Truck Driver Opinion Survey

CDC and ATSDR Health Message Testing System

Attachment B - Truck Driver Opinion Survey

Msg Testing for (3) Expedited Reviews--Detonation of an Improv Nuc Devise (Span), AND Impact of a Truck Driver Pub Hth Prac Proj, AND Dissemination of Occup Safety & Hlth Materials thru Mex Consul

OMB: 0920-0572

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OMB No. 0920-0527

Exp. 2/28/2015


Attachment B – Truck Driver Opinion Survey

1a. Gender

  • Male

  • Female


2a. In which of the following categories does your age fall?

  • Under 18 years of age

  • 18 – 24 years of age

  • 25 – 34 years of age

  • 35 – 44 years of age

  • 45 – 54 years of age

  • 55 – 64 years of age

  • 65 – 74 years of age

  • 75 years of age or older



Please rate the extent to which you agree or disagree with each statement.

Strongly disagree

Disagree

Neutral

Agree

Strongly agree

26e. Overall, I liked this website.






29e. This website was easy to read.






30e. I learned something new by visiting this website.






33e. This website was easy to understand.






39e. I trust the information in this website.






41e. I will do what this website suggests.






20f. I plan on looking into sleep health.






32f. Whether or not people do something about sleep health is important to my life.






47f. I think that sleep health is a critical issue.






52f. Visiting this website is a good start to improving health.








Public reporting burden of this collection of information is estimated to average 2 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 Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333: ATTN: PRA (0920-0572)


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