Community Health Wave 4 Survey Screenshots

CDC and ATSDR Health Message Testing System

Attachment 5c - Wave 4 Healthy Living - Screenshots - 040413

African American STD Disparities Health Communications Project and Community Health Media Center Educational Campaign Materials Testing

OMB: 0920-0572

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0920-0572 can be found here:

Document [pdf]

Download: pdf | pdf

Attachment 5c: Representative Screenshots of Online Screener and Survey for
Wave 4: Healthy Living
Screenshot – Online Screener Home Page

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Screenshot – Online Screener Question S1

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Screenshot – Online Screener Question S2

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Screenshot – Online Screener Question S3

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Screenshot – Online Screener Question S4

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Screenshot – Online Screener Question S5

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Screenshot – Online Screener Question S6

7

Screenshot – Online Survey Home Page

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Screenshot – Online Survey Question Q1

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Screenshot – Online Survey Question Q 1_1

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Screenshot – Online Survey Question Q 1_2

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Screenshot – Online Survey Question Q 1_3

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Screenshot – Online Survey Question Q 2

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Screenshot – Online Survey Question Q 11

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Screenshot – Online Survey Ad Viewing Screen

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Screenshot – Online Survey Transition Screen

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Screenshot – Online Survey Question Q12

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Screenshot – Online Survey Question Q13

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Screenshot – Online Survey Question Q14

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Screenshot – Online Survey Question Q15

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Screenshot – Online Survey Question Q16: Wave 4

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Screenshot – Online Survey Completion Screen

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File Type	application/pdf
Author	lplanas
File Modified	2013-04-04
File Created	2013-04-04