Attachment C-Pretest follow-up interview questions

Attachment C-Pretest follow-up interview questions.pdf

Cancer Risk in U.S. Radiologic Technologists: Fourth Survey (NCI)

Attachment C-Pretest follow-up interview questions

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Attachment C:
Key Informant Debriefing Questions and Interviews
for U.S. Radiologic Technologists Study – 4th Fourth Survey

Table of Contents

Page

CORE Module: Work History, Birth and Infancy, Medical History,
Night Shift Work

2

CORE Module: Personal Medical Exams

9

CORE Module: Physical Activity, Sleep Patterns, Vitamin Use,
Sun Exposure

12

NUCLEAR MEDICINE Module

16

FLUOROSCOPY-GUIDED Module

21	
  

Attachment C

U.S. Radiologic Technologists Study – 4th Fourth Survey
Key Informant Debriefing Questions: Work History, Birth and Infancy, Medical
History, Night Shift Work
Interview date: ____/____/2011

Interviewer:______________________

Study ID:__________________Start time:_______ am/pm End time: ______ am/pm
General comments about questionnaire:
G.1. Did you have a chance to look over the questionnaire?
□Yes
□ No  If questionnaire is readily available to R, proceed; otherwise schedule call-back appointment.)

G.2. Overall, what is your first impression of the questionnaire? Do you think it looks…
□ Very easy to do
□ Somewhat easy to do
Tell me more about that…
□ Abit difficult to do

□ Very difficult to do 

G.3. Did your feelings about the questionnaire change once you started to page through and read the
questions?
□ No change
□ Changed 

In what way did it change?

G.4. When you paged through it, were there any questions that stood out for you?
IF YES: How so?
Make note of page and question numbers along with R’s comments. If applicable let R know you’ll come back to the question
later in the interview.
Page# and
Question #’s

R’s comments

1

Attachment C

Work History Section
[In the interest of time, we’ve divided the questionnaire up to talk with different participants about different
sections of the questionnaire. So we won’t be going through the entire questionnaire in detail with each
person.]
Now I’d like to ask you about the questions in the Work History section on page 2.
W.1a. Do you have any comments about the LAYOUT of this page?
Comments:
□ No
□ Yes 

W.1.b. What do you think about the size of the printing (font) or the way the questions are
arranged on the page?
Comments:

W.1.c. Overall, would you say it is…
□ Very easy to follow
□ Somewhat easy to follow
□ Somewhat difficult to follow
□ Very difficult to follow

Tell me more about that…

W.2.a. Looking at the Introduction, do you feel the term radiation technologist applies to you?
□ No 
Why not?
□ Yes
W.2.b. In general, is this term an appropriate way to describe technologists who are certified or
working in different specialty areas (including retirees)?
□ No 
How so? Why not?
□ Yes
Is there a better way to refer to this group?

W.4.a. Looking at Question 8, would you be able to provide your lifetime radiation dose?
□ No 
Why (not)?
□ Yes 

W.4.b. How confident are you about that
information, on a scale of 1-10 with 1 being low
and 10 being high?
2

1-not
confident

Explain:

2

3

4

5

6

7

8

9

10-very
confident

Attachment C

W.4.c. If you weren’t sure, how do you think you’d answer this question? Would you…
□ try to make an educated guess,
□ mark the box for unknown,
□ leave blank,
Explain:
□ or something else? 

W.5.a. Next, please look at Question 10. Would you be able to estimate the # of hours per week you
worked as a radiation technologist in each of these time periods?
□ No
Why (not)?
□ Yes

W.5.b. Could you tell me how you would come up with these estimates?
Probe: What helps you remember ‘when’ and ‘how much’ you were working in these
time periods?
Explain:

If hard to do: W.5.c. What did you find most difficult in answering this question?
Explain:

W.5.d. How confident are you about that
information, on a scale of 1-10, (with 1 being
low and 10 high)?

