7b - FAQ Guide

Adult Targeted Surveillance Survey – Paper Booklet FAQ Guide

The Community Transformation
Grants Program Evaluation

Frequently Asked Questions Guide

Public reporting burden of this collection of information is estimated to average 30 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/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-xxxx)

Made possible with funding from the Centers for Disease Control and Prevention (CDC).

Page

What Is the Purpose of This Survey 2

Instructions for Completing Survey Questions 3

Questions about the Study 7

This guide provides information to help you complete the Community Transformation Grants survey. If you need more help, please call 855-500-1437 or send an email to healthyliving@rti.org.

The Community Transformation Grants (CTG) program supports communities in the development and implementation of initiatives to create healthier communities and reduce chronic disease in the United States.

Community Transformation Grants (CTG) were awarded to several state and local governmental agencies and community-based organizations around the nation. Approximately $103 million in prevention funding has been awarded to 61 states and communities serving approximately 120 million Americans. The purpose of these awards was to help enact changes that will increase health equity, eliminate health disparities, and improve health in the community.

By promoting healthy lifestyles, especially among population groups experiencing the greatest burden of chronic disease, these grants will help improve health, reduce health disparities, and control health care spending.

The purpose of this study will be to collect information from community members that can help evaluate the impact of program activities.

For more information about the Community Transformation Grants program, visit www.cdc.gov/communitytransformation or call 800-CDC-INFO: (800) 232-4636.

For Question 19: What can I count as some types of physical activity or exercise?

Answer: There are several types of physical activities or exercise that you could count. For example, housework may be included as a physical activity or exercise. Some other examples of physical activity include, but are not limited to, the following list.

ACTIVE GAMING DEVICES (WII FIT, DANCE DANCE REVOLUTION)

AEROBICS VIDEO OR CLASS

BACKPACKING

BADMINTON

BASKETBALL

BICYCLING MACHINE EXERCISE

BICYCLING

BOATING (CANOEING, ROWING, KAYAKING, SAILING FOR PLEASURE OR CAMPING)

BOWLING

BOXING

CALISTHENICS

CANOEING/ROWING IN COMPETITION

CARPENTRY

DANCING (BALLET, BALLROOM, LATIN, HIP HOP, ETC.)

ELLIPTICAL/EFX MACHINE EXERCISE

FISHING FROM RIVER BANK OR BOAT

FRISBEE

GARDENING (SPADING, WEEDING, DIGGING, FILLING)

GOLF (WITH MOTORIZED CART)

GOLF (WITHOUT MOTORIZED CART)

HANDBALL

HIKING—CROSS-COUNTRY

HOCKEY

HORSEBACK RIDING

HUNTING LARGE GAME—DEER, ELK

HUNTING SMALL GAME—QUAIL

INLINE SKATING

JOGGING

LACROSSE

MOUNTAIN CLIMBING

MOWING LAWN

PADDLEBALL

PAINTING/PAPERING HOUSE

PILATES

RACQUETBALL

RAKING LAWN

RUNNING

ROCK CLIMBING

ROPE SKIPPING

ROWING MACHINE EXERCISE

RUGBY

SCUBA DIVING

SKATEBOARDING

SKATING—ICE OR ROLLER

SLEDDING, TOBOGGANING

SNORKELING

SNOW BLOWING

SNOW SHOVELING BY HAND

SNOW SKIING

SNOWSHOEING

SOCCER

SOFTBALL/BASEBALL

SQUASH

STAIR CLIMBING/STAIR MASTER

STREAM FISHING IN WADERS

SURFING

SWIMMING

SWIMMING IN LAPS

TABLE TENNIS

TAI CHI

TENNIS

TOUCH FOOTBALL

VOLLEYBALL

WALKING

WATERSKIING

WEIGHT LIFTING

WRESTLING

YOGA

OTHER

For Question 30: What should I count as sweetened fruit drinks?

Answer: Fruit drinks are sweetened beverages that often contain some fruit juice or flavoring. Some examples, but not all, of what to include and what not to include are listed below.

Do Include	Do NOT Include
Sweetened fruit drinks mixed with alcohol	100% fruit juice Coffee drinks Energy drinks Sports drinks Sweet tea

For Question 31: What should I count as 100% pure fruit juices?

Answer: Include only 100% pure fruit juices, 100% pure juice from concentrate, and 100% juice blends. Do not include vegetable juices or fruit juices with added sugar. Some examples, but not all, of what to include and what not to include are listed below.

Do Include	Do NOT Include
Apple Grape Grapefruit Mango Orange-Pineapple Orange-Tangerine Papaya Pineapple	Cranberry cocktail Gatorade Fruitopia Hi-C Kool-Aid Lemonade Power-Ade Snapple Sunny Delight Tampico V8 Yogurt drinks

For Question 32: What should I count as the fruit that I ate?

Answer: Include cut-up fresh, frozen, or canned fruit. Do not include dried fruit in ready-to-eat cereals. Do not include fruit jams and similar products. Some examples, but not all, of what to include and what not to include are listed below.

Do Include	Do NOT Include
Apples Applesauce Akee Bananas Blueberries Bread fruit Cantaloupe Carambola Figs Genip Grapefruit Grapes Fruit salad Longans Lychees Mangos Musk melon Oranges Papaya Pomegranates Rambutan Sea grapes Soursop Star fruit Strawberries Sugar apple Tamarind Watermelon	Fruit jam Fruit added to cereal Fruit added to Jell-O Fruit added to yogurt Fruit preserves Jelly

For Question 33: What should I count as beans?

Answer: Include round or oval beans, soybeans, and bean burgers. Do not include long green beans. Some examples, but not all, of what to include and what not to include are listed below.

Do Include	Do NOT Include
Black-eyed peas Cow peas Edamame Falafel Garden burgers Hummus Lentils Lima beans Kidney beans Navy beans Pinto beans Soybeans Split peas Tempeh Tofu Veggie burgers White beans	Broad beans Pole beans String beans Winged beans

For Question 34: What should I count as dark green vegetables?

Answer: Include all raw leafy green salads and cooked greens, but do not include iceberg lettuce. Some examples, but not all, of what to include and what not to include are listed below.

Do Include	Do NOT Include
Arugula Bok choy Choys Collard greens Dandelions Kale Komatsuna Mesclun Mustard greens Romaine lettuce Spinach Turnip greens Watercress	Iceburg lettuce

For Question 35: What should I count as orange colored vegetables?

Answer: Include all forms of carrots and winter squash and all forms of sweet potatoes. Also include all forms of pumpkin, but do not include grain-based dessert-type food containing pumpkin. Some examples, but not all, of what to include and what not to include are listed below.

Do Include	Do NOT Include
Acorn squash Autumn cup squash Baby-cut carrots Baked sweet potato Banana squash Buttercup squash Butternut squash Carrot-Slaw Delicata squash Hubbard squash Kabocha squash Long carrots Mashed sweet potato (mashed, casserole, pie) Pumpkin Pumpkin soup Pumpkin pie Spaghetti squash Sweet potato fries	Pumpkin bars Pumpkin bread Pumpkin cake

For Question 36: What should I count as other vegetables not including dark green vegetables and orange-colored vegetables already listed above?

Answer: Include any form of vegetable (raw, cooked, canned, or frozen) not listed in the examples above. Do not include products consumed usually as condiments. Do not include rice or other grains. Some examples, but not all, of what to include and what not to include are listed below.

Do Include	Do NOT Include
American-style coleslaw Avocado Bean sprouts Beets Broad beans Cabbage Cauliflower Corn Cucumber Daikon Jicama Mushrooms Okra Onions Oriental cucumber Peas Peppers (red, green, yellow, orange) Pole beans Snap peas Snow peas String beans Tomatoes Tomato juice Wax beans	Catsup Chutney Fried potatoes Ketchup Relish Salsa

For Question 47: What should I count as plain water?

Answer: Include only zero calorie waters.

Do Include	Do NOT Include
Bottled water Crystal Light Dasani water Tap water Unflavored sparkling water

For Question 87: Why am I being asked to answer questions about my race twice in the survey?

Answer: In the previous questions we asked you how you would describe your own race. We also want to know how other people usually classify you in this country, which might be different from how you classify yourself.

Who is sponsoring this study? / Who uses the information?

The study is being sponsored by the Centers for Disease Control and Prevention (CDC).

The information collected in this survey will be used to create a report evaluating the impact of activities and strategies of Community Transformation Grants program awardees. That report will be submitted to CDC as part of its evaluation programs.

Who/What is RTI International?

RTI International is a non-profit research organization that provides research, development, and technical services to government and commercial clients worldwide.

RTI’s mission is to improve the human condition by turning knowledge into practice. You can go to our Web site at www.rti.org to learn more.

How do I know this information will remain confidential?

All project staff members have signed confidentiality agreements and are prohibited by law from using the information for anything other than this research study. Any other use is a violation of Federal law and is subject to fines and imprisonment.

Names will be removed from all data collected prior to the analysis and reporting of results. Data are reported in summary statistical format only.

I don't want to give out any personal information.

We understand that you may not want to give some kinds of information. However, all information collected will remain strictly confidential, and you can skip any questions that make you feel uncomfortable.

Will my name be used if I participate?

No, all data will be collapsed into categories, for example, the number of children of a certain age who have visited a doctor recently. No identifying information will be included.

Someone else who is age 18 or older in the household has the next upcoming birthday, but why can’t I take the survey instead?

We appreciate your willingness to take part in our study. Unfortunately, to be able to gather information about your community that is statistically representative of all members, we can survey only people who have been randomly selected to participate in our study.

Why do you need to know my race/ethnicity/income?

We would like to make sure that we obtain health information that is representative of all members of your community. This question will help us to understand if the Community Transformation Grants program is having an equal impact for all members of your community.