APPENDIX K.1: SCREENER AND APPOINTMENT FOR IN-DEPTH INTERVIEW – ENGLISH
OMB Number: XXXX-XXXX
Expiration Date: XX/XX/XXXX
A. Screener for those selected for in-depth interviews from survey respondents
A1. IF CALL GOES TO VOICEMAIL
Hello, this is ________ from Westat and I am calling for [NAME]. We are conducting a study for the US Department of Agriculture or USDA, Food and Nutrition Services (FNS) called “Food and Your Household.” We recently received your completed “Food and Your Household” survey and I want to thank you for sending it in. I am calling to ask whether you’d be interested in, and available to talk about, where you shop and how you decide what foods to buy and eat. With your permission, we would also like to take a tour of your kitchen and see where you eat. Trained interviewers will be in your area the week of [GIVE DATES] for an in-person interview.
If you are eligible to participate in this 90 minute interview, and we do interview you, you will receive $75 after your participation.
Please call me back at xxx-xxx-xxxx so we can speak further about your eligibility for an interview. Again my name is _____________ and you can reach me at xxx-xxx-xxxx.
A2. IF PHONE IS ANSWERED AT TIME OF INITIAL CALL
Hello, this is ________ from Westat. May I speak with [NAME]?
[IF RESPONDENT NOT AVAILABLE, FIND THE BEST TIME TO CALL BACK]
[IF SPEAKING WITH RESPONDENT]
I am with a research firm called Westat and we are conducting a study for the US Department of Agriculture or USDA, Food and Nutrition Services (FNS0 called “Food and Your Household.” We recently received your completed “Food and Your Household” survey and I want to thank you for sending it in. I am calling to ask whether you’d be interested in, and available to talk about, where you shop and how you decide what foods to buy and eat in an in-person interview. With your permission, we would also like to take a tour of your kitchen and see where you eat. Trained interviewers will be in your area the week of [GIVE DATES]. The interview will take 90 minutes and will be conducted in your home. GO TO A4
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is XXXX-XXXX. The time required to complete this information collection is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data resources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
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A3: IF TAKING RETURN CALL FROM INTERESTED R:
Thank you for returning my call. As I said in the message I left, I am with a research firm called Westat and we are conducting a study for the US Department of Agriculture or USDA, Food and Nutrition Services (FNS) called “Food and Your Household.” We recently received your completed “Food and Your Household” survey and I want to thank you for sending it in. We are contacting you to ask whether you’d be interested in and available to talk about, where you shop and how you decide what foods to buy and eat in an in-person interview. With your permission, we would also like to take a tour of your kitchen and see where you eat. Trained, interviewers will be in your area the week of [GIVE DATES]. The interview will take 90 minutes and will be conducted in your home. GO TO A4
A4. If you are eligible for the study and we interview you, you will receive $75 after your participation.
Are you interested?
[IF NO]: Thank you for your time. CONCLUDE SCREENER
[IF YES]:
Before I can schedule an interview with you, I have to ask you a few questions to see if you are a good fit for the study.
First, would you be available for a pair of interviewers to visit your house during the week of [range of dates]?
[IF NO] That’s too bad—that is the week our interviewers will be in your area. I am sorry, but we won’t be able to interview you this time. Thanks for your interest. CONCLUDE SCREENER
[IF YES] Great!
Are you currently receiving SNAP/formerly known as Food Stamps/[SPECIFIC NAME OF STATE PROGRAM]?
[If yes:] How long have you been receiving SNAP benefits?
Are the SNAP benefits you receive in your name?
(4) Are you 18 years old or older?
[IF NO TO QUESTIONS 2, 3 or4] I’m sorry, you are not eligible for this interview Thank you for your interest. CONCLUDE SCREENER
(5) May I ask your zip code?
[IF SELECTED FOR INTERVIEW]:
Thank you for answering my questions. I’d like to invite you to participate in an interview in your home on [DATE AND TIME]. Would that time and date work for you?
[IF NO]: Which days of the week of [WEEK INTERVIEWS WILL BE CONDUCTED IN THIS GEOGRAPHICAL AREA] would work for you?
[SCHEDULE A TIME AND DATE THAT IS AGREEABLE TO THE RESPONDENT.]
We would like to conduct the interview in the room where you eat.
May I please have your home address, phone and email address?
Name:
Address:
Phone:
Email address:
I will send you a confirmation email now. [IF NO EMAIL, will send a letter in the mail.] If you need to cancel or reschedule your interview, please call me back. My number is xxx-xxx-xxxx.
Important Contact Information: Refer to as necessary: If you have questions about the interviews or the study in general, please contact my supervisor, NAME, at XXX-XXX-XXXX or NAME@westat.com.
B. Screener for Those Selected for Reserve Sample among Survey Respondents
B1. IF CALL GOES TO VOICEMAIL
Hello, this is ________ from Westat and I am calling for [NAME]. We are conducting a study for the US Department of Agriculture or USDA, Food and Nutrition Services (FNS0 called “Food and Your Household.” We recently received your completed “Food and Your Household” survey and I want to thank you for sending it in. I am calling to ask whether you’d be interested in, and available to talk about, where you shop and how you decide what foods to buy and eat. With your permission, we would also like to take a tour of your kitchen and see where you eat. Trained interviewers will be in your area the week of [GIVE DATES].
If you are eligible to participate in this 90 minute interview, and we do interview you, you will receive $75 after your participation.
Please call me back at xxx-xxx-xxxx so we can speak further about your eligibility for an interview. Again my name is ___________ and you can reach me at xxx-xxx-xxxx.
B2. IF PHONE IS ANSWERED AT INITIAL CALL
Hello [NAME]:
This is ________ from Westat. May I speak with [NAME]?
[IF RESPONDENT NOT AVAILABLE, FIND THE BEST TIME TO CALL BACK]
[IF SPEAKING WITH RESPONDENT]
I am with a research firm called Westat and we are conducting a study for the US Department of Agriculture or USDA, Food and Nutrition Services (FNS) called “Food and Your Household.” We recently received your completed “Food and Your Household” survey and want to thank you for sending it in. I am calling to ask whether you’d be interested in talking about where you shop and how you decide what foods to buy and eat in an in-person interview. With your permission, we would also like to take a tour of your kitchen and see where you eat. Trained interviewers will be in your area the week of [GIVE DATES]. The interview will take 90 minutes and will be conducted in your home. If you are eligible for the study and we interview you, you will receive $75 after your participation. Right now we think we have enough people for the interviews, but we wanted to see if you would agree to be a back-up person we could call if someone cancels? GO TO B4
B3: IF TAKING RETURN CALL FROM INTERESTED R:
Thank you for returning my call. As I said in the message I left, I am with a research firm called Westat and we are conducting a study for the US Department of Agriculture or USDA, Food and Nutrition Services (FNS) called “Food and Your Household.” We recently received your completed “Food and Your Household” survey and want to thank you for sending it in. We are contacting you to ask whether you’d be interested in talking about where you shop and how you decide what foods to buy and eat in an in-person interview. With your permission, we would also like to take a tour of your kitchen and see where you eat. Trained interviewers will be in your area the week of [GIVE DATES]. The interview will take 90 minutes and will be conducted in your home. If you are eligible for the study and we interview you, you will receive $75 after your participation. Right now we think we have enough people for the interviews, but we wanted to see if you would agree to be a back-up person we could call if someone cancels? GO TO B4
B4. Are you interested?
[IF NO]: Thank you for your time. CONCLUDE SCREENER
[IF YES]:
Before I can make you part of our back-up sample, I have to ask you a few questions to see if you are a good fit for the study.
First, would you be available for a pair of interviewers to visit your house during the week of [range of dates]?
[IF NO] That’s too bad—that is the week our interviewers will be in your area. I am sorