COVID-19 Current Events Tracker (CET)

ASPA COVID-19 Public Education Campaign Market Research

ASPA_CET Weekly Survey_3_26_21_FINAL

COVID-19 Current Events Tracker (CET)

OMB: 0990-0476

Document [docx]
Download: docx | pdf

Shape1 Shape2

ASPA COVID-19 PUBLIC EDUCATION CAMPAIGN

A campaign to increase vaccine acceptance and reinforce basic prevention measures



CET – Annotated Questionnaire (Wave 9)


Note: The questions below are the proposed questions for the ninth wave of the Weekly Current Events Tracker (CET). Questions highlighted in yellow will be asked every week; questions highlighted in blue will be rotated into the survey on a monthly basis; and questions highlighted in green are meant to be asked in Wave 9 only or are being asked again to update data on a variable of interest. This wave’s module is Trusted Vaccine Messengers and Vaccine Challenges. This week we have added questions on COVID-19 risk perceptions and personal experiences with COVID-19 diagnoses.

ASPA will provide OMB with updates to the questionnaire for subsequent Waves.


Standard Questions

Modular Questions

One-Time or Repeat Questions Being Asked Again to Update Data


For the next section we would like to talk about current events.


// Page Break //


//PROGRAMMING NOTE: RANDOMIZE ORDER OF Q1/Q2 and Q3/Q4 (I.E., 50% SEE Q1/Q2 FIRST, 50% SEE Q3/Q4 FIRST)//


//BASE: All respondents//

Item #: Q1

Question type: Single punch

// Soft Prompt: “We would like your response to this question.” //

hhs_fam: How familiar are you with the U.S. Department of Health and Human Services (HHS)?

Variable Label: hhs_fam: Familiarity with HHS

Value

Value Label

1

Not at all familiar

2

Slightly familiar

3

Moderately familiar

4

Very familiar

-99

Refused


// Page Break //



//BASE: hhs_fam= 2, 3, 4, OR -99//

Item #: Q2

Question Type: Single punch

// Soft Prompt: “We would like your response to this question.” //

hhs_trust. How much trust do you have in the U.S. Department of Health and Human Services (HHS) to provide you with accurate information about the coronavirus or COVID-19?

Variable Label: hhs_trust: Trust in HHS

Value

Value Label

1

None at all

2

Not very much

3

A fair amount

4

A great deal

-99

Refused

-100

Valid skip


// Page Break //


//BASE: All respondents//

Item #: Q3

Question type: Single punch

// Soft Prompt: “We would like your response to this question.” //

cdc_fam: How familiar are you with the Centers for Disease Control and Prevention (CDC)?

Variable Label: cdc_fam: Familiarity with CDC

Value

Value Label

1

Not at all familiar

2

Slightly familiar

3

Moderately familiar

4

Very familiar

-99

Refused


// Page Break //


//BASE: cdc_fam= 2, 3, 4, OR -99//

Item #: Q4

Question Type: Single punch

// Soft Prompt: “We would like your response to this question.” //

cdc_trust. How much trust do you have in the Centers for Disease Control and Prevention (CDC) to provide you with accurate information about the coronavirus or COVID-19?

Variable Label: cdc_trust: Trust in CDC

Value

Value Label

1

None at all

2

Not very much

3

A fair amount

4

A great deal

-99

Refused

-100

Valid skip


// Page Break //


//BASE: All respondents//

Item #: Q5

Question Type: Single punch

// Soft Prompt: “We would like your response to this question.” //

vacc_off. How much do you trust U.S. federal public health officials to provide reliable information on COVID-19?

Variable Label: vacc_off: Confidence in U.S. public health officials

Value

Value Label

1

None at all

2

Not very much

3

A fair amount

4

A great deal

-99

Refused


// Page Break //


//BASE: All respondents//

Item #: Q6

Question Type: Single punch

// Soft Prompt: “We would like your response to this question.” //

vacc_trust. How much trust do you have that an FDA-authorized COVID-19 vaccine may be safe and effective for you to get?

Variable Label: vacc_trust: Trust in Safety of Vaccine

Value

Value Label

1

None at all

2

Not very much

3

A fair amount

4

A great deal

-99

Refused


// Page Break //


//BASE: All respondents//

Item #: Q7

Question Type: Single punch

// Soft Prompt: “We would like your response to this question.” //

beh1_cet. Food and Drug Administration (FDA)-authorized vaccines to prevent COVID-19 are now available at no cost. Have you received a COVID-19 vaccine?

