Participant Screener
Record Gender: recruit a mix Male Female |
NAME
ADDRESS
CITY/STATE/ZIP
HOME PHONE WORK PHONE
FAX E-MAIL
RECRUITED BY DATE
CONFIRMED BY DATE
PROJECT OVERVIEW
Recruit 13 for at least 9-10 to participate per group
Represent a mix of ethnicity, employment status, gender, age, education level, U.S. born vs. foreign born, and English as primary/secondary languages.
Phase 1 Focus Groups will focus specifically on Average Citizens and Interested Citizens
Ensure 508 compliance representation
Proposed Research Locations/Schedule
Locations recommended based on the following:
Media market population: mix of metro, suburban and rural areas (based on Metropolitan Statistical Area rankings)
Diversity in markets: gender, ethnicity, disabled residents
Range of unemployment rates: high, low (based on BLS June 2009 data)
Day |
Date |
Region |
Times |
Market |
Unemployment Rate |
MSA Rank |
Thursday |
27-Aug |
Mid-Atlantic |
5:30 and 7:30 p.m. |
RICHMOND |
8.4 |
43 |
Monday |
31-Aug |
East |
5:30 and 7:30 p.m. |
BOSTON |
8.3 |
10 |
Tuesday |
1-Sep |
South |
5:30 and 7:30 p.m. |
DALLAS |
8.2 |
4 |
Wednesday |
2-Sep |
Central |
5:30 and 7:30 p.m. |
DAYTON |
12.1 |
61 |
Thursday |
3-Sep |
West |
5:30 and 7:30 p.m. |
SACRAMENTO |
11.6 |
25 |
Recruiting activities will be compliant with national do not call list registry and list management.
Is this a convenient time to ask you a few questions?
a. Yes 1 CONTINUE
b. No 2 ESTABLISH CONVENIENT TIME
TO CALL BACK
1. When was the last time, if ever, you participated in a market research study either at our facility or for another research company? (DO NOT READ)
a. Within the past 6 months 1 TERMINATE
b. Longer than 6 months ago 2 ASK Q2a/2b
c. Never 3 SKIP TO Q3
If within the past 6 months, terminate
2a. How many market research group discussions have you ever participated in?
2b. How many market research one-on-one, in-depth interviews have you ever participated in?
No more than 3 focus groups or one-on-one interviews ever
3. Which of the following categories includes your age? (READ) Recruit a mix.
a. Under 18 1 TERMINATE
b. 18-24 2 CONTINUE
c. 25-34 3 CONTINUE
d. 35-45 4 CONTINUE
e. 45-54 5 CONTINUE
f. 55-64 6 CONTINUE
g. 65+ 7 CONTINUE
4. Which of the following best describes your current residency status?
a. I am a U.S. Citizen 1 CONTINUE
b. I am a Naturalized U.S. Citizen 2 CONTINUE
c. I am not a U.S. Citizen 3 TERMINATE
5. What languages are spoken in your home? ___________________
6. On a scale from 1 to 10, where 1= not very interested and 10= very interested, how interested are you in the following subjects?
a. Professional Sports (such as football, baseball, basketball, racing)
b. Fashion & Beauty
c. Internet and/or social networking websites (such as Facebook, Twitter, YouTube)
d. Travel
e. Gardening/Home Decoration/Architecture
f. Politics and government affairs
7. Are you a registered voter?
a. Yes 1 CONTINUE
b. No 2 CONTINUE
8. Which of the following activities have you ever participated in? Again, I want to stress that we are looking for a wide array of Americans so please be as honest as possible. (If None of the above or A only, categorize as Average Citizen.)
a. I voted in the last General Election (November 2008)
b. I follow local, state and national politics closely
c. I have contacted an elected official regarding my thoughts on current events and government policies
d. I have searched the internet/watched tv/listened to the radio/read the newspaper/journals for more information on current events and government policies
e. I have campaigned/volunteered/actively supported initiatives of personal interest
f. None of the above—categorize as Average Citizen
9. Please share an example of your level of inquiry/interests_________________________
10. Are you aware of the American Recovery and Reinvestment Act of 2009 often referred to as the economic stimulus package or Recovery Act?
a. Yes 1 CONTINUE
b. No 2 CONTINUE
10b. What is it? ___________________________________________________________
10c. What resources do you or would you use to learn more about it? (Note to recruiter: Try to get at least 2 respondents who mention Recovery.gov.)
