Foundational Focus Groups
ASPA COVID-19 Public Education Campaign Market Research
HHS COVID-19 WCDT Brand FG_Screener 06-02-23
Foundational Focus Groups
OMB: 0990-0476
Focus Group Screener: We Can Do This Campaign Brand
Notes to Recruiters
Recruit eight to seat four to six
Ten focus groups total
Four focus groups with General Population adults.
One unvaccinated adult
Two vaccinated adults (at least one group of adults ages 50 and older)
One vaccinated adult who is a parent of a child ages 6 months through 17 years
Three focus groups with Latino/Hispanic adults (in English).
Two vaccinated adults (at least one group of adults ages 50 and older)
One vaccinated adult who is a parent of a child ages 6 months through 17 years
Due to time constraints, we cannot host the focus groups in Spanish. We will ensure that we recruit bilingual participants.
Three focus groups with Black/African American adults.
Two vaccinated adults (at least one group of adults ages 50 and older)
One vaccinated adult who is a parent of a child ages 6 months through 17 years
Mix of age, gender, political ideology, socioeconomic status (SES), geographic area, etc.
Please terminate as soon as someone fails to meet an inclusion criterion.
Screener
Hello, my name is [INSERT NAME] from [INSERT FACILITY NAME], a market research firm. We are recruiting for an upcoming study that will collect feedback about a public education campaign brand. This is not a sales call of any kind. I am only calling to see if you or an eligible member of your household has an interest in participating in a 90-minute focus group that will be conducted virtually for which you would receive a $100 incentive. I have a few questions I need to ask to see if you are qualified for this study. You don’t have to answer any question that you don’t want to answer.
Are you interested in seeing if you or anyone in your household qualifies to participate in this focus group? [ACCEPT ONLY ONE PER HOUSEHOLD]
Yes
[ ]
> CONTINUE
No
[ ]
> TERMINATE
In the past 5 years, have you or a member of your immediate family worked in any of the following fields, companies, or organizations?
Market or public opinion research
[ ]
> TERMINATE
An advertising, public relations, or marketing agency
[ ]
> TERMINATE
News, radio, TV, print, media
[ ]
> TERMINATE
For the U.S. federal government
[ ]
> TERMINATE
As a health care provider or medical professional (e.g., physician, nurse)
[ ]
> Terminate
In order to participate, you need to have a desktop or laptop computer or a smartphone with an internet connection. You will also need to consent to be recorded during the focus group. Will you be able to meet both of these requirements?
Yes
[ ]
> CONTINUE
No
[ ]
> TERMINATE
Would you be willing and able to participate in this study via a webcam or smartphone camera?
Yes
[ ]
> CONTINUE
No
[ ]
> TERMINATE
What is your gender?
Male
[ ]
> CONTINUE
Female
[ ]
> CONTINUE
Transgender, non-binary, or another gender
[ ]
> CONTINUE
Prefer to self-describe (specify)
[ ]
> CONTINUE
What is your age? _______________ [RECORD VERBATIM]
Note to recruitment: Participants must be 18 years or older.
Have you received your primary COVID vaccine series? If you received your primary vaccine series on or before April 18, 2023, the vaccine series could have required two doses of the Pfizer, Moderna, or Novavax vaccines, or one dose of the Johnson & Johnson vaccine. If you received your primary vaccine series after April 18, 2023, the vaccine series could have required one dose of the Pfizer, Moderna, or Johnson & Johnson vaccines, or two doses of the Novavax vaccine.
Yes
[ ]
> CONTINUE
No
[ ]
> CONTINUE
[If yes to 7]: When did you receive the last dose of your primary COVID vaccine? _______________ [RECORD MONTH AND YEAR VERBATIM]
Have you received any additional COVID vaccine doses after your primary COVID vaccine? Specifically, did you receive a booster before September 2022 or an updated COVID vaccine after September 2022?
Yes
[ ]
> CONTINUE
No
[ ]
> CONTINUE
[If yes to 9]: When did you receive the last dose of your COVID booster or updated vaccine? _______________ [RECORD MONTH AND YEAR VERBATIM]
Are you of Hispanic, Latino, or Spanish origin?