Variable Label: beh1: Vaccination behavior

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

-99

Refused


// Page Break //


//BASE: beh1_cet =0 OR -99//

Item #: Q8

Question Type: Single punch

// Soft Prompt: “We would like your response to this question.” //

beh2a_cet. What is the likelihood that you will get a COVID-19 vaccine?

Variable Label: beh2a: Intention to get vaccinated

Value

Value Label

1

Very unlikely

2

Somewhat unlikely

3

Neither likely nor unlikely

4

Somewhat likely

5

Very likely

-99

Refused

-100

Valid Skip


// Page Break //


//BASE: beh1_cet=1//

Item #: Q9

Question Type: Single punch

// Soft Prompt: “We would like your response to this question.” //

beh2b_cet. What is the likelihood that you will complete COVID-19 vaccination?

Variable Label: BEH2b_CET: Intention to complete vaccination

Value

Value Label

1

Very unlikely

2

Somewhat unlikely

3

Neither likely nor unlikely

4

Somewhat likely

5

Very likely

-99

Refused

-100

Valid Skip


// Page Break //


//BASE: beh1_cet =0 OR -99//

Item #: Q10

Question Type: Single punch

// Soft Prompt: “We would like your response to this question.” //

beh3a_cet. Food and Drug Administration (FDA)-authorized vaccines to prevent COVID-19 are now available at no cost. How soon will you get vaccinated? For this question, assume there is enough vaccine so that everyone who wants it can get it.

Variable Label: BEH3a_CET: Wait to get vaccinated

Value 

Value Label 

1 

I will get a vaccine as soon as I can

2 

I will wait to get a vaccine for one or more reasons

3 

I will never get a COVID-19 vaccine

-99

Refused

-100

Valid Skip


// Page Break //


//BASE beh3a_cet =2//

Item #: Q11-Q12

Question Type: Single punch

// Soft Prompt: “We would like your response to this question.” //

beh4_cet. You responded that you will wait to get a COVID-19 vaccine. For each of the following statements, is this a reason why you would wait to get a COVID-19 vaccine? Select yes or no for each item.

Variable Label: BEH4_CET: Reasons: Waiting to get vaccinated

//PROGRAMMING NOTE: RANDOMIZE BEH3_1_CET-BEH3_10_CET

Variable Name

Variable Text

Variable Label

beh4_1_cet

I will wait because of my age.

beh4_1_cet: Age

beh4_2_cet

I will wait because of my health status, allergies, or medical history.

beh4_2_cet: Health

beh4_3_cet

I want to know if the vaccine is effective first.

beh4_3_cet: Confirm effectiveness

beh4_4_cet

I am pregnant or expect to become pregnant.

beh4_4_cet: Pregnant

beh4_5_cet

I want to talk to my doctor first.

beh4_5_cet: Talk to doctor first

beh4_6_cet

I want to compare the effectiveness of the different vaccines.

beh4_6_cet: Compare vaccines

beh4_7_cet

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

beh4_7_cet: Friends/family

beh4_8_cet

I want to see if others who get the vaccine first develop any problems.

beh4_8_cet: Side effects

beh4_9_cet

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

beh4_9_cet: Confirm safety

beh4_10_cet

I want to hear from leaders in my community about the vaccine first.

beh4_10_cet: Hear from leaders

beh4_11_cet

Other

beh4_11_cet: Other


Value

Value Label

0

No

1

Yes

-99

Refused

-100

Valid skip


// Page Break //


//PROGRAMMING NOTE: DISPLAY IF Q9≠3 OR -100//

Item #: Q13-Q15

Question Type: Grid

// Soft Prompt: “We would like your response to this question.” //

vacc_source. How likely would you be to get the COVID-19 vaccine if each of the following recommended it?

