Community Health Wave 3 Survey Screenshots

CDC and ATSDR Health Message Testing System

Attachment 4c - Wave 3 Food - Screenshots - 040413

African American STD Disparities Health Communications Project and Community Health Media Center Educational Campaign Materials Testing

OMB: 0920-0572

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Attachment 4c: Representative Screenshots of Online Screener and Survey for
Wave 3: Food
Screenshot – Online Screener Home Page

1

Screenshot – Online Screener Question S1

2

Screenshot – Online Screener Question S2

3

Screenshot – Online Screener Question S3

4

Screenshot – Online Screener Question S4

5

Screenshot – Online Screener Question S5

6

Screenshot – Online Screener Question S6

7

Screenshot – Online Survey Home Page

8

Screenshot – Online Survey Question Q1

9

Screenshot – Online Survey Question Q 1_1

10

Screenshot – Online Survey Question Q 1_2

11

Screenshot – Online Survey Question Q 1_3

12

Screenshot – Online Survey Question Q 2

13

Screenshot – Online Survey Question Q 11

14

Screenshot – Online Survey Ad Viewing Screen

15

Screenshot – Online Survey Transition Screen

16

Screenshot – Online Survey Question Q12

17

Screenshot – Online Survey Question Q13

18

Screenshot – Online Survey Question Q14

19

Screenshot – Online Survey Question Q15

20

Screenshot – Online Survey Question Q16: Wave 3

21

Screenshot – Online Survey Completion Screen

22


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Authorlplanas
File Modified2013-04-04
File Created2013-04-04

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