1-not
confident

2

3

4

Explain:

W.6.a. Now looking at Question 11, would you be able to answer this question?
□ No
□ Yes

Explain:

W.6.b. Do you have any other comments about this question?
□ No
Explain:
□ Yes

3

5

6

7

8

9

10-very
confident

Attachment C

W.7.a. Moving on to Question 12…Would you assume this question includes working as a radiation
technologist in either a civilian or military position at these facilities?
Why (not)?
□ No
□ Yes 

W.7.b. Do you have any other comments about this question?
□ No
Explain:
□ Yes 

W.8.a. In Question13, were you able to estimate the # of times in a typical week you did each of these
procedures for the time periods listed?
□ No 
Why (not)?
□ Yes 

W.8.b. Could you tell me how you would come up with these estimates?
Probe: What helps you remember what procedures you did in which years and how often
you did them?
Explain:

W.8.c. What do you find is the most difficult part of coming up with these estimates?
Explain:

W.8.d. How confident would you be about your
answers, on a scale of 1 -10 (with 1 being low
and 10 being high),?

1-not
confident

2

3

4

5

6

7

8

9

10-very
confident

Explain:

W.9.a. Would you have any trouble answering Question 14?
Explain:

W.9.b. Does your answer to this question change, depending upon the type of procedure you are
doing?
□ No
□ Yes Explain:
4

Attachment C

Birth, infancy and medical history questions
Another section I’d like to ask you about is on Page 9.
B.1.a. Questions 28-31 are about your birth and infancy. Would you be able to answer these questions?
□ No 
□ Yes

Explain (include Question # with comments):

B.1.b How confident are you about that
information, on a scale of 1-10 (with 1 being
low, and 10 being high) ?

1-not
confident

2

3

4

5

6

7

8

9

10-very
confident

Explain:

B.2.a. Question 32 asks about family history of cancer. How likely is it that you would know this
information about your parents, siblings or children?
Probe: Does it depend on the relative?
□ Likely
□ Not likely  Explain:

B.2.b. How confident are you about that
information, on a scale of 1-10 (with 1 being
low, and 10 being high) ?

1-not
confident

2

3

4

5

6

7

8

9

10-very
confident

Explain:

B.2.c. Is there anything in the instructions or format that was confusing or unclear to you?
Explain:
□ No
□ Yes 

B.3.a. The last question on this page, Question 33, asks about ‘visiting a medical facility or clinic’ for
routine preventive care. Would you be able to answer this question?
□ No 
□ Yes

Explain:

B.3.b. Do you think of these exams (listed) as routine preventive care?
□ No 
□ Yes  Why (not)? Probe: What does ‘routine preventive care? Mean to you?

5

Attachment C

B.3.c. WOMEN ONLY: Women may see the same doctor, or different doctors, for gynecologic
and other physical exams. Could you talk me through how you would answer this question?
Probe: Would you report a physical exam that included a gyn exam as one or two exams?

B.3.d. MEN AND WOMEN: What helps you remember the number of exams you’ve had at
various ages?
Explain:

B.3.e. How confident would you feel about your
estimates for this question, on a scale of 1-10
(with 1 being low and 10 being high)?

1-not
confident

2

3

4

5

6

7

8

9

10-very
confident

Explain:

Nightshift Work
The last section I want to ask you about is on Page 12.
N.1. Did you work nights shifts at any job during your life?
□ No  Probe re: ALL jobs vs. only RT jobs
□ Yes
IF NO: N.1.b. Do/did you work with others who worked nightshifts?
□ No SKIP TO WRAP-UP AND CLOSING
□ Yes
N.1.c. How easy or hard would it be to answer these questions about PERMANENT nightshift
work? Would you say …
□ Very easy
□ Somewhat easy
Tell me more about that?
□ Somewhat difficult 
□ Very difficult

□ Not applicable
N.1.d. Would that change if you were answering the same questions about ROTATING OR
ON-CALL night shifts?
□ Same
□ Changed 

In what way did it change?

□ Not applicable
6

Attachment C

Wrap-up and closing
Thank you for reviewing the questions and speaking with me today. Do you have any additional
questions? (record in grid on page 1)

We really appreciate your taking time to help us. Good day!

7

Attachment C

U.S. Radiologic Technologists Study – 4th Fourth Survey
Key Informant Questions: Personal Medical Exams
Interview date: ____/____/2011
Study ID: ______________

Interviewer:______________________
Start time:_______ am/pm End time: ______ am/pm

General comments about questionnaire:
G.1. Did you have a chance to look over the questionnaire?
□Yes
□ No  If questionnaire is readily available to R, proceed; otherwise schedule call-back appointment.)

