RECRUITMENT SCREENER
Hello, may I speak to [Name]? My name is [Name], and I am calling from Westat, a social science research organization in the Washington DC area. You recently called us to volunteer for a study we are conducting related to women’s health and safety. The study is being sponsored by the Bureau of Justice Statistics, an agency in the U.S. Department of Justice.
If you are eligible, you will be assigned to participate in the confidential interview either by telephone or in-person, depending on the study protocol. The interview will take between 15 and 30 minutes depending on your answers.
You will be given $40 as a thank you for completing the interview.
[IF NEEDED: If you have any questions about the legitimacy of the study or need more information, you can contact the project director for this study, Leanne Heaton, at leanneheaton@westat.com or by phone at 301-212-2106.]
[IF NEEDED: 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:
Bureau of Justice Statistics
Office of the Director
810 7th Street, NW
Washington, DC 20531
The study reference number is “OMB No. XXXX-XXXX”.]
Would you be willing to participate in this interview?
IF YES: Thank you very much. I need to ask you a few more questions to see if you meet the eligibility criteria. If you do, we will collect contact information and get back to you to schedule an interview. [GO TO SCREENER Q1.]
IF NO: Thank you. I appreciate your taking the time to talk with me today. [END CALL]
SCREENER QUESTIONS
Q1. (verify if needed) What is your gender?
□ FEMALE [GO TO Q2] □ MALE Thank you. We are recruiting women for this study. I appreciate your taking the time to talk with me today. [END CALL]
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Q2. What is your age?
______ (in years)
If 18-39 – CONTINUE TO Q3.
If 40 OR MORE. Thank you. We are recruiting women who are between 18 to 39 I appreciate your taking the time to talk with me today. [END CALL]] |
Q3. In what county and state do you live?
PHOENIX-MESA-SCOTTSDALE:
LOS ANGELES-LONG BEACH-ANAHEIM
DALLAS-FORT WORTH-ABILENE, TX
MIAMI-FORT LAUDERDALE-WEST PALM
NEW YORK-NY, NJ, PA
99 Other Thank you. We not recruiting any women who live in that county. I appreciate your taking the time to talk with me today. [END CALL]] |
Q4. How did you find out about this study?
□ CRAIGSLIST [GO TO Q5] □ COLLEGE/UNIVERSITY FLYER/POSTING [GO TO Q5] □ OTHER [GO TO Q5]
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Q5. Are you currently a student, faculty, or staff at a college or university (either on campus or online)?
□ YES [GO TO Q6] □ NO [GO TO Q7] |
Q6. Which college or university are you affiliated with? (WRITE IN RESPONSE)
____________________________________
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Q7. Would you like to participate in the interview?
□ YES/ACCEPTED [GO TO Q8] □ NO/DECLINED Thank you. I appreciate your taking the time to talk with me today. [END CALL] |
Q8. Thank-you for this information. We will send your information to the interviewers. In order to get in touch with you, could you give me some of your contact information? |
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NAME:
ADDRESS:
PHONE:
CELL PHONE:
EMAIL:
[GO TO Q9] |
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Q9. In general, are there certain times or days that are best for the interviewer to contact you? DAYS/TIMES ________________________________
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IF 18-29, SAY: “Thank you. We will be in touch to schedule an interview. If you have any questions before the interview, please contact [PROJECT CONTACT NAME, EMAIL AND PHONE #]. Thank you for your time!”
IF 30-39, SAY: “The study has received many calls, so we need to check to see if there is still room for you to participate. If we still need your help, we will contact you to schedule the interview.”
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | David Cantor |
| File Modified | 0000-00-00 |
| File Created | 2021-01-28 |