Value Label |
Month drop-down selection |
January - December |
Year drop-down |
2020, 2021, 2022 |
-100 |
VALID SKIP |
Item #: BEH2a
Question Type: Grid
Variable
Name: BEH2a
Variable
Text: U.S.
health officials and medical experts now recommend additional COVID
doses after the primary vaccine series (two doses of Pfizer, Moderna,
or Novavax; or one dose of Johnson & Johnson).
Boosters are additional doses you may have received after your primary series. Boosters were available from August 2021 to the end of August 2022.
Updated vaccines are COVID vaccines reformulated to better target Omicron variants, sometimes called “updated boosters” or “bivalent boosters.” Updated vaccines became available in early September 2022.
Have you received a COVID booster or updated vaccine?
Variable Label: BEH2a: Additional dose status
//ASK IF BEH1b=1, 2, 3, or 4 (I have completed a primary series of J&J, Moderna, Pfizer, or Novavax).//
Terminate IF BEH2a_2 = 1 (Yes, I have received an updated vaccine)
Variable Name |
Variable Text |
Variable Label |
BEH2a_1 |
I have received one or more booster dose(s) (available August 2021-August 2022) |
BEH2a_1: Booster |
BEH2a_2 |
I have received an updated vaccine (available starting September 2022) |
BEH2a_2: Updated vaccine |
Value |
Value Label |
0 |
No |
1 |
Yes |
-100 |
VALID SKIP |
Item #: BEH3a
Question type: Single punch
Variable Name: BEH3a
Variable Text: The FDA recently authorized an updated COVID vaccine, sometimes called “updated boosters” or “bivalent boosters,” to better target Omicron variants. Updated vaccines became available in early September 2022.
Medical experts now recommend that adults get the updated COVID vaccine 2 months after their latest dose of a COVID vaccine or booster.
How
likely are you to get an updated COVID vaccine?
Variable
Label: BEH3a:
Intention to get an updated vaccine
//ASK IF BEH1b=1, 2, 3, or 4 (I have completed a primary series of J&J, Moderna, Pfizer, or Novavax) AND BEH2a_2=0 (No).//
Value |
Value Label |
1 |
Very unlikely |
2 |
Somewhat unlikely |
3 |
Neither likely nor unlikely |
4 |
Somewhat likely |
5 |
Very likely |
-100 |
VALID SKIP |
Item #: BEH3b
Question type: Single punch
Variable Name: BEH3b
Variable Text: How soon will you get the updated COVID vaccine?
Variable Label: BEH3b: Wait to get updated vaccine
//ASK IF BEH1b=1, 2, 3, or 4 (I have completed a primaryseries of J&J, Moderna, Pfizer, or Novavax) AND BEH2a_2=0 (No). TERMINATE IF BEH3b=3 ( I will never get an updated vaccine)//
Value |
Value Label |
1 |
I will get the updated vaccine as soon as I can |
2 |
I will wait to get the updated vaccine for one or more reasons |
3 |
I will never get the updated vaccine |
-100 |
VALID SKIP |
END OF SCREENER
//PROGRAMMING NOTE: IF PARTICIPANTS DO NOT PASS THE ABOVE QUESTIONS, SHOW TERMINATION LANGUAGE HERE. IF THEY DO PASS THE ABOVE QUESTIONS,
SHOW CONSENT FORM (WITH CONSENT QUESTION ON SAME SCREEN) HERE.
IF THEY DO NOT PASS, SHOW TERMINATION LANGUAGE HERE.//
Statement of Consent
Item #: CONSENT
Question type: Single punch
Variable Name: Informed consent
Variable Text: Do you consent to participate in this study? By consenting, you agree to participate and that you have read, understood, and had time to consider all of the information above.