G.2. Overall, what is your first impression of the questionnaire? Do you think it looks…
□ Very easy to do
□ Somewhat easy to do
Tell me more about that…
□ A bit difficult to do

□ Very difficult to


G.3. Did your feelings about the questionnaire change once you started to page through and read the
questions?
□ No change
□ Changed 

In what way did it change?

G.4. When you paged through it, were there any questions that stood out for you?
IF YES: How so?
Make note of page and question numbers along with R’s comments. If applicable let R know you’ll come back to the question
later in the interview.
Page# and
Question #’s

R’s comments

1

Attachment C

Personal Diagnostic Radiation Exams
[In the interest of time, we’ve divided the questionnaire up to talk with different participants about different
sections of the questionnaire. So we won’t be going through the entire questionnaire in detail with each
person.]
I’d like to talk with you a bit more about some of the questions in this survey. Could you turn to page
5, the section on Personal DIAGNOSTIC Radiation Exams? Did you review this section? (no…give R
time to quickly skim)
P.1. How easy or difficult would it be for you to report the number of times you had various x-ray
exams performed on you during the time periods listed?
□ Very easy
□ Somewhat easy
□ Somewhat difficult 
□ Very difficult


Tell me more about that?

P.2. Could you tell me how you came up with these estimates?
probe: What helps you remember
what procedures you had – in which years – and how often you had them?
Tell me more about that?

P.3. Is there anything about the instructions or the layout for pages 5-6 that could be improved to make
it easier to provide this information?
□ No  Tell me more about that?
□ Yes

P.4. Looking at the list of exams in Q19 (page 5), for example, exams of the spine. Based on your
experience, how easy or hard would it be for you to report the specific type(s) and number of
spine exam(s) as they are listed?
□ Very easy
□ Somewhat easy
□ Somewhat difficult 
□ Very difficult


Tell me more about that?

P.5. Next, looking at the fluoroscopy exams listed on the bottom of page 5 and top of page 6, do you
have any questions or comments about these procedures?
□ No
□ Yes  Explain:

2

Attachment C

P.6. What about the tomography, CT scans or radionuclide tests (listed on page 6). Do you have any
questions or comments related to reporting any of these procedures you may have had as a patient?
□ No
Explain:
□ Yes 

P.7. On page 7, question 20 asks about radionuclide THERAPY procedures. Do you have any
comments about this question?
□ No
□ Yes 

Explain:

P.8. In Question 21, what would you say is the hardest part about trying to answer these questions
about x-ray THERAPY procedures that were performed on you over the years?
Comments_______________________________________________________________________________

P.9. Thinking about any/all of the personal medical
procedures listed on pages 5-7, how confident
would you be about the accuracy of the
information you would report on the
questionnaire, on a scale of 1-10 (with 1 being low
and 10 high)?

1-not
confident

2

3

4

5

6

7

8

9

Explain:

Wrap-up and closing
Thank you for reviewing the questions and speaking with me today. Do you have any additional
questions? (record in grid on page 1)

We really appreciate your taking time to help us. Good day!

3

10-very
confident

Attachment C

U.S. Radiologic Technologists Study – 4th Fourth Survey
Key Informant Questions: Physical Activity, Sleep Patterns, Vitamin Use, Sun Exposure
Interview date: ____/____/2011
Study ID: _____________

Interviewer:______________________
Start time:_______ am/pm End time: ______ am/pm

General comments about questionnaire:
G.1. Did you have a chance to look over the questionnaire?
□Yes
□ No  If questionnaire is readily available to R, proceed; otherwise schedule call-back appointment.)

G.2. Overall, what is your first impression of the questionnaire? Do you think it looks…
□ Very easy to do
□ Somewhat easy to do
Tell me more about that…
□ Abit difficult to do 
□ Very difficult to do 

G.3. Did your feelings about the questionnaire change once you started to page through and read the
questions?
□ No change
□ Changed 

In what way did it change?

G.4. When you paged through it, were there any questions that stood out for you?
IF YES: How so?
Make note of page and question numbers along with R’s comments. If applicable let R know you’ll come back to the question
later in the interview.
Page# and
Question #’s

R’s comments

1

Attachment C

B.3.e. How confident would you feel about your estimates for this question, on a scale of 1-10 (with 1
being low and 10 being high)?

