FDA 360 Consumer Satisfaction

SCREENER
Are you…
What is
your age?

Male
Female
(terminate if under 18)

MAIN SURVEY
1.

Please indicate which of the following products you have used or purchased for
yourself or anyone in your immediate family in the past year. [Select all that apply]
Prescription or over the counter medications (e.g., aspirin, cold medicine)
Any medical device such as a blood glucose monitor or contact lenses
A health website or mobile application
Cosmetics or skincare products, including sun protection
Food or medications for a pet
Tobacco products (e.g., cigarettes, smokeless tobacco)
None of the above

2.

Which of the following health experiences have you or anyone in your immediate
family had in the past year? [Select all that apply]
Experienced public health services such as a doctor’s visit for a cold or the flu, a blood
transfusion, a hospital stay, an emergency room visit, or a mammogram
Discarded a recalled food or drug product
None of the above

3.

Please indicate how much each of the following contributes to your confidence that
your food is safe to eat.
[Divide 100 points across each, giving more points to items that give you more
confidence. You can give all your points to one item, or divide them however you
choose. Please make sure the total adds to 100]
What you have heard about government regulation
What you have done to ensure your own safety and your family’s safety
What you understand companies are doing to make the foods they produce safe
The fact that stories about food-related illnesses are fairly rare

4.

Please indicate how much each of the following contributes to your confidence that
vaccines you or your family have taken are safe.
[Divide 100 points across each, giving more points to items that give you more
confidence. You can give all your points to one item, or divide them however you
choose. Please make sure the total adds to 100]
What you have heard about government regulation
What you have heard from your doctor
What you understand companies are doing to make their vaccines safe
The fact that stories about bad things happening with vaccines are fairly rare

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5.

Please indicate how much each of the following contributes to your confidence that
medications you or your family have taken are safe.
[Divide 100 points across each, giving more points to items that give you more
confidence. You can give all your points to one item, or divide them however you
choose. Please make sure the total adds to 100]
What you have heard about government regulation
What you have heard from your doctor
What you understand companies are doing to make their medications safe
The fact that stories about bad things happening with medicines are fairly rare

6.

Please indicate how much each of the following contributes to your confidence that
medications you or your family have taken are effective.
[Divide 100 points across each, giving more points to items that give you more
confidence. You can give all your points to one item, or divide them however you
choose. Please make sure the total adds to 100]
What you have heard about government regulation
What you have heard from your doctor
What you understand companies are doing to ensure their medications are effective
The fact that most medicines seem to work

7.

Please indicate how much you AGREE or DISAGREE with the following statements.
[Select ONE box for EACH statement]
Strongly agree
Agree
Somewhat agree
Somewhat disagree
Disagree
Strongly disagree

1.
2.

I regularly follow public health issues ..…………………………………….
My own / my family’s personal health and wellness is a top priority….….

8.

Please indicate your level of familiarity with each of the organizations listed below.
[Select ONE response for each organization]
Know what this organization does and have sought information from it
Know what this organization does, but have never sought information from it
Heard of this organization, but don’t know what it does
Never heard of this organization
Food and Drug Administration (FDA)………………………………………………..
Centers for Disease Control and Prevention (CDC)……………………………….
US Department of Agriculture (USDA)………………………………………….…..
National Institutes of Health (NIH)…………………………………...………………
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9.

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.

Please indicate how much you AGREE or DISAGREE with the following statements
about the FDA. [Select ONE box for EACH statement] Participants will receive this
question for each organization they rank as 3 or 4 above.
Don’t know
Strongly agree
Agree
Somewhat agree
Somewhat disagree
Disagree
Strongly disagree
Ensures that the food I buy is safe ………………………………………….
Ensures that the medications I buy are safe………………………………..
Ensures the medications I buy are effective…..……………………….…..
Ensures the vaccines given to me and my family are safe…..……………
Ensures the cosmetic products I use are safe …….……………………
Ensures pet food is safe….…………………………………………………..
Is proactive about alerting me to health threats…………………………....
Is an innovative organization……………………...…….……………………
Reduces my worry about my/my family’s health……………………………
Helps me to understand how best to care for myself/my family…………..
Makes decisions that are guided by science ……………………………….
Is critical for protecting public health…….……………...………………...
Communicates accurate & up-to-date information on unsafe products...
Makes it easy to get the information I need…………………………………
Is respected by people I trust ………………………………………………..
Is an organization I trust………………………………………………………
Is focused on pleasing big companies/industries….……………………….
Is responsive to my concerns…………………….….……………………….

10. For each of the following topics please indicate how much information you would
like to have. [Select ONE box for EACH statement]
Detailed information
Just a summary
Only the most important updates
Not interested in getting information
1.
2
3.
4.
5.
6.
7.
8.
9.

Food safety………………………………………………………………....…..
Medication safety………………………………………………………………..
Health threats to me and my family (e.g., recalls, disease outbreaks)…….
The safety of vitamins and nutritional supplements…………………….......
The safety of medical devices (e.g., glucose monitors, breast implants)….
The safety of cosmetics and skincare products, including sun protection…
The safety of tobacco products………………………………………………...
The safety of the blood supply (e.g., at blood banks)……………………….
Nutrition…………………………………………………………………………...

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Detailed information
Just a summary
Only the most important updates
Not interested in getting information
10. Medical conditions (e.g., diabetes, high blood pressure, etc.)……………...
11. Risks of tobacco use…………………………………………………………….
12.
13.
14.
15.
16.

Information on government regulations related to health and safety……...
Stories about what people who work in food and drug safety do…………..
Things I can do to keep me and my family safe and healthy…………….…
How new technology is being used to keep me healthy…………………….
An explanation of who is responsible for what in ensuring food and drug
safety…………………………………………………………………………….
17. General health and wellness information……………………………………..
11. Which of the following organizations is most qualified to talk to you about each of
these topics? [Select one response for each topic]
Companies are the most qualified to talk about this
Charitable organizations are most qualified to talk about this
National Institutes of Health (NIH)
US Department of Agriculture (USDA)
Food and Drug Administration (FDA)
Centers for Disease Control and Prevention (CDC)
1. Food safety………………………………………………………………....…..
2 Medication safety………………………………………………………………..
3. Health threats to me and my family (e.g., recalls, disease outbreaks)….
4. The safety of vitamins and nutritional supplements…………………….......
5. The safety of medical devices (e.g., glucose monitors, breast implants)….
6. The safety of cosmetics and skincare products, including sun protection…
7. The safety of tobacco products………………………………………………...
8. The safety of the blood supply (e.g., at blood banks)……………………….
9. Nutrition…………………………………………………………………………...
10. Medical conditions (e.g., diabetes, high blood pressure, etc.)……………...
11. Risks of tobacco use…………………………………………………………….

12. Which of the following areas do you think the FDA regulates?
Meat and poultry
Fish
Eggs
Packaged food
Fresh fruits and vegetables
Nutritional labels
Donated blood
Contact lenses

Vaccines
Prescription drugs
Over the counter drugs
Cell phones
Mammograms
Pet food
Animal medications

Skincare products
Tobacco
Alcoholic beverages
Illegal drugs
Automobiles
Hospitals
Children’s toys
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13. Please select up to 3 of the most important sources of information you use for
topics related to medications.
News websites (e.g., CNN.com, TIME.com)
Family members or friends
Physician or other healthcare professional
American Medical Association
Food and Drug Administration (FDA)
Centers for Disease Control and Prevention (CDC)
US Department of Agriculture (USDA)
National Institutes of Health (NIH)

webMD.com
Television/radio
Newspapers
Google search
EverydayHealth.com
FoodSafety.gov
Yahoo! Health
Other (specify:_____)

14. Please select up to 3 of the most important sources of information you use for
topics related to health and wellness.
News websites (e.g., CNN.com, TIME.com)
Family members or friends
Physician or other healthcare professional
American Medical Association
Food and Drug Administration (FDA)
Centers for Disease Control and Prevention (CDC)
US Department of Agriculture (USDA)
National Institutes of Health (NIH)

webMD.com
Television/radio
Newspapers
Google search
EverydayHealth.com
FoodSafety.gov
Yahoo! Health
Other (specify:_____)

15. Please select up to 3 of the most important sources of information you use for
topics related to food safety.
News websites (e.g., CNN.com, TIME.com)
Family members or friends
Physician or other healthcare professional
American Medical Association
Food and Drug Administration (FDA)
Centers for Disease Control and Prevention (CDC)
US Department of Agriculture (USDA)
National Institutes of Health (NIH)

webMD.com
Television/radio
Newspapers
Google search
EverydayHealth.com
FoodSafety.gov
Yahoo! Health
Other (specify:_____)

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16. Please select up to 3 of the most important sources of information you use for
topics related to public health threats such as recalls or disease outbreaks.
News websites (e.g., CNN.com, TIME.com)
Family members or friends
Physician or other healthcare professional
American Medical Association
Food and Drug Administration (FDA)
Centers for Disease Control and Prevention (CDC)
US Department of Agriculture (USDA)
National Institutes of Health (NIH)

webMD.com
Television/radio
Newspapers
Google search
EverydayHealth.com
FoodSafety.gov
Yahoo! Health
Other (specify:_____)

17. Which of the following products or topics have you sought information about in the
past year? [Select all that apply]
Choice of sunscreens
Drug shortages
Quitting and preventing tobacco use
Preventing food-borne illness

Managing weight
Recent scientific research on health
How decisions on health issues are made
A product recall

How medications are approved
18. Please indicate which of the following information sources you have visited in the
past year. [Select all that apply]
Websites
FDA.gov
CDC.gov

Yahoo! Health
FoodSafety.gov

USDA.gov
WebMD.com or other medical websites

NIH.gov

Facebook pages
FDA Facebook page
NIH Facebook page

CDC Facebook page
USDA Facebook page

Twitter feeds
FDA Twitter feed
NIH Twitter feed

CDC Twitter feed
USDA Twitter feed

YouTube
FDA YouTube channel, USFoodandDrugAdmin
CDC YouTube channel, CDCStreamingHealth
None of the above

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