Attachment E Young Adult Recruitment Screener

BPA Focus Groups Screener
(Young Adults)

FACILITY TO DO THE SCREENING.
I’m with
, a local opinion research company. We are working with
Hello, my name is
RTI International, a nonprofit research organization, on a project sponsored by a federal health
agency. The research is on new types of tobacco products. I want to assure you that we are not
working for or with a tobacco company and we are not promoting these products. And we are
not from a company that sells anything, including quit-smoking aids. We are conducting focus
groups to learn what people know about these products and how they view them.
We will be holding focus groups with young adults around your age. The discussion will be held
at [INSERT DATE] and last about 90 minutes (1 1/2 hours). As a thank you for being
interviewed, you will be given $50 for your time, effort, and travel expenses. Would you mind if
I ask you a few questions now in order to see if you are eligible to participate? I will need you
to answer all of these questions to see if you are able to attend.
[YES] – Continue
[NO] – Thank and end call.
1. Before I start, are you at least 18 years old?
[YES] – Continue
If yes: How old are you? _____________ TERMINATE IF NOT 18-24 YEARS
[NO]
If no: Can I speak with someone who is between 18 and 24 years old?
If no, when would be a good time to call back and speak with this
person? SET UP CALL BACK TIME
Or, is there no one between ages 18-24 in the household? TERMINATE
IF NO ONE 18-24
2. Are you currently employed as a market researcher or marketing/advertising professional?
[YES] – TERMINATE
[NO] – Continue
3. Are you currently employed by the tobacco industry?
[YES] – TERMINATE
[NO] – Continue

4. What types of tobacco products have you heard of? [DO NOT READ LIST; Check all that are
freely mentioned; see attached for descriptions of products]
Cigarettes
Cigars
Cigarillos
Pipes
Hookahs or water pipes
Snus
Chewing tobacco/dip/snuff
Dissolvable tobacco products
Electronic cigarettes or E-Cigarettes
Other: ________________________
5. Do you currently smoke cigarettes or use smokeless tobacco products?
[YES]
If yes: How often—everyday or occasionally?
Everyday
Occasionally
If yes: Which tobacco products do you use? [Check all that apply]
Cigarettes
Cigars
Cigarillos
Pipes
Hookahs or water pipes
Snus
Chewing tobacco/dip/snuff
Dissolvable tobacco products
Electronic cigarettes or E-Cigarettes
Other: ________________________
[NO] TERMINATE
6. Have you ever heard of dissolvable tobacco products?
[YES]
If yes: What have you heard? [see attached for description of acceptable responses]
___________________________________________________________________
___________________________________________________________________
__________________________________
[NO] – Continue to Q6
7. Have you ever tried dissolvable tobacco products?

[YES] – Assign to “user” triad
[NO] – Assign to “non user” focus groups and ask 5a.
5a. If yes to Q4 & no to 5: What is the likelihood you would try a dissolvable
tobacco product if offered one in the next year?
• [1] Not at all likely
• [2] Unlikely
• [3] Somewhat likely
• [4] Very likely

8. What is the highest level of education you have completed?
Less than high school
High school (including GED)
Some college
College
Post graduate
[Attempt to mix education levels across groups]

9. Confirm respondent sex:
Male
Female
10. How would you describe your race?
[DO NOT READ OPTIONS. OK if person gives more than one response. If multiple responses
include “White” or “Caucasian,” count as “Other.” If “multiple races are mentioned” record
as other.]
(1) Hispanic
Non-Hispanic
(2) White
(3) Black or African American
(4) American Indian or Alaska Native
(5) Asian
(6) Native Hawaiian or Other Pacific Islander
(7) Multiple races mentioned
(8) Other: __________________
11. On a scale of 1-5, how comfortable are you understanding and speaking English? 1 is very
uncomfortable, 3 is somewhat comfortable, and 5 is very comfortable. ______________
[TERMINATE if 3 or lower]

12. On a scale of 1-5, how comfortable are you participating in a group discussion about
tobacco use with several other adult tobacco users? 1 is very uncomfortable, 3 is somewhat
comfortable, and 5 is very comfortable. _______________
[TERMINATE if 3 or lower]
13. Have you attended a focus group discussion or interview about smoking or other tobacco
products in the past 3 months? By focus group, we mean an informal, roundtable discussion,
conducted by a facilitator, in which you were asked your opinions about something related to
smoking?
[YES] – TERMINATE [For non-user groups]
HOLD [For user groups]
[NO] – Continue
Thank you. That is all of the questions that I have for you.
IF INELIGIBLE: I’m sorry, but we have enough people that fit into your category.
IF ELIGIBLE:
From what you told me it looks like you are eligible to participate in the study. Therefore we
invite you to meet with a group to discuss issues related to tobacco products with several other
people who use tobacco products. The discussion will last no more than 90 minutes (1 ½
hours), and will be video-taped, and observed by the focus group staff. Your participation and
everything you say during the discussion will remain private. No personally identifiable
information will be released. You will receive $50 for participating. Additionally, we will serve
you snacks and beverages before the group discussion starts.
Are you interested in
participating in this focus group?
[YES] – Continue
[NO] – TERMINATE
I’m glad that you will be able to join us! The focus group will take place on [Day], [Date], at
[6:00 or 8:00 p.m.] at [site location]. If you normally wear corrective lenses, contacts, or
glasses to read please remember to have them with you during the focus group.
Will you be available to participate at this time?
[YES] – Continue
[NO] – TERMINATE
I would like to send you a confirmation letter and directions to the facility. In order to do so,
could you please tell me your mailing address (or fax number, e-mail address) and a phone
number where you can be reached. We will destroy all contact information when the groups are
completed:
Name:______________________________________
Address:__________________________________________________________

City:_______________________ State:_________ Zip:______________
Phone:_______________________
Alternative Phone: __________________________
Email:_______________________
Date of focus group:__________________ Time:________________
We are only inviting a few people, so it is very important that you notify us as soon as possible
if for some reason you are unable to attend. Please call [recruiter] at [telephone number]
if this should happen. We look forward to seeing you on [date] at [time].

Interview Screener: Additional Information
This information is provided to help screen for Questions 3-4, as respondents may describe
products and/or brands when answering these questions.
3. What types of tobacco products have you heard of? [DO NOT READ LIST; Check all that
are freely mentioned; see attached for descriptions of products]
Cigarettes
o Common Brands: Camel, Marlboro, Newport, Kool, Salem, Virginia Slims,
Winston, Parliament, Pall Mall
Cigars
Cigarillos
o Description: Also called ‘puritos’ or ‘chicos’, these are small, thin cigars
that are wrapped in tobacco leaf rather than paper, and are made by
machine or handrolled.
o Common Brands: Black and Mild’s, Swisher Sweets Cigarillos, and Phillies
Blunts
Pipes
Hookahs or water pipes
o Description: Flavored tobacco that is smoked from a water pipe; can be
smoked alone or in groups (e.g. hookah bars)
Snus
o

o

Description: Snus is a moist, smokeless tobacco, usually sold in individual
or pre-packaged small pouches that are placed under the lip against the
gum. This smokeless product doesn’t require spitting.
Common Brands: Marlboro, Camel

Chewing tobacco/dip/snuff
o Definition: finely ground, moistened smokeless tobacco that is placed
between the gum and lip. This smokeless product requires spitting.
o Common Brands: Skoal, Copenhagen, Grizzly, Husky, Kodiak, Longhorn,
Red Man
Electronic cigarettes (e-cigarettes)
o Definition: plastic, electronic device that uses heat to produce vapor and
simulate smoking; device contains nicotine.
o Common Brands: Blu, NJoy, Green Smoke
Dissolvable tobacco products
o Definition: tobacco product that is placed in the mouth and dissolves. The
product comes in different shapes and sizes, including orbs, strips, sticks,
and lozenges.
o Common Brands: Camel, Marlboro, Ariva, Stonewall, Skoal

Other: ________________________
4. Have you ever heard of dissolvable tobacco products? If yes, what have you heard?
Acceptable responses include:
Products that dissolve in your mouth
Saw them in convenience store or being sold behind counter with cigarettes and
other tobacco products
Description of packs: orange, brown, green, plastic
Camel Orbs
Camel Strips
Camel Sticks
Marlboro Sticks
Skoal Sticks
Ariva
Stonewall
Lozenges