Physical Activity
Moving on to page 10…
PA.1. How easy or difficult would it be for you to answer questions 34 and 35 on physical activity
during the PAST YEAR. Would you say…
□ Very easy
□ Somewhat easy
Tell me more about that?
□ Somewhat difficult 
□ Very difficult


PA.2. Were your answers focused only on the PAST YEAR?
□ No 
If no, tell me more about that?
□ Yes

PA.3. Was the layout of these questions clear to you?
Probe: Would you know how to mark your answer?
□ No 
□ Yes

If no, tell me more about that?

Sleep patterns
The next questions are about sleep patterns.
S.1. Looking through questions 36 through 40, how easy or hard would it be to answer about your
sleep patterns over the PAST YEAR?
Would you say …
Tell me more about that? (include Q# w/comments)
□ Very easy
□ Somewhat easy
□ Somewhat difficult 
□ Very difficult

S.2. Do the response categories, in each of these questions (36-40) make sense for your sleep patterns?
□ No 
If no, how might you change them? How would you mark it? (include Q#
□ Yes
w/comments)

2

Attachment C

Vitamin use
On the top of page 11, Question 41, we ask about vitamin use during the PAST YEAR.
V.1. Would you have any trouble answering this question about taking supplements?
□ No
□ Yes  Explain

V.2. Have you taken multi-vitamins during the PAST YEAR?
□ No
□ Yes 
V.2.a. Would you have any trouble reporting the brand name?
□ No
□ Yes  Explain. Probe: How would you answer? Would you guess or leave blank?

V.3. Have you taken calcium during the PAST YEAR?
□ No
□ Yes 
V.3.a. Would you know the total dosage per day you were taking?
□ No
Explain. Probe: How would you answer? Would you guess or leave blank?
□ Yes

V.3.b. How confident would you be about your
daily dosage of calcium, on a scale of 1-10 (with 1
being low and 10 being high)?

1-not
confident

2

3

4

5

6

7

8

9

10-very
confident

Explain:

V.4. Have you taken vitamin D during the PAST YEAR?
□ No
□ Yes 
V.4.a: Would you know the total dosage per day you were taking?
□ No 
Explain. Probe: How would you answer? Would you guess or leave blank?
□ Yes

1-not
confident

3

2

3

4

5

6

7

8

9

10-very
confident

Attachment C

V.4.b. How confident would you be about your
daily dosage of Vitamin D, on a scale of 1-10 (with
1 being low and 10 being high)?

Explain:

Sunlamp & tanning Booth
Now I’d like you to look at the next two questions (42 & 43) on sunlamps and tanning booths.
T.1. How easy or hard would it be for you to answer these questions? Would you say …
□ Very easy
□ Somewhat easy
Tell me more about that?
□ Somewhat difficult 
□ Very difficult


T.2. Have you ever used a sunlamp or tanning booth?
□ No
□ Yes 
T.2a. How confident would you be about your
answers to these questions (42 & 43), on a scale of
1-10 (with 1 being low and 10 being high)?

1-not
confident

2

3

4

5

6

7

8

9

Explain:

Sun Exposure
The last section I want to review with you is on Sun Exposure, starting at the bottom of page 11.
SE.1. How easy or hard would it be for you to answer Question 44 for the age categories listed?
Would you say …
□ Very easy
□ Somewhat easy
Tell me more about that?
□ Somewhat difficult 
□ Very difficult


SE.2. Now turn to the top of page 12, Question 45, would you have any trouble answering this
question?
□ No
Tell me more about that?
□ Yes 

Wrap-up and closing
Thank you for reviewing the questions and speaking with me today. Do you have any additional
questions? (record in grid on page 1)
We really appreciate your taking time to help us. Good day!
4

10-very
confident

Attachment C
11/04/2011 

 

 

U.S. Radiologic Technologists Study – 4th Fourth Survey
Key Informant Interview: NUCLEAR MEDICINE Module
Interview date: ____/____/2011

Interviewer:______________________

Study ID:____________Start time:_______ am/pm End time: ______ am/pm

 
NM1.  Did you have a chance to look over the questionnaire? 
              Yes 
              No    If questionnaire is readily available to R, proceed with discussion; if questionnaire has  
                          not yet arrived, schedule call‐back appointment.) 
 