//PROGRAMMING NOTE: RANDOMIZE vacc_source1-vacc_source12.//

Variable Name

Variable Text

Variable Label

vacc_source1

Your State Government

vacc_source1: Source of Vaccine: Your State Government

vacc_source2

The U.S. Department of Health and Human Services (HHS)

vacc_source2: Source of Vaccine: HHS

vacc_source3

The Centers for Disease Control and Prevention (CDC)

vacc_source3: Source of Vaccine: CDC

vacc_source4

U.S. Federal public health officials

vacc_source4: Source of Vaccine: Federal public health officials

vacc_source5

The U.S. Food and Drug Administration (FDA)

vacc_source5: Source of Vaccine: FDA

vacc_source6

Pharmaceutical companies

vacc_source6: Source of Vaccine: Pharmaceutical companies

vacc_source7

Local public health officials (e.g. state, county, city, or town)

vacc_source7: Source of Vaccine: Local public health officials

vacc_source8

The American Medical Association

vacc_source8: Source of Vaccine: The American Medical Association

vacc_source9

Medical websites, like WebMD or the Mayo Clinic

vacc_source9: Source of Vaccine: Medical websites like WebMD or the Mayo Clinic

vacc_source10

Your local hospital leadership (e.g., Chief Medical Officer)

vacc_source10: Local hospital leadership

vacc_source11

President Biden

vacc_source11: President Biden

vacc_source12

Vice President Harris

vacc_source12: Vice President Harris


Value

Value Label

1

Not at all likely

2

Not very likely

3

Somewhat likely

4

Very likely

-99

Refused


// Page Break //


Item #: Q16-Q17

Question Type: Grid

// Soft Prompt: “We would like your response to this question.” //

fam_vacc_source. How likely would you be to get the COVID-19 vaccine if each of the following recommended it?

//PROGRAMMING NOTE: RANDOMIZE vacc_source1-vacc_source10.//

Variable Name

Variable Text

Variable Label

fam_vacc_source1

My family physician

fam_vacc_source1: Source of Vaccine: My family physician

fam_vacc_source2

Friends

fam_vacc_source2: Source of Vaccine: Friends

fam_vacc_source3

Immediate family members

fam_vacc_source3: Source of Vaccine: Immediate family members

fam_vacc_source4

Extended family members

fam_vacc_source4: Source of Vaccine: Extended family members

fam_vacc_source5

Neighbors in my community

fam_vacc_source5: Source of Vaccine: Neighbors in my community

fam_vacc_source6

Local schools

fam_vacc_source6: Source of Vaccine: Local schools

fam_vacc_source7

My employer

fam_vacc_source7: Source of Vaccine: My employer

fam_vacc_source8

My local government

fam_vacc_source8: Source of Vaccine: My local government

fam_vacc_source9

My place of worship

fam_vacc_source9: Source of Vaccine: My place of worship

fam_vacc_source10

My pharmacist/pharmacy

fam_vacc_source10: Source of Vaccine: My pharmacist/pharmacy


Value

Value Label

1

Not at all likely

2

Not very likely

3

Somewhat likely

4

Very likely

99

Not applicable

-99

Refused


// Page Break //


//PROGRAMMING NOTE: DISPLAY IF Q93 OR -100//

Item #: Q18

Question Type: Single punch

// Soft Prompt: “We would like your response to this question.” //

vacc_distance. How far would you need to travel to get to the COVID-19 vaccination site located nearest to your home?

Variable Label: vacc_distance: Distance to vaccine site

Value 

Value Label 

1 

Less than 15 minutes

2 

15 minutes – 30 minutes

3 

30 minutes – 1 hour

4

More than 1 hour

5

I don’t know where my nearest site is

-99

Refused

-100

Valid skip


// Page Break //


//PROGRAMMING NOTE: DISPLAY IF Q93 OR -100//

Item #: Q19-Q20

Question Type: Single punch

// Soft Prompt: “We would like your response to this question.” //

vacc_barrier. When it comes to getting a COVID-19 vaccine, how difficult do you expect the following to be?