Variable Label: CONSENT: Informed consent
//PROGRAMMING NOTE: TERMINATE IF CONSENT=2//
Value |
Value Label |
1 |
Yes, I agree to participate |
2 |
No, I do not agree to participate |
PROGRAMMING NOTE: ALL QUESTIONS IN THE MAIN SURVEY ARE OPTIONAL- THE RESPONDENT CAN CLICK CONTINUE WITHOUT CHOOSING AN OPTION. THEY SHOULD RECEIVE ONE SOFT PROMPT (“We encourage you to answer the question.”) AND BE ALLOWED TO CONTINUE. IF THEY CONTINUE WITHOUT PROVIDING AN ANSWER, CODE AS -99.
Item #: BEH3c
Question type: Single punch
Variable Name: BEH3c
Variable Text: You responded that you will get an updated COVID vaccine as soon as you can. How soon will you get the vaccine?
Variable Label: BEH3c: How soon to get updated vaccine
//Ask if BEH3b = 1 (I will get the updated vaccine as soon as I can).//
Value |
Value Label |
1 |
Within the next few weeks |
2 |
Within the next few months |
3 |
More than 6 months from now |
Item #: BEH3d
Question type: Single punch
Variable Name: BEH3d
Variable Text: You responded that you will wait to get the updated COVID vaccine. How long will you wait?
Variable Label: BEH3d: Length of updated vaccine wait
// ASK ONLY IF BEH3b = 2 (I will wait to get the updated vaccine for one or more reasons) //
Value |
Value Label |
1 |
A few weeks |
2 |
A few months |
3 |
More than 6 months |
-99 |
REFUSED |
-100 |
VALID SKIP |
Item #: BEH4a
Question type: Grid
Variable Text: You responded that you will wait to get an updated COVID vaccine. For each of the following statements, is this a reason why you will wait to get an updated COVID vaccine? Select yes or no for each item.
// RANDOMIZE ORDER OF SUBITEMS. //
// ASK ONLY IF BEH3b = 2 (I WILL WAIT TO GET THE BOOSTER SHOT FOR ONE OR MORE REASONS) //
// INCLUDE SOFT PROMPT IF BEH4A_11 (OTHER) = 1 (“YES”), BUT NO TEXT IS ENTERED. //
Variable Name |
Variable Text |
Variable Label |
BEH4a_3 |
I first want to know if the updated vaccines are effective. |
BEH4a_3: Reasons for waiting - Confirm effectiveness |
BEH4a_5 |
I first want to talk to my doctor. |
BEH4a_5: Reasons for waiting - Talk to doctor first |
BEH4a_6 |
I want to compare the effectiveness of the different updated vaccines. |
BEH4a_6: Reasons for waiting - Compare booster shots |
BEH4a_7 |
I want to see if my friends and family get the updated vaccines. |
BEH4a_7: Reasons for waiting - Friends/family |
BEH4a_8 |
I want to see if others who get an updated vaccine develop any problems. |
BEH4a_8: Reasons for waiting - Side effects |
BEH4a_9 |
I want to make sure it is safe for people like me. |
BEH4a_9: Reasons for waiting - Confirm safety |
BEH4a_12 |
I already had COVID. |
BEH4a_12: Reason for waiting - Had COVID |
BEH4a_13 |
I want to wait until more is known about the long-term effects of the updated vaccines. |
BEH4a_13: Reasons for waiting - Long-term effects |
BEH4a_14 |
I am healthy and don’t think I need a COVID updated vaccine. |
BEH4a_14: Reasons for waiting - I am healthy |
BEH4a_15 |
I want to wait to see if an updated vaccines 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 updated vaccines are against COVID variants, such as the Omicron variant. |
BEH4a_17: Reasons for waiting - Variants |
BEH4a_18 |
I don’t want to keep getting COVID vaccines. |
BEH4a_18: Reasons for waiting - Booster shots |
BEH4a_19 |
I had a reaction or bad experience after my first COVID vaccine. |
BEH4a_19: Reasons for waiting – Bad reaction |
BEH4a_20 |
I don’t need an updated COVID vaccine because of my age. |
BEH4a_20: Reasons for waiting – Age |
BEH4a_21 |
I am not at risk for severe illness or death from COVID. |
BEH4a_21: Reasons for waiting – Not at risk |
BEH4a_22 |
I don’t think an updated COVID is necessary. |