Do you use the internet?
a. Yes 1 CONTINUE
b. No 2 CONTINUE, SKIP TO 12
11B. If Yes, where do you access the internet?
a. Work 1 CONTINUE
b. Home 2 CONTINUE
c. Library 3 CONTINUE
d. Pay per use (e.g. internet café) 4 CONTINUE
12. On a scale from 1 to 10, where 1=not very comfortable and 10=very comfortable, how comfortable are you with using the Internet? _____________________ (Recruit a mix.)
Classification Questions
The following questions are intended to ensure we get a wide variety of respondents represented in our market
research discussion.
13. Which of the following best describes your current work status or occupation? (Read. Recruit a mix.)
Professional/Executive/Owner
White Collar/ Administrative/ Clerical
Blue Collar/ Service/ Manufacturing
Part Time Work Outside of the Home
Stay at Home Full Time/Do Not Work
Unemployed/Looking for Work
Student
Retired
Other_____ (Record verbatim, do not read.)
Do Not Know (Do not read.)
Refused (Do not read.)
If A-D ask:
13a. What is your current job title? _________________________________
14. Which of the following best describes your last level of education completed? (READ. Data collection purposes only.)
a. No high school diploma 1 CONTINUE
b. High School 2 CONTINUE
c. Associate’s Degree 3 CONTINUE
d. Bachelor’s Degree 4 CONTINUE
e. Masters Degree 5 CONTINUE
f. JD/PhD/MD 6 CONTINUE
g. Post Doctorate 7 CONTINUE
15. Which of the following describes your ethnicity? Please select only one. (READ. Recruit a mix.)
a. Hispanic or Latina/o 1 CONTINUE
b. Not Hispanic or Latina/o 2 CONTINUE
16. Which of the following describes your race? Please select one or more CONTINUE
a. American Indian or Alaska native 1 CONTINUE
b. Asian 2 CONTINUE
c. Black/African American 3 CONTINUE
d. Native Hawaiian or other Pacific Islander 4 CONTINUE
e. White 5 CONTINUE
17. For classification purposes only, please tell me into which of the following categories your TOTAL HOUSEHOLD income falls before taxes? (READ LIST.)
a. Under $35,000 1 CONTINUE
b. Between $35,000 and $45,000 2 CONTINUE
c. Between $45,000 and $60,000 3 CONTINUE
d. Between $60,000 and $80,000 4 CONTINUE
e. Between $80,000 and $100,000 5 CONTINUE
f. Over $100,000 6 CONTINUE
g. Refused 7 CONTINUE
18. To ensure our research program is compliant with Section 508 of the Rehabilitation Act and accessible to all segments of the US population, please indicate which of the following applies to you:
(Note to recruiter: Ensure at least 2 respondents from A-F per group.)
a. No vision 1 CONTINUE
b. Low vision 2 CONTINUE
c. Hearing impaired 3 CONTINUE
d. Motor impairments 4 CONTINUE
e. Speech impairment 5 CONTINUE
f. Spinal impairment 6 CONTINUE
g. None of the above 7 CONTINUE
INVITATION
We would like to invite you to participate in a paid market research study to discuss government websites. The focus group is scheduled to last 2 hours and will take place on [insert date].
Are you interested in participating in the research discussion?
a. Yes CONTINUE
b. No TERMINATE
That is great, the session will last approximately 2 hours. For your participation we will pay you $75. Does this sound like something you would be interested in participating in?
We are investing a great deal of time and effort to coordinate this research study. Your participation and attendance is vital to the success of our study. If for any reason, you are unable to attend the focus group, please notify us in advance so we may find a replacement.
Get mailing address, fax number or email address to send confirmation information.
We are counting on your attendance. Please do not schedule yourself for this research if you feel that you are not going to be able to attend the focus group discussion. If an emergency does arise, it is imperative that you call us immediately at XXX as we will need to find your replacement as soon as possible. Since our clients expect our respondents to all show up for their research, and since it is necessary that we provide them with the most accurate information, you will be receiving 2 calls confirming your attendance. The first call will be 3-4 days after you are recruited and we will need to re-ask you some of the screening questions, you will also receive a final call to confirm the day before your scheduled appointment. We do need to speak with you on each of these occasions, and we appreciate your prompt return calls.
Do you have any objection to us placing the 2 calls to confirm your information and attendance?
a. Yes TERMINATE
b. No CONTINUE
You will also be videotaped for market research purposes only during this discussion. Do you have any objection to the use of video?
a. Yes TERMINATE
b. No CONTINUE
If you wear glasses please be certain to bring with you to the session.
Thank you for your understanding and patience during these confirmation calls, and we look forward to having you participate in this study!
File Type | application/msword |
File Title | Agency Guide for PRA Users |
Author | N Bushi |
Last Modified By | jennifer.dure |
File Modified | 2009-08-21 |
File Created | 2009-08-21 |