Attachment 7 - Introductory Questions

• Introductory Questions

Form Approved

OMB No. 0920-0572

Expiration Date: XX-XX-XXXX

1. Introductory Questions

Purpose: to learn about respondents’ information consumption habits and their previous experiences with a specific topic. Questions can be used for Central Location Intercept Interviews, Telephone Interviews, Individual In-depth Interviews [Cognitive Interviews], Focus Group Screeners, and Focus Groups.

1c. Have you ever looked for health information about [TOPIC] from any source?

• Yes

• No

2c. When you looked for health information about [TOPIC], where did you go?

• A specific website SPECIFY

• Books

• Brochures, pamphlets, etc.

• Complementary or alternative practitioner

• Co-worker or colleague

• Family

• Friend

• Health care provider

• Library

• Magazines

• Online search

• Social Media SPECIFY

• Telephone information number (1-800-Number, etc.)

• Television

• Other:

• Do not look or go anywhere

3c. The most recent time you looked for information about [TOPIC] was it for…?

• Yourself

• Someone else you care for or take care of, such as a spouse/partner, child, parent, relative, or friend

• Both

4c. In general, how much would you trust information about health or medical topics from a doctor or health care professional? Would you say a lot, some, a little, or not at all?

• A lot

• Some

• A little

• Not at all

5c. In general, how much would you trust information about health or medical topics? Would you say a lot, some, a little, or not at all?

• How about from family and friends?

• How about in newspapers or magazines?

• How about on the radio?

• How about on the Internet?

• How about on television?

• How about from social media?

• How about from charitable organizations?

• How about religious organizations and leaders?

• How about from government health agencies?

[IF NEEDED: Government health agencies include the National Institutes of Health, the Centers for Disease Control and Prevention, and state and local health departments.]

6c. In general, how much would you trust information you receive on [TOPIC] from the following sources?

• A lot

• Somewhat

• A little

• Not at all

• Don’t know

Items

• Doctor or health care professional

• Family

• Federal government health agencies

• Friends

• Health websites

• Local or state government health agencies

• Newspapers or magazines

• Non-profit or charitable organizations

• Online forums or chatrooms

• Podcasts

• Political leaders

• Radio

• Religious organizations or leaders

• Social media personalities

• Television

[IF NEEDED: Government health agencies include the National Institutes of Health, the Centers for Disease Control and Prevention, and state and local health departments.]

7c. In general, how much do you trust information you see, read, or hear about [TOPIC]?

• A lot

• Somewhat

• A little

• Not at all

8c. In general, how much would you trust information about health or medical topics? Would you say a lot, some, a little, or not at all? GRID FORMAT, ROTATE A-D.

A lot Some A little Not at all

1 2 3 4

1. Family and friends

2. Charitable organizations

3. Religious organizations and leaders

4. Government health agencies

9c. Think about the most recent time you looked up information on [TOPIC] from any source. About how long ago was that?

• Days ago

• Weeks ago

• Months ago

• Years ago

• Never

10c. What type of information related to [TOPIC] were you looking for in your most recent search? Select all that apply

• Organizations that focus on [TOPIC]

• Causes or risk factors

• Coping or dealing with [TOPIC]

• Diagnosis

• General information on [TOPIC] Paying for medical care/insurance

• Medication for [TOPIC]

• Paying for medical care/insurance

• Prognosis/recovery

• Screening/testing/early detection

• Symptoms

• Treatment/cures

• Where to get medical care for [TOPIC]

• Information on complementary alternative or unconventional treatments for [TOPIC]

• Other:

11c. What type of information were you looking for in your most recent search? Please check all that apply.

MULTIPLE MENTION, ROTATE 1-4.

1. Information on [INSERT health topic/behavior/condition/disease/syndrome/injury/disability]

2. Help for [INSERT health condition/disease/syndrome/injury/disability]

3. Where to get medical care for [INSERT health condition/disease/syndrome/injury/disability]

4. Medication for [INSERT health condition/disease/syndrome/injury/disability]

5. Information on complementary alternative or unconventional treatments for [INSERT health condition/disease/syndrome/injury/disability]

6. Other (Please specify):

The next few questions are about various ways you might get health information.

12c. Some newspapers or general magazines publish a special section that focuses on health. In TIMEFRAME , have you read health sections of the newspaper or of a general magazine?

• Yes

• No

13c. Some local television and radio news programs include special segments of the newscasts that focus on health issues. In TIMEFRAME , have you watched or listened to health segments on the local news?

• Yes

• No

14c. Some people notice information about health on the internet and social media, even when they are not trying to find out about a health concern they have or someone in the family may have. Have you read such health information on the Internet in TIMEFRAME ?

• Yes

• No

15c. Here are some ways people use the internet or digital sources for health information. Some people have done these things, but other people have not. In TIMEFRAME, have you done the following things?

• Bought medicine or vitamins online

• Participated in an online support group for people with a similar health or medical issue

• Used email or the internet to communicate with a doctor or a doctor’s office

• Used a website to help you with your diet, weight, or physical activity

• Looked for a healthcare provider on the internet

• Downloaded or saved health information from the intranet

• Looked for health information on a social media platform like Facebook, Instagram, or TikTok

• Posted in a web forum or chat about health-related questions

• Listened to a podcast about health information

16c. About how often do you use the internet?

• Several times a day

• About once a day

• 3-5 days a week

• 1-2 days a week

• Every few weeks

• Less often

• Never

• Don’t know/refused

17c. About how often do you use social media?

• Several times a day

• About once a day

• 3-5 days a week

• 1-2 days a week

• Every few weeks

• Less often

• Never

• Don’t know/refused

18c. Please select all the items you won or have regular access to from this list. Select all that apply.

• A desktop computer

• A laptop computer

• A tablet computer

• A smartphone

• A cell phone that is not a smartphone

• A smartwatch

• A smart speaker or device in your home

• None of these

19c. Have you heard about [TOPIC]?

20c. What can you tell me about [TOPIC]?