BEH4a_22: Reasons for waiting – Not needed |
BEH4a_23 |
I don't have enough information about the vaccine in my language. |
BEH4a_23: Reasons for waiting – in language |
BEH4a_24 |
I don't have enough information about the vaccine that is specific to my health conditions. |
BEH4a_24: Reasons for waiting –health condition |
BEH4a_25 |
I have difficulties with scheduling a vaccine appointment. |
BEH4a_25: Reasons for waiting – scheduling |
BEH4a_26 |
I can't afford to take the time it takes to get the vaccine. |
BEH4a_26: Reasons for waiting – time |
BEH4a_27 |
I can't afford to take the time off from my daily responsibilities if I got side effects from the vaccine. |
BEH4a_27: Reasons for waiting – time off side effects |
BEH4a_28 |
I need somebody to watch my kids while I get a vaccine. |
BEH4a_28: Reasons for waiting – kids |
BEH4a_29 |
I need somebody to watch my kids if I experience side effects to the vaccine. |
BEH4a_29: Reasons for waiting – kids side effects |
BEH4a_30 |
I need somebody to watch my kids if they experience side effects to the vaccine because I cannot take off of work. |
BEH4a_30: Reasons for waiting – kids work |
BEH4a_11 |
Other [TEXTBOX] |
BEH4a_11: Reasons for waiting - Other |
Value |
Value Label |
0 |
No |
1 |
Yes |
-99 |
REFUSED |
-100 |
VALID SKIP |
Item #: ATT9
Question Type: Grid
Variable Name: ATT9
Variable text: How much do you agree or disagree with the following statements about the updated COVID vaccines? Select one response for each item.
//PROGRAMMING NOTE: Randomize subitems//
Variable Name |
Variable Text |
Variable Label |
ATT9_1 |
I would accept an updated COVID vaccine offered during a regularly scheduled appointment with my health care provider. |
ATT9_1: Regular appointment |
ATT9_2 |
I am worried that an updated COVID vaccine could give me COVID. |
ATT9_2: Worried vaccine will give me COVID |
ATT9_3 |
I would rather build immunity by being infected with COVID than receive an updated vaccine. |
ATT9_3: Immunity by exposure |
ATT9_4 |
I would get an updated COVID vaccine if there was another COVID surge. |
ATT9_4: Surge |
ATT9_5 |
I am worried about side effects of an updated COVID vaccine for myself. |
ATT9_5: Worried about side effects |
ATT9_6 |
I am worried that side effects of an updated COVID vaccine could be worse than COVID itself. |
ATT9_6: Side effects worse than COVID |
ATT9_7 |
I would get an updated COVID vaccine if it would help me continue to travel, work, and gather with friends/family. |
ATT9_7: Travel friends |
ATT9_8 |
The benefits of an updated COVID vaccine outweigh any risks associated with it. |
ATT9_8: Outweigh risks |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Disagree |
3 |
Neither agree nor disagree |
4 |
Agree |
5 |
Strongly agree |
-99 |
REFUSED |
Item #: ATT10
Question type: Grid
Variable Name: ATT10
Variable Text: How much do you agree or disagree with the following statements?
//PROGRAMMING NOTE: Randomize subitems//
Variable Name |
Variable Text |
Variable Label |
ATT10_1 |
I will be less likely to be hospitalized with COVID if I get an updated vaccine. |
ATT10_1: Updated vax prevent hospitalization |
ATT10_2 |
An updated COVID vaccine will prevent me from dying of COVID. |
ATT10_2: Updated vax prevent death |
ATT10_3 |
I will be less likely to get severely ill if I get an updated COVID vaccine. |
ATT10_3: Updated vax prevent severe illness |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Disagree |
3 |
Neither agree nor disagree |
4 |
Agree |
5 |
Strongly agree |
-99 |
REFUSED |
[PROGRAMMING NOTE: DISPLAY TEXT] Now, you are going to see some of the COVID public education media. Then, we will ask you some questions about what you viewed.