 
NM2.  Overall, what was your first impression of the questionnaire?  Would you say that it looked: 
      Very easy to do 
Explain:
      Somewhat easy to do 
      Somewhat difficult to do  
      Very difficult to do              
 
 
 
NM3.  Did your feelings about the questionnaire change once you started to page through and read 
the questions? 
      No change 
In what way did it change? 
      Changed  
 
 
 
 

DIAGNOSTIC RADIOISOTOPE PROCEDURES AND WORK PRACTICES 
Now I’d like to ask you about the questions on diagnostic radioisotope procedures and work practices.  
Let’s start with Question 3 ‐ on the top of page 2. [pause] 
 
NM5. Were you able to estimate the number of years you performed DIAGNOSTIC RADIOISOTOPE 
procedures for each of the time periods listed?   
       No 
Explain.  Probe:  What makes it difficult?  (indicate specific procedure category if 
       Yes 
possible) 
 
 
 
 
 
 
 

1

Attachment C
11/04/2011 

 

 

NM6. Looking at Question 4, how easy or hard was it to answer this question for the various 
procedures, radionuclides, and time periods listed?  Would you say it was.. 
     Very easy                 
Explain (indicate specific procedure category if possible; if many comments, 
     Somewhat easy       
     Somewhat difficult   take note of first three and note respondent had many additional; encourage 
     Very difficult              respondent to include additional comments with completed questionnaire): 
 
 
 
 
 
 
 
 
 
NM7. Could you tell me how you came up with your answers?  [pause] Probe:  That is, what 
helps you recall procedures you did, how often you did them, and in which time 
periods? 
 
Comments: 
 
 
 
 
 
NM8.  How confident are you about your 
2
3
4
5
6 
7 
8 
9 10‐very 
1‐not 
confident 
confident 
answers to Question 4, on a scale 
of 1‐10 (with 1 being low and 10 
Explain:
being high)? 
 
 
NM9. What do you think is the best unit of time to recall number of diagnostic procedures you 
did in different time periods?  For example, “how many times per…. ”: 
    day 
    week 
    month 
    other:  Specify: ______________________________________________________ 
 
NM10. When  asked to recall  “the number of times per week” you performed a procedure, 
would your answer change if the question read:  “…number of times per calendar” 
week?   
     No 
Explain: 
     Yes                  
                
 
 
 
 
 

 

2

Attachment C
11/04/2011 

 

 

NM11. Does having the radionuclides listed for each type of procedure make it easier or 
harder to answer this question?   
 
       Easier 
Explain:
       Harder 
 
 
 
 
 
 
Now turning to pages 4 and 5, and still focusing on diagnostic radioisotope procedures…[pause] 
 
NM12.  How easy or hard was it to answer the questions on these two pages? 
 
  Very easy 
Explain (indicate specific question if possible): 
       Somewhat easy 
       Somewhat difficult  
       Very difficult             
 
 
 
 
 
NM13. How confident are you about your answers  1‐not 
2 3  4  5  6  7  8  9 10‐very 
confident 
confident 
to questions 5a‐9b, on a scale of 1‐10 (with 1 
being low and 10 being high)? 
Explain:
 
 
 

 

THERAPEUTIC RADIOISOTOPE PROCEDURES AND WORK PRACTICIES 
Now let’s talk about the questions related to therapeutic radioisotope procedures and work practices. 
These questions begin on the top of page 6 with question number 10.  [pause] 
 
NM14. Were you able to estimate the number of years you performed THERAPEUTIC RADIOISOTOPE 
procedures for each of the time periods listed?   
      No 
Explain.  Probe:  What made it difficult?  (indicate specific procedure category if 
      Yes 
possible) 
 
 
 
 
 
 
 
 
 
 
 
 

3

Attachment C
11/04/2011 

 

 

NM15. Question 11 lists some procedures and diseases.  How easy or hard was it for you to answer 
this question?  Would you say ... 
 
  Very easy                 
Explain (indicate specific procedure/disease category if possible):
       Somewhat easy       
       Somewhat difficult  
       Very difficult             
 
 
 
NM16. Could you tell me how you came up with your answers?  Probe:  That is, what helps 
you recall procedures you did, how often you did them, and in which time periods? 
 