Yes
[ ]
> CONTINUE
No
[ ]
> CONTINUE
[If yes to 11]: Do you spend at least three hours a week using Spanish-language media, such as television, radio, or online services? [RECRUIT A MIX]
Yes
[ ]
> CONTINUE
No
[ ]
> CONTINUE
What is your race? Please select all that apply.
American Indian or Alaska Native
[ ]
> CONTINUE
Asian
[ ]
> CONTINUE
Black or African American
[ ]
> CONTINUE
Native Hawaiian and Other Pacific Islander
[ ]
> CONTINUE
White/Caucasian
[ ]
> CONTINUE
Prefer not to say/Refuse to answer
[ ]
> CONTINUE
In what city and state do you live?
CITY: ________________ STATE:_____________________
Note to recruitment: Recruit a mix of locations.
What is the highest level of school you have completed? [RECRUIT A MIX. ENSURE A ROBUST REPRESENTATION OF PARTICIPANTS BELOW A BACHELOR’S DEGREE]
Some high school or less (no diploma)
[ ]
> CONTINUE
High school diploma or equivalent (GED)
[ ]
> CONTINUE
Some college, no degree
[ ]
> CONTINUE
Vocational school
[ ]
> CONTINUE
Associate degree
[ ]
> CONTINUE
Bachelor’s degree
[ ]
> CONTINUE
Master’s degree
[ ]
> CONTINUE
Professional or doctorate degree
[ ]
> CONTINUE
Which of the following best describes you? Please select all that apply. [RECRUIT A MIX]
Employed full time
[ ]
> CONTINUE
Employed part time
[ ]
> CONTINUE
Self-employed
[ ]
> CONTINUE
Not employed
[ ]
> CONTINUE
Stay-at-home parent/guardian
[ ]
> CONTINUE
Student
[ ]
> CONTINUE
Retired
[ ]
> CONTINUE
In 2022, what was your total household income from all sources before taxes? [RECRUIT A MIX. ENSURE ROBUST REPRESENTATION OF <$50K]
Less than $15,000
[ ]
> CONTINUE
$15,000 to $24,999
[ ]
> CONTINUE
$25,000 to $34,999
[ ]
> CONTINUE
$35,000 to $49,999
[ ]
> CONTINUE
$50,000 to $74,999
[ ]
> CONTINUE
$75,000 to $99,999
[ ]
> CONTINUE
$100,000 to $149,999
[ ]
> CONTINUE
$150,000 to $199,999
[ ]
> CONTINUE
$200,000 and over
[ ]
> CONTINUE
Don’t know/Refused
[ ]
> CONTINUE
In general, do you think of yourself as…? [RECRUIT A MIX.]
Extremely liberal
[ ]
> CONTINUE
Liberal
[ ]
> CONTINUE
Slightly liberal
[ ]
> CONTINUE
Moderate, middle of the road
[ ]
> CONTINUE
Slightly conservative
[ ]
> CONTINUE
Conservative
[ ]
> CONTINUE
Extremely conservative
[ ]
> CONTINUE
Do you have any children?
No
[ ]
> CONTINUE
Yes
[ ]
> CONTINUE
[If yes to 19]: Do you have a child in any of the following age groups who you are a primary health-related decision maker for? [IF YES TO ANY AGE GROUP, PARTICIPANT QUALIFIES FOR PARENT GROUP].
6 months–5 years old
[ ]
> CONTINUE
6–11 years old
[ ]
> CONTINUE
12–17 years old
[ ]
> CONTINUE
I am not the primary health decision maker for any of my children.
[ ]
> CONTINUE
[If yes to any age group in 20]: Have any of your children received at least one dose of a COVID vaccine? [RECRUIT A MIX.]
Yes, all of my children have received a COVID vaccine. |
[ ] |
> CONTINUE |
Some of my children have received a COVID vaccine. |
[ ] |
> CONTINUE |
None of my children have received a COVID vaccine. |
[ ] |
> CONTINUE |
Thank you for taking the time to answer these questions. We will be in touch with additional information regarding this study.
*****
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Giulliana Ratti |
| File Modified | 0000-00-00 |
| File Created | 2023-07-29 |
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