Form Approved
OMB No. 0920-0940
Expires 06/30/2015
Appendix B: Usability Testing Participant Screener for Remote Testing
Introduction:
Hello, my name is __________ and I am calling on behalf of the CDC’s National Institute for Occupational Safety and Health, also known as NIOSH. I want to assure you that this is not a sales call. NIOSH is a part of the federal government that conducts health hazard evaluations at work sites across the United States.
We’re conducting a usability study that measures employee and employer performance and preferences when using the NIOSH Health Hazard Evaluation Program website. The HHE Program responds to requests from employees, employers, and unions throughout the U.S. As an employer (or employee), we consider your input critical in helping to improve the design and usability of the website. Would you be interested in participating in an individual testing session, which would last 45 minutes? We would provide an incentive of $25.00 for your participation.
Recruiting
for Remote Testing from Participant Location:
(3
employers, 3 employees)
The study will be conducted remotely. You have the ability to participate in the study from your home or any other quiet location with an Internet connection, and a phone that you can put on speaker mode or use a headset.
Would you be interested in participating?
Yes (proceed to next paragraph)
No – not interested (try and convince them how important their opinion is. If cannot be swayed, thank them for their time and end call)
No – (thank them for their time and end call)
(Q & A if needed) How do I know this is legitimate? Please call ______________ at NIOSH (513-222-2733) to confirm the sponsor of this website usability test.
I need to ask you a few questions now to make sure that you meet the criteria that NIOSH is looking for.
Have you participated in a web usability test before? If so, was it:
In the last 6 months (thank and terminate)
Over 6 months ago
Never
Public
reporting burden of this collection of information is estimated to
average 45 minutes per response, including the time for reviewing
instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the
collection of information. An agency may not conduct or sponsor, and
a person is not required to respond to a collection of information
unless it displays a currently valid OMB control number. Send
comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this
burden, to CDC, Project Clearance Officer, 1600 Clifton Road, MS
D-74, Atlanta, GA, 30333, ATTN: PRA (0920-0940).
Do you read and speak in the English language?
No (thank and terminate)
Yes
Do you have access to quiet location with an Internet connection, and a phone that you can put on speaker mode or use a headset? This can be at your home or any other location with these requirements.
No (thank and terminate)
Yes
Are you an employee or an employer?
Employee (recruit 3 participants for remote testing) (CONTINUE TO Q5)
Employer (recruit 3 participants for remote testing) (SKIP TO Q6)
Do you belong to a union?
No (SKIP TO Q8)
Yes
(recruit at least one union official for the employee group;
CONTINUE TO Q6)
What union office do you hold? (SKIP TO Q8)
International President
Local President
International Vice President
Local Vice President
International Director of Health and Safety
Local Chief Steward
Business
Agent
What is your job title? (Recruit a mix for the employer group)
Owner/operator
Plant manager/Office manager
President
Health and safety officer
Chief Executive Officer (CEO)/Chief Financial officer (CFO)
Other (specify)
What is the total number of employees where you work? Would you say:
Less than 20
20-49
50 to 99
100 or more
Which of the following industries/agencies applies to your work? Would you say:
Manufacturing
Food and beverage
Service sector (specify) ________________
Health care and social services
Other (specify) ____________________
ARTICULATION QUESTION:
And now a quick question just for fun. If you could invite any person to dinner, living or deceased, who would it be and why? [RECORD VERBATIM RESPONSE]
USE ARTICULATION QUESTION TO ASSESS RESPONDENTS ABILITY TO ARTICULATE AND TO BE CREATIVE. IF RESPONDENT SAYS THEY ‘DO NOT KNOW’, OR GIVES A SHORT RESPONSE WITHOUT ELABORATING, THANK and TERMINATE.
IF RESPONDENT HAS DIFFICULTY HEARING, IS HARD TO UNDERSTAND, HAS POOR LANGUAGE OR HAS AN EXTREMELY HEAVY ACCENT, OR YOU HAVE THE SLIGHTEST DOUBT AS TO HIS/HER ABILITY TO COMMUNICATE, THANK AND TERMINATE.
Generally, how concerned are you about health hazards at your workplace? Would you say: (Recruit a mix)
Not concerned at all
A little concerned
Fairly concerned
Very concerned
Which of the following broad ranges includes your age? (Recruit a mix of age levels in each group)
18-24
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65 and older
Are you from a Hispanic, Latino, or Spanish speaking background? (Recruit at least one in each group)
No
Yes
What race would you classify yourself as? (Recruit a mix in each group)
Black/African American
White/Caucasian
American Indian or Alaska Native
Asian
Native Hawaiian or other Pacific Islander
Gender (recruit half male and half female in each group)
Standard Invitation
As I mentioned before, the usability testing session will last between 45 minutes and you will receive $25.00 as a thank you for your participation.
The usability testing will be held on:
Remote Testing Day 1 – Employees and Employers – Thursday, <insert date>, at participant location from 9:30am-8:00pm
Remote Testing Day 2 – Employees and Employers – Friday, <insert date>, at participant location from 9:30am-8:00pm
If you wear glasses please be sure to wear them during the testing session.
Will you be able to join us?
Yes (proceed to “address” paragraph at the end of this document)
No – not interested after all (try and convince them how important their opinion is. If cannot be swayed, thank them for their time and end call)
No – (thank them for their time and end call)
If they are not interested, ask if we can re-contact them if the date or time of the web usability testing session changes.
Contact Info
So that we can send you directions and a letter to confirm your participation, may I please have (or, confirm) your name and address? We will use your name and address only to schedule the usability test. After your usability testing session is completed, we will destroy this personal information.
Name: (VERIFY CORRECT SPELLING)
Address: ________________________________________________________________
City: ________________________ State: ____ Zip: ____________________
Telephone: _________________________
Email: _____________________________
We will call you the day before the web usability test session to remind you about the session. Is it ok to call you at this number or is there a better phone number to reach you?
YES, OK TO CALL THIS NUMBER
NO, CALL DIFFERENT NUMBER -- > RECORD NUMBER BELOW
NUMBER TO CALL TO REMIND: ____________________________
Thank you for agreeing to participate. We look forward to working with you.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | CDC User |
File Modified | 0000-00-00 |
File Created | 2021-01-30 |