The media 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.
Some questions in this survey will ask about your personal experiences with COVID, which may be uncomfortable to answer. You have the right to skip these questions. Some of the media you will be shown may be uncomfortable to watch and you can choose to exit the survey at any time.
Click the continue button when you are ready to view the message.
//RESPONDENTS WILL RATE 1 OF 1 ADS./
AD:
Big Deal
//DISPLAY THIS SET OF QUESTIONS AFTER EACH AD VIEWED, UPDATE THE XX WITH AD CODE//
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 DEMOS AND TERMINATE] |
1 |
Yes |
-99 |
REFUSED [GO TO DEMOS 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 RADIO/VIDEO AD//
Value |
Value Label |
0 |
No [GO TO DEMOS AND TERMINATE] |
1 |
Yes |
-99 |
REFUSED [GO TO DEMOS 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. //
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 |
1 |
Not at all difficult |
2 |
Slightly difficult |
3 |
Moderately difficult |
4 |
Very difficult |
5 |
Extremely difficult |
-99 |
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 |
1 |
Not at all complicated |
2 |
Slightly complicated |
3 |
Moderately complicated |
4 |
Very complicated |
5 |
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 #: ADXX10
Question type: Single punch
Variable Name: ADXX10
Variable Text: How much do you agree or disagree with the following statements?
//PROGRAMMING NOTE: Randomize subitems//
Variable Name |
Variable Text |
Variable Label |
ADXX10_1 |
This message is for everyone, including me. |
ADXX10_1: People like me |
ADXX10_2 |
This message grabbed my attention. |
ADXX10_2: Attention |
ADXX10_3 |
This message is powerful. |
ADXX10_3: Powerful |
ADXX10_4 |
This message is worth remembering. |
ADXX10_4: Remember |
ADXX10_5 |
This message is informative. |
ADXX10_5: Informative |
ADXX10_6 |
This message is meaningful to me. |
ADXX10_6: Meaningful |
ADXX10_7 |
This message is a convincing reason for me to get an updated COVID vaccine. |
ADXX10_7: Convincing |
ADXX10_8 |
This message told me something new. |
ADXX10_8: New |
ADXX10_9 |
I like the look of the ad. |
ADXX10_9: Look |
ADXX10_10 |
I like the feel of the ad. |
ADXX10_10: Feel |
ADXX10_11 |
This message gave a good reason why someone like me should get an updated COVID vaccine. |
ADXX10_11: Reasons |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Disagree |
3 |
Neither agree nor disagree |
4 |
Agree |
5 |
Strongly agree |
-99 |
REFUSED |
Item #: ADXX10a
Question type: Open-end
Variable Name: ADXX10a
Variable Text: You [PIPE IN ANSWER (all lowercase) FROM ADXX10_7] that this ad was convincing as a reason to get an updated COVID vaccine. Please describe the main reasons why you [PIPE IN ANSWER (all lowercase) FROM ADXX10_7] with this statement.
Variable Label: ADXX10a: Convincing
//Limit to 1,000 characters. //
Item #: ADXXReal
Question type: Single punch
Variable Name: ADXXReal
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 realistic. |
ADXXReal_7: realistic |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Disagree |
3 |
Neither agree nor disagree |
4 |
Agree |
5 |
Strongly agree |
-99 |
REFUSED |
Item #: ADXX8
Question type: Grid
Variable Name: ADXX8
Variable Text: When thinking about the message you viewed, how likely are you to do each of the following?
