National Food Study Pilot

Appendix B-8

Respondent Feedback

National Food Study Pilot

Agency: Economic Research Service

Contractor: Westat, Inc.

OMB Control Number: xxxx-xxxx

Expiration Date: xx/xx/xxxx

National Food Study Pilot

Respondent Feedback

These questions should be asked of the Primary Respondent immediately following the completion of the Final Interview.

Please tell us about your experience with the National Food Study Pilot. Your honest feedback is important to us and will help us improve the study for others.

Q1. On a scale from 1 to 5, where 1 is “very easy” and a 5 is “very difficult”, overall how easy or difficult was it for you to get other household members to take part in the study? (Check one)

1. Very Easy

2. Easy

3. Neither easy nor difficult

4. Difficult

5. Very Difficult

6. Not Applicable

Q2. How easy or difficult was it to keep track of the foods you yourself got? (Check one)

1. Very Easy

2. Easy

3. Neither easy nor difficult

4. Difficult

5. Very Difficult

6. Not Applicable

Q3. During the past week, did you (or other household members) change the way you got food because you were taking part in this study? (Check all that apply)

1. Ate out more often

2. Ate out less often

3. Did more food shopping

4. Did less food shopping

5. Bought a specific item(s) just to be able to scan it

6. Avoided specific items so you wouldn’t have to scan them

7. Other changes – please specify: ________________________________

8. No, did not change