Screening for Telephone Survey

OMB Control No. :
TBD DRAFT
12/02/08
OMNIBUS TELEPHONE SURVEY (SCREENER)
1.

Are there any children currently living in your household between the ages
of 7 and 16?
1 Yes (CONTINUE WITH Q2)
2 No (TERMINATE)
9 Refused (TERMINATE)

2.

Have you rented or bought a DVD movie for any of these children age 7 to
16 in the past year?
1
2
8
9

3.

Yes (CONTINUE WITH Q3)
No (TERMINATE)
Don’t know (TERMINATE)
Refused (TERMINATE)

Are you aware there is a rating system to help parents decide what
movies they do and do not want their children to watch in theaters or on
DVD?
1
2
8
9

YES
NO (THANK AND TERMINATE)
DON’T KNOW OR NOT SURE (THANK AND TERMINATE)
REFUSED (THANK AND TERMINATE)