Comments: 
 
 
 
 
 
 
 
NM17.  How confident are you about your  1‐not 
2
3
4
5
6 
7 
8 
9 10‐very 
answers to Question 11, on a 
confident 
confident 
scale of 1‐10 (with 1 being low 
Explain:
and 10 being high)? 
 
NM18. What do you think is the best unit of time to recall number of diagnostic procedures 
you did in different time periods?  For example, “how many times per…. ”: 
       day 
       week 
       month 
       other:  Specify: ______________________________________________________ 

 
 
 
Now turning to page 7 and flipping to page 8 (and still thinking about therapeutic radioisotope 
procedures)…[pause] 
 
NM19.  How easy or hard was it to answer the questions  on these two pages?    
        Very easy 
        Somewhat easy 
Explain (indicate specific question if possible): 
        Somewhat difficult  
        Very difficult             
 

 
NM20. How confident are you about your answers 
to these questions, on a scale of 1‐10 (with 1 
being low and 10 being high)? 
 
 
 

4

1‐not 
confident 
Explain:

2

3 

4  5  6  7  8  9

10‐very 
confident 

Attachment C
11/04/2011 

 

 

 
 
The last few questions are about the questionnaire overall. 
 
NM21. In general, thinking about the whole questionnaire, did the order of the sections make sense to 
you?   
      Probe (if needed):  The current order is all DIAGNOSTIC before all THERAPEUTIC  
                                           (rather than all PROCEDURES before all work PRACTICES). 
 No 
Explain.  What would you change?
 Yes 
 
 
 
 
 
NM22. Thinking about the words and terms used in this questionnaire overall, would you say they 
were… 
         Very easy to understand 
Explain: 
         Somewhat easy 
         Somewhat difficult                
         Very difficult to understand 
 
 
 
NM23.  Would you make any changes to the instructions or layout of any of the questions to make it 
easier to do?  
  No 
Comments: 
                Yes  
 
 
 
NM24. Did the questionnaire contain any questions that were especially difficult or time‐consuming 
for you to answer? 
         No 
Comments: 
                Yes  
 
 
 
NM25.  Do you have any other suggestions for improvement? 
 
         No 
Comments: 
                Yes  
 
 
 
Thank you for completing the questionnaire and speaking with me today. Do you have any additional 
questions?  We really appreciate your taking time to help us. Good day! 

 

5

Attachment C
10/18/2011 

U.S. Radiologic Technologists Study – 4th Fourth Survey
Key Informant Interview: FLUOROSCOPY-GUIDED Module
Interview date: ____/____/2011

Interviewer:______________________

Study ID:____________Start time:_______ am/pm End time: ______ am/pm
General comments about questionnaire: 
FG.1.  Did you have a chance to fill out the questionnaire? 
        □Yes 
 
        □ No ‐> If questionnaire is readily available to R, proceed; otherwise schedule call‐back 
appointment.) 
 
FG.2.  Overall, what was your first impression of the questionnaire?  Would you say that it looked: 
 Very easy to do 
 Somewhat easy to do 
explain: 
 Somewhat difficult to do  
 Very difficult to do             
 
 
 
FG.3.  Did your feelings about the questionnaire change once you started to answer the questions? 
 No change 
 Changed explain:___________________________________________________________ 
 
Probe:  How so? 
 
 
 
 
FG.4. Do you have any comments about the layout of the questions, specifically the sections with 
different time periods?   
 No 
 Yes comments:____________________________________________________________ 
 
Probe:  Would you make any changes? 
 
 
 
 
FG.5.  Did you have any problems understanding the instructions or how to mark the questionnaire 
when procedures or questions did not apply to you?  
 No 
 Yes comments:____________________________________________________________ 
 
Probe:  Tell me about that. 
 
 
 
 
 
 
1

Attachment C
10/18/2011 

FQ.6. Turning to page 2, were you able to estimate the number of years you performed 
fluoroscopically‐guided interventional procedures for each of the time periods listed?   
 No 
Explain.  Probe:  What made it difficult?  (indicate specific procedure category if 
 Yes 
possible) 
 
 
 
 
 
 
FG.7. Question 4 lists many different procedures.  How easy or hard was it to answer this question for 
the various procedures and time periods listed?  Would you say it was.. 
  Very easy 
Explain (indicate specific procedure category if possible): 
 Somewhat easy 
 Somewhat difficult  
 Very difficult             
 
 
 
FG.8. How confident are you about your answers,  1‐not 
2
3
4
5
6 
7 
8 
9 10‐very 
on a scale of 1‐10 (with 1 being low and 10 being 
confident 
confident 
high)? 
Explain:
 
 
FG.9.  Question 4 lists procedures in two ways.  For example, under CARDIAC procedures there is a line 
for all procedures combined and additional lines for procedures listed separately.   
 
 
FG.9a.  Which way of listing procedures was easier for you to complete? 
 ALL procedures combined  
Explain:
 procedures listed separately  
 
 
  
 
 
 
 
 
 
FG.9.b.  Which way of listing procedures provides better information about your work history? 
 ALL procedures combined  
Explain: 
 procedures listed separately  
 
 
  
 
 
 
 
 
 
 
 
 

2

Attachment C
10/18/2011 

FG.10. Could you tell me how you came up with your estimates?  That is, what helped you recall the 
number of procedures you did per month for each of the time periods? 
 
Comments:________________________________________________________________________  
 
 
 
 
 
 
FG.11. What do you think is the best unit of time (per week, per month, other) to estimate the 
number of these procedures you performed in different time periods?  For example, the number of 
times per …. ”: 
 week 
 month 
 or something else? Specify: ______________________________________________________ 
 
 
 
 
 
 
 
FG.12. Did you have any trouble estimating the percentage of time you were ”scrubbed” when you 
performed these procedures? 
 No 
 Yesexplain:_____________________________________________________________________ 
 
 
 
 
 
 
FG.13. Did the names of the procedures make sense to you? 
 No  
explain/suggest better terminology    (specify procedure category)    
 Yes 
              
 
 
 
 
 
FG.14.  Did you have any trouble with the instructions or how you should mark your answers to 
question 4?  
 No 
 Yesexplain:_____________________________________________________________________ 
 
 
 
 
 
 
 

3

Attachment C
10/18/2011 

FG.15.  Do you have any other comments on this question (#4)? 
 No 
 Yesexplain:_____________________________________________________________________ 
 
 
 
 
 
 
 
FG.16. Turning to the back page (page 4), Question 5…were you able to answer about protective 
measures used during different time periods when you were performing fluoroscopically‐guided 
interventional procedures? 
 Noexplain:_____________________________________________________________________ 
 Yes 
 
 
 
 
 
 
FG.17.  Did you have any trouble with the instructions or knowing how to mark your answers to this 
question? 
 No 
 Yesexplain:_____________________________________________________________________ 
 
 
 
 
 
 
 
FG.18. How confident are you about your 
2
3
4
5
6 
7 
8 
9 10‐very 
1‐not 
answers, on a scale of 1‐10 (with 1 being low and 
confident 
confident 
10 being high)? 
Explain:
 
 
FG.19. What about Question 6 on this page…. Were  you able to answer about monitoring badges 
used during different time periods when you performed fluoroscopically‐guided interventional 
procedures? 
 Noexplain:_____________________________________________________________________ 
 Yes 
 
 
 
 
 
 
 
 
 
4

Attachment C
10/18/2011 

FG.20.  Did you have any trouble with the instructions or how to mark your answers to this question? 
 No 
 Yesexplain:_____________________________________________________________________ 
 
 
 
 
 
 
 
FG.21. How confident are you about your 
2
3
4
5
6 
7 
8 
9 10‐very 
1‐not 
answers, on a scale of 1‐10 (with 1 being low and 
confident 
confident 
10 being high)? 
Explain:
 
 
 
FG.22. Did the questionnaire contain any questions that you feel would be especially difficult or time‐
consuming for you to answer? 
Comments:________________________________________________________________________ 
 
 
 
 
 
 
FG.23.  Do you have any other suggestions for improvement? 
 
Comments_________________________________________________________________________ 
 
 
 
 
 
 
 
 
Thank you for completing the questionnaire and speaking with me today. Do you have any questions?   
 
We really appreciate your taking time to help us. Good day! 

 

5


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