Form Approved OMB No. 0920-0572
Expiration Date: XX-XX-XXXX
(Questions can be used for Central Location Intercept Interviews, Telephone Interviews, Individual In-depth Interviews [Cognitive Interviews], Focus Group Screeners, and Focus Groups.)
1b. Do you, or does any member of your household or immediate family work for:
a market research company
an advertising agency or public relations firm
the media (TV/radio/newspapers/magazines)
as a healthcare professional (doctor, nurse, pharmacist, dietician, etc.)
2b. Have you participated in a focus group, intercept interview, telephone survey, and/or online survey in which you were asked your opinions regarding a product, a service, or advertising within the past six months?
Yes
No
3b. How many of these have you attended in the past six months?
Indicate #
4b. What was/were the topics discussed? SPECIFY
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Griffin, Dawn (CDC/OD/OC) |
File Modified | 0000-00-00 |
File Created | 2025-05-19 |