Variable Label: vacc_barrier: Barriers to getting vaccine

//PROGRAMMING NOTE: RANDOMIZE vacc_1_barrier-vacc_6_barrier

Variable Name

Variable Text

Variable Label

vacc_1_barrier

Getting to and/or from the vaccination site

vacc_1_barrier: Travel


vacc_2_barrier


Finding appointment times that work with my schedule

vacc_2_barrier: Appointment times


vacc_3_barrier


Having access to the technology needed to schedule the vaccine appointment (e.g., computer, mobile device, internet)

vacc_3_barrier: Technology


vacc_4_barrier

Cost of traveling to and from the vaccination site

vacc_4_barrier: Travel cost

vacc_5_barrier

Other costs associated with getting the vaccine (e.g., childcare, time off from work)

vacc_5_barrier: Other costs

vacc_6_barrier


Getting the documentation needed to get a vaccine (e.g., driver’s license or other form of identification)

vacc_6_barrier: Documentation



Value

Value Label

1

Not at all difficult

2

Slightly difficult

3

Moderately difficult

4

Very difficult

-99

Refused

-100

Valid skip



// Page Break //


//PROGRAMMING NOTE: DISPLAY IF Q9≠3 OR -100//

Item #: Q21-Q22

Question Type: Single punch

// Soft Prompt: “We would like your response to this question.” //

vacc_resource. When it comes to getting a COVID-19 vaccine, how much would each resource, if available, increase your likelihood to get vaccinated?

Variable Label: vacc_resource: Vaccine resources

//PROGRAMMING NOTE: RANDOMIZE vacc_1_resource-vacc_7_resource

Variable Name

Variable Text

Variable Label

vacc_1_resource

If transportation was provided for traveling to and from the vaccine site

vacc_1_resource: Travel


vacc_2_resource


If more flexibility was offered in scheduling my vaccine appointments (e.g., later appointment times, more weekend availability)

vacc_2_resource: Appointments


vacc_3_resource


If my employer offered paid time off to get the vaccine

vacc_3_resource: Compensation


vacc_4_resource


If I received automatic notifications with updates on my vaccine eligibility status and appointment scheduling options

vacc_4_resource: Notifications

vacc_5_resource



If vaccine scheduling could be done in-person

vacc_5_resource: In-Person

vacc_6_resource

If vaccine registration sites were available in more languages

vacc_7_resource: Language


vacc_7_resource

If I could bring my child(ren) with me to the vaccine site

vacc_8_resource: Child


Value

Value Label

1

Not at all

2

Not very much

3

A fair amount

4

A great deal

99

Not applicable

-99

Refused

-100

Valid skip



// Page Break //


//BASE: All respondents//

Item #: Q23-Q24

Question Type: Grid

// Soft Prompt: “We would like your response to this question.” //

cv_diagnose. Have you or any of the following people been diagnosed with the coronavirus or COVID-19?

Variable Label: cv_diagnose: Diagnosed with COVID-19

//PROGRAMMING NOTE: RANDOMIZE cv_diagnose_1-cv_diagnose_6


Variable Name

Variable Text

Variable Label

cv_diagnose_1

I have once

cv_diagnose_1: Myself


cv_diagnose_2

I have more than once

cv_diagnose_2: Myself More Than Once


cv_diagnose_3

An immediate family member

cv_diagnose_3: Immediate Family Member


cv_diagnose_4

An extended family member

cv_diagnose_4: Extended Family Member

cv_diagnose_5


A friend

cv_diagnose_5: Friend

cv_diagnose_6

No, I do not know anyone that has been diagnosed with coronavirus or COVID-19

cv_diagnose_6: No One


Value

Value Label

0

No

1

Yes

-99

Refused

-100

Valid skip


// Page Break //


//BASE: All respondents//

Item #: Q25

Question Type: Single punch

// Soft Prompt: “We would like your response to this question.” //

covid19_threat. How much of a threat is the coronavirus outbreak for _____?

Variable Label: covid19_threat: COVID-19 threat concerns

//PROGRAMMING NOTE: RANDOMIZE covid19_threat_1-covid19_threat_7

Variable Name

Variable Text

Variable Label

covid19_threat_1

Your personal health

covid19_threat_1: Personal Health

covid19_threat_2

Your personal financial situation

covid19_threat_2: Personal Finances


covid19_threat_3

The health of your community

covid19_threat_3: Day to Day


covid19_threat_4

The health of the US population as a whole

covid19_threat_4: US Population


covid19_threat_5


The US economy

covid19_threat_5: US Economy


Value

Value Label

1

Not a threat

2

A minor threat

3

A moderate threat

4

A major threat

-99

Refused




Shape3

For internal communications only


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorLindsey Strausser
File Modified0000-00-00
File Created2023-07-29

© 2024 OMB.report | Privacy Policy