//PROGRAMMING NOTE: Randomize subitems//
Variable Name |
Variable Text |
Variable Label |
ADXX8_1 |
Look for more information about the updated COVID vaccines |
ADXX8_1: More_Info |
ADXX8_2 |
Get an updated COVID vaccine |
ADXX8_2: Vaccine |
ADXX8_3 |
Visit vaccines.gov to find an updated vaccine near you |
ADXX8_3: Website |
ADXX8_4 |
Talk to your doctor about the updated COVID vaccines |
ADXX8_4: Doctor |
ADXX8_5 |
Talk about the updated COVID vaccines with those in your immediate social network (e.g., friends, family, colleagues) |
ADXX8_5: Friends |
ADXX8_6 |
Other [Specify] |
ADXX8_6: Other |
Value |
Value Label |
1 |
Very unlikely |
2 |
Somewhat unlikely |
3 |
Neither likely nor unlikely |
4 |
Somewhat likely |
5 |
Very likely |
-99 |
REFUSED |
Item #: ADXX8_2A
Question type: Open-end
Variable Name: ADXX8_2A
Variable Text: You said you were [PIPE ANSWER (all lowercase) FROM ADXX8_2] to get an updated COVID vaccine. Please describe the main reasons why you are [PIPE ANSWER (all lowercase) FROM ADXX8_2] to get an updated COVID vaccine. Variable Label: ADXX8_2A: OE Vaccine
//Limit to 1,000 characters. Cannot skip this question//
Item #: ADXX12
Question type: Grid
Variable Name: ADXX12
Variable Text: You said you were [PIPE ANSWER (all lowercase) FROM ADXX8_2] to get an updated COVID vaccine. For each of the following statements, is this a reason why you are [PIPE ANSWER (all lowercase) FROM ADXX8_2] to get an updated COVID vaccine? Select yes or no for each item.
// RANDOMIZE ORDER OF SUBITEMS. //
// ASK ONLY IF ADXX8_2 = 1, 2 OR 3 (VERY UNLIKELY/ UNLIKELY/NEITHER LIKELY NOR UNLIKELY TO GET THE BOOSTER SHOT)//
// INCLUDE SOFT PROMPT IF ADXX12_18 (OTHER) = 1 (“YES”), BUT NO TEXT IS ENTERED. //
Variable Name |
Variable Text |
Variable Label |
ADXX12_1 |
I first want to know if the updated COVID vaccines are effective. |
ADXX12_1: Reasons for waiting - Confirm effectiveness |
ADXX12_2 |
I first want to talk to my doctor. |
ADXX12_2: Reasons for waiting - Talk to doctor first |
ADXX12_3 |
I want to compare the effectiveness of the different updated COVID vaccines. |
ADXX12_3: Reasons for waiting - Compare booster shots |
ADXX12_4 |
I want to see if my friends and family get the updated COVID vaccines. |
ADXX12_4: Reasons for waiting - Friends/family |
ADXX12_5 |
I want to see if others who get an updated COVID vaccine develop any problems. |
ADXX12_5: Reasons for waiting - Side effects |
ADXX12_6 |
I want to make sure it is safe for people like me. |
ADXX12_6: Reasons for waiting - Confirm safety |
ADXX12_7 |
I already had COVID. |
ADXX12_7: Reason for waiting - Had COVID |
ADXX12_8 |
I want to wait until more is known about the long-term effects of the updated COVID vaccines. |
ADXX12_8: Reasons for waiting - Long-term effects |
ADXX12_9 |
I am healthy and don’t think I need an updated COVID vaccine. |
ADXX12_9: Reasons for waiting - I am healthy |
ADXX12_10 |
I want to wait to see if updated COVID vaccines will be mandatory for my work, school, or other activities. |
ADXX12_10: Reasons for waiting – Mandatory |
ADXX12_11 |
I want to wait until I have time to take off work/school. |
ADXX12_11: Reasons for waiting – Time |
ADXX12_12 |
I want to wait to see how effective the updated COVID vaccines are against COVID variants, such as the Omicron variant. |
ADXX12_12: Reasons for waiting - Variants |
ADXX12_13 |
I don’t want to keep getting COVID vaccines. |
ADXX12_13: Reasons for waiting - Booster shots |
ADXX12_14 |
I had a reaction or bad experience after my first COVID vaccine. |
ADXX12_14: Reasons for waiting – Bad reaction |
ADXX12_15 |
I don’t need updated COVID vaccines because of my age. |
ADXX12_15: Reasons for waiting – Age |
ADXX12_16 |
I am not at risk for severe illness or death from COVID. |
ADXX12_16: Reasons for waiting – Not at risk |
ADXX12_17 |
I don’t think an updated COVID is necessary. |
ADXX12_17: Reasons for waiting – Not needed |
ADXX12_23 |
I don't have enough information about the vaccine in my language. |
ADXX12_23: Reasons for waiting – in language |
ADXX12_24 |
I don't have enough information about the vaccine that is specific to my health conditions. |
ADXX12_24: Reasons for waiting –health condition |
ADXX12_25 |
I have difficulties with scheduling a vaccine appointment. |
ADXX12_25: Reasons for waiting – scheduling |
ADXX12_26 |
I can't afford to take the time it takes to get the vaccine. |
ADXX12_26: Reasons for waiting – time |
ADXX12_27 |
I can't afford to take the time off from my daily responsibilities if I got side effects from the vaccine. |
ADXX12_27: Reasons for waiting – time off side effects |
ADXX12_28 |
I need somebody to watch my kids while I get a vaccine. |
ADXX12_28: Reasons for waiting – kids |
ADXX12_29 |
I need somebody to watch my kids if I experience side effects to the vaccine. |
ADXX12_29: Reasons for waiting – kids side effects |
ADXX12_30 |
I need somebody to watch my kids if they experience side effects to the vaccine because I cannot take off of work. |
ADXX12_30: Reasons for waiting – kids work |
ADXX12_18 |
Other [TEXTBOX] |
ADXX12_18: Reasons for waiting – Other |
Value |
Value Label |
0 |
No |
1 |
Yes |
-99 |
REFUSED |
-100 |
VALID SKIP |
Item #: ADXX13
Question type: Grid
Variable Text: How much do you agree or disagree with the following statements?
//PROGRAMMING NOTE: RANDOMIZE SUBITEMS//
Variable Name |
Variable Text |
Variable Label |
ADXX13_1 |
An updated COVID vaccine will prevent me from being hospitalized with COVID. |
ADXX13_1: Booster prevent hospitalization |
|
|
|
ADXX13_2 |
An updated COVID vaccine will prevent me from dying of COVID. |
ADXX13_2: Booster prevent death |
ADXX13_3 |
An updated COVID vaccine will protect me from getting severely ill from COVID. |
ADXX13_3: Booster prevent severe illness |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Disagree |
3 |
Neither agree nor disagree |
4 |
Agree |
5 |
Strongly agree |
-99 |
REFUSED |
Item #: UV1
Question type: Single punch
Variable Name: UV1
Variable
Text: Are you eligible for an updated COVID
vaccine?
Variable Label: UV1:
Eligibility
Value |
Value Label |
0 |
No |
1 |
Yes |
2 |
I don’t know, but I know how to find out. |
3 |
I don’t know, and I don’t know how to find out. |
4 |
Other [Write In] |
-100 |
VALID SKIP |
Item #: UV2
Question type: Single punch
Variable Name: UV2
Variable Text: Which vaccine dose were you thinking of when you were answering questions about the ad you viewed?
Variable Label: UV2: Confirmation
Value |
Value Label |
0 |
The primary COVID vaccine series. |
1 |
An additional dose that uses the same formula as the primary vaccines. |
2 |
An additional dose that has been updated from the original formula. |
Item #: RANK1
Question type:
Variable Name: RANK1
Variable Text: After watching the two ads, which ad did you like the best?
//PROGRAMMING NOTE: DISPLAY SCREENSHOTS OF EACH AD WITH THE CHOICES//
Variable Label:
Value |
Value Label |
1 |
Ad 1 |
2 |
Ad 2 |
Item#: RANK2
Question type: Open-end
Variable Name: RANK2_oe
Variable Text: You selected [PIPE PREVIOUS ANSWER] as the ad you liked best. Please describe the main reasons you liked the ad better.
Variable Label: Ad rank - OE
[PROGRAMMING NOTE: DISPLAY TEXT] The following questions are about your experience with COVID.
Item #: COV8_1
Question type: Single punch
Variable Name: COV8_1
Variable Text: Have you ever tested positive for COVID?
Variable Label: COV8_1: Tested positive
Value |
Value Label |
0 |
No |
1 |
Yes |
2 |
I do not want to share this information. |
-99 |
REFUSED |
Item #: COV8
Question type: Grid
Variable Name: COV8
Variable Text: Have any of the following people in your life ever tested positive for COVID? Select yes or no for each item.
Variable Label: COV8: Tested: Reasons
//PROGRAMMING NOTE: RANDOMIZE SUBITEMS//
Variable Name |
Variable Text |
Variable Label |
COV8_2 |
An immediate member of my household. |
COV8_2: Household member tested positive |
COV8_3 |
An extended family member outside of my household. |
COV8_3: Extended family member tested positive |
COV8_4 |
A friend outside of my household. |
COV8_4: Friend tested positive |
COV8_5 |
A roommate who lives with me. |
COV8_5: Roommate tested positive |
COV8_6 |
A coworker. |
COV8_6: Coworker tested positive |
COV8_7 |
A friend of a friend. |
COV8_7: Friend of a friend tested positive |
COV8_8 |
I do not know anyone who has tested positive for COVID. |
COV8_8: Don’t know anyone who tested positive |
Value |
Value Label |
0 |
No |
1 |
Yes |
60 |
I do not want to share this information |
-99 |
REFUSED |
Item #: COV13
Question type: Single punch
Variable Name: COV13
Variable Text: How severe was your COVID infection?
Variable Label: COV13: Severity of COVID
// ASK IF Q COV8_1 (I TESTED POSITIVE) = 1 (YES)//
Value |
Value Label |
1 |
No symptoms/mild symptoms |
2 |
Moderate symptoms, but did not seek health care |
3 |
Moderate symptoms and sought health care |
4 |
Severe symptoms/hospitalization |
-99 |
REFUSED |
-100 |
VALID SKIP |
Item #: COV14
Question type: Single punch
Variable Name: COV14
Variable Text: Which statement comes closest to your opinion of your recovery from your COVID infection?
Variable Label: COV14: recovered from COVID
// ASK IF Q COV8_1 (I TESTED POSITIVE) = 1 (YES)//
Value |
Value Label |
1 |
I do not feel that I am fully recovered from my COVID infection |
2 |
|
3 |
|
4 |
|
5 |
I feel that I am fully recovered from my COVID infection. |
-99 |
REFUSED |
-100 |
VALID SKIP |
Item #: COV15
Question type: Single punch
Variable Name: COV15
Variable Text: Do you know anyone who has been hospitalized with COVID?
Variable Label: COV15: Hospitalized for COVID
Value |
Value Label |
0 |
No |
1 |
Yes |
60 |
I do not want to share this information |
-99 |
REFUSED |
[PROGRAMMING NOTE: DISPLAY TEXT] These final questions are about your background, which may be important when understanding your COVID 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 |
-99 |
REFUSED |
Item #: DEM17
Question Type: Multi Punch
Variable Name: DEM17
Variable
Text: Are
you the parent of a child or children in the following age groups?
Please check all that apply.
Variable
Label: DEM17:
Parental_Status
// ASK IF DEM7=2+//
Value |
Value Label |
1 |
Younger than 6 months old |
2 |
6 months to <2 years old |
3 |
2 to 4 years old |
4 |
5 to 11 years old |
5 |
12 to 15 years old |
6 |
16 to 17 years old |
7 |
None of the above, I do not have children in those age groups [EXCLUSIVE] |
-99 |
REFUSED |
-100 |
VALID SKIP |
Item #: DEM10
Question Type: Single Punch
Variable Name: DEM10
Variable Text: Last year, in 2022, 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 |
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
//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, including Affordable Care Act Marketplace insurance |
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 |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |