Appendix C: EurekaFacts LLC Recruitment Phone Script for CDC
Form Approved
OMB Control No.: 0920-1154
Expiration date: 01/31/2020
Introduction:
Hello, my name is [NAME] from EurekaFacts, a social science research company in Rockville, Maryland calling on behalf of the Centers for Disease Control and Prevention (CDC).
May I speak with _______________________?
If unavailable,
Is there someone else we can speak with who may be interested in participating in a focus group project?
If not at the moment,
When would be a convenient time to reach them?
Please fill out the following information:
DATE: _____________________________________
TIME: _____________________________________
CONTACT INFORMATION: _____________________________________
If Prefer not to answer,
Thank you for taking the time to talk with me today. Have a great day/evening.
If yes, or speaking
Public reporting burden of
this collection of information is estimated to average 3 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 Reports Clearance Officer, 1600 Clifton Road NE, MS D-74,
Atlanta, Georgia 30333; ATTN: PRA 0920-1154
The
interview is for evaluation purposes only and none of the answers you
provide will be shared with or used by anyone else other than
the EurekaFacts and
CDC project team. If you are interested, I would like to ask
you a few questions
to see if you’re eligible to participate.
Screener:
[Interviewer: Determine recruitment needs in advance. Record all responses. End screener at whatever point the participant gives a response that confirms that their group has already been sampled adequately. End screener script: Based on the requirements of this project, we are not able to include you in the project at this time.]
ASK ONLY IF NOT OBVIOUS: Are you male or female?
Male
Female
Prefer not to answer
What is your age?
Under 18 (Terminate)
18-30
31-40
41-50
51-60
61-64
65 +
TERMINATION LANGUAGE: IF UNDER 18, Is there an adult that we could speak with?
IF NO, Thank you very much for your time, but unfortunately you do not qualify for this project.
IF YES, ask to speak with them and start from beginning.
In the last 6 months, have you participated in any paid market research studies conducted by EurekaFacts?
Yes (Terminate)
No
What is the highest degree or level of school you have completed?
Less than high school diploma
High school diploma or GED
Some college, but no degree
Associates Degree (e.g. AA, AS)
Bachelor’s Degree (e.g. BA, BBA, BS)
Master’s Degree (e.g. MA, MS)
Professional Degree (e.g. MD, JD) or Doctorate (e.g. PhD, EdD)
Are you currently employed in any of the following:
Risk Communication (Terminate)
Market research (Terminate)
Advertising agency or public relations firm (Terminate)
Website Design (Terminate)
Food Safety or Public Health (Terminate)
Restaurant Management (Terminate)
Healthcare with patient care responsibilities (Terminate)
Cheesemaker or cheese monger (Terminate)
Leafy green produce grower, distributor, or seller (Terminate)
No
Within the last 6 months, have you experienced any severe illness requiring hospitalization that was attributed by a healthcare provider to consumption of contaminated food?
Yes (Terminate)
No
Do you live in a rural, suburban, or urban areas?
Rural
Suburban
Urban
Don’t know
Prefer not to answer
Which of the following best describes your race?
White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
Other
Prefer not to answer
Are you of Hispanic or Latino origin or descent?
Yes
No
Prefer not to answer
Do you have children under the age of 18 living in your household?
Yes
No
In this project we will ask you to read several paragraphs aloud. The reading materials will only be in English. Do you feel comfortable reading aloud, without assistance, during the interview?
Yes
No (Terminate)
As I mentioned before, these interviews will take place at the EurekaFacts’ office located in downtown Rockville, Maryland. Are you willing to drive or commute to our location? (PROVIDE MORE INFO IF NEEDED: 51 Monroe St., Plaza East 10; NEAR Rockville Town Center; Rockville Metro Station on the Red Line)
Yes
No (Terminate - Thank you very much for your time, but unfortunately you would need to be present at our facilities to participate in this project. Have a nice day/evening.)
GENERIC TERMINATION LANGUAGE: Thank you very much for your time, but unfortunately you do not qualify for this project.
Closing: Thank you for answering these questions. You are eligible to help with this project. If you choose to participate in a 100-minute focus group about foodborne illnesses, you will receive $75 in appreciation for your participation. To participate and receive a $75 VISA gift card, you must provide consent.
Do you understand that you must complete and sign a consent form to participate?
Yes
No (Terminate-Thank you for taking the time to talk with me today. Have a great day/evening.)
IF RECRUITING ONLY: Thank you so much for your willingness to help us. We are looking to schedule people for sessions between <DATE> and <DATE>. We will contact you to schedule you for a specific date and time.
Could you please confirm your contact information:
RECORD FIRST NAME: _____________________________________
RECORD LAST NAME: _____________________________________
RECORD EMAIL ADDRESS: _____________________________________
MOBILE PHONE NUMBER: _____________________________________
HOME PHONE NUMBER: _____________________________________
IF SCHEDULING: Thank you so much for your willingness to help us. We have sessions available at the following dates/times. Which of these dates/times would work best for you?
<DATE> and <TIME>.
<DATE> and <TIME>.
<DATE> and <TIME>.
We will provide you with a confirmation about your participation in this project, will you please provide us with your contact information?
RECORD FIRST NAME: _____________________________________
RECORD LAST NAME: _____________________________________
RECORD EMAIL ADDRESS: _____________________________________
MOBILE PHONE NUMBER: _____________________________________
HOME PHONE NUMBER: _____________________________________
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