Creative Testing Experiment Questionaire

ASPA COVID-19 Public Education Campaign Market Research

0990-0476 COVID-19 Creative Testing Survey_05.01.2023

Creative Testing Experiment Questionaire

OMB: 0990-0476

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COVID Public Education Media Opinions Survey



Welcome



// 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.//



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: 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:

  1. 18-24

  2. 25-34

  3. 35-44

  4. 45-54

  5. 55-64

  6. 65-74

  7. 75+



Hid_Age1: Code age as follows:

  1. 18-39

  2. 40-49

  3. 50-64

  4. 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

  1. HISPANIC (EXCLUDING AIAN): DEM12≠3 AND DEM11=1

  2. NH WHITE ALONE: DEM12=1 ONLY AND DEM11=2

  3. NH BLACK ALONE: DEM12=2 ONLY AND DEM11=2

  4. AIAN ALONE OR AIAN MULTI: DEM12=3

  5. NH ASIAN/PI ALONE: DEM12=4,5 ONLY AND DEM11=2

  6. 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)





SECTION 2: INTEREST AND INTENTIONS TO RECEIVE A COVID BOOSTER



[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 

No 

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



CREATIVE TESTING



[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:

  1. 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. //

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 #: 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 

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 (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. //

Shape2









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 

Strongly disagree 

Disagree 

Neither agree nor disagree 

Agree 

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//

Shape3









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

Shape4









COVID EXPERIENCE



[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



FINAL DEMOS



[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




Shape6

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File Modified0000-00-00
File Created0000-00-00

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