Science and Engineering Indicators Knowledge of Science Questions

NSF Cognitive Interviews
Recruitment Screener

Westat, a company located in Rockville, MD, is doing research for National Science Foundation about people’s views on science. If you are eligible and you agree to participate, we will give you $40 to complete an in-person interview that should last about an hour. In order to find out if you are eligible to be interviewed, I need to ask you a few questions.

1. May I go ahead?

• YES

• NO TERMINATE

2. How old are you?

• Under 18 INELIGIBLE

• _________

3. How many individual interviews or focus groups have you participated in at survey research companies?

_______________________________

4. What is the highest level of education you have completed?

• Less than high school

• Completed 12^th grade/high school graduate

• Some college/2-year college/technical school

• College degree

• Graduate or professional school

5. When did you last take a science class?

• elementary or middle school

• high school

• college

• graduate school

• OTHER

_______________________________

6. Do you consider yourself to be Christian?

• YES

• NO GO TO Q8

7. Which of the following best describes your beliefs about the Bible? Do you…

• Believe the Bible is the word of God to be taken literally, or do you

• Believe the Bible is inspired by God, but every word should not necessarily be taken literally, or

• Do you believe something else?

____________________________________________________

8. [RECORD GENDER, IF NOT OBVIOUS, ASK] Are you male or female?

• male

• female

9. Are you of Hispanic or Latino Origin?

• NO, I AM NOT HISPANIC OR LATINO

• YES, I AM MEXICAN OR CHICANO

• YES, I AM PUERTO RICAN

• YES, I AM CUBAN

• YES, I AM OTHER HISPANIC OR LATINO – SPECIFY ________________

 

10. What race do you consider yourself? MARK ONE OR MORE.

• American Indian or Alaska Native (sPECIFY TRIBAL AFFILIATION(S) _____________)

• NATIVE HAWAIIAN OR OTHER PACIFIC ISLANDER

• ASIAN

• Black or African American, OR

• WHITE

if ineligible

Thank you very much for your interest, but you are not eligible for this study. Thank you very much for your time. We will destroy the information you have provided.

if eligible

Thank you for answering all my questions. We will contact you if you are selected to participate. Can I have your name, phone number and/or email so that we can get in touch with you?

COLLECT RESPONDENT NAME, ADDRESS, AND PHONE NUMBER.

Name: _____________________________________________________________

Address: _____________________________________________________________

City: _________________________________ State: ______ Zip Code: __________

Phone: _________________________________

IF NEEDED:

If you have any questions about the legitimacy of the study or need more information, you can contact (NAME of NSF PROJECT STAFF) by email at (EMAIL) or by phone at (PHONE).]

If you like, I can give you an address where you can send comments about the time and burden you experienced for this research study. The address is:

(CONTACT NAME & ADDRESS FOR WESTAT IRB OR OMB DESIGNEE): The study reference number is “OMB No. XXXX-XXXX”].

NSF Cognitive Testing Screener 4