Question Skip Pattern

Attachment 2 Question Skip Pattern.pdf

Formative Research, Pretesting, and Customer Satisfaction of NCI's Communication and Education Resources (NCI)

Question Skip Pattern

OMB: 0925-0046

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1. What is the main reason for you
visit to 60plus.smokefree.gov?

To get information that
will help someone else
quit smoking.

Smokefree60+
Intercept Survey Skip
Patterns

To get information that
will help me to quit
smoking OR General
interest, checking out the
site OR other
6. What kinds of information were
you most interested in finding on
this site? Check all that apply.

2. Do you now smoke cigarettes
every day, some days, or not at all?

Every day OR Some days

All answers

Not at all

7. Have you ever visited a stopsmoking website other than
60plus.smokefree.gov?

2b. When did you last smoke
regularly?

2a. On the days that you smoke
cigarettes, about how many
cigarettes do you smoke?

Within last month OR 2-6
months OR 7-12 year OR
more than 12 months

Never been a
regular smoker

No

All answers

Yes

7a. In your opinion, how does
60plus.smokefree.gov compare to
other sites that you have used to
find information about or help with
quitting smoking?

2b1. When you last smoked
regularly, on the days that you
smoked cigarettes, about how many
cigarettes did you smoke?
12. Which of the following best
describes your age?

8. How strongly do you agree with
the following statements about
60plus.smokefree.gov site?

All answers

All answers
All answers
3. How many times have you tried
to stop smoking for a day or longer?

13. What is your sex?

1-5 OR 6-10 OR More
than 10 times

9. Is there other information or tools
that would be useful to have on the
website?

All answers

Yes

9a. If yes, which ones? (open ended)

0 (none)
3a. Which of the following methods
have you ever used to quit smoking?
Check all that apply.

No

14. Which of the following best
describes your highest level of
education?
All answers

All answers

10. Would you recommend this site
to a friend or family member if they
were thinking about or trying to quit
smoking?

15. Which of the following best
describes your ethnicity?

4. Where are you in your quit
smoking journey?

All answers
16. Which of the following best
describes your race? Check all that
apply.

All answers
All answers
11. Where would you most like to
receive information about living a
healthy lifestyle?

5. Which tobacco product(s) do you
typically use or did you typically use
when you last smoked regularly?
Check all that apply.

All answers
All answers

All answers

17. Other comments.


File Typeapplication/pdf
File TitlePowerPoint Presentation
AuthorAmanda Huffman
File Modified2016-10-28
File Created2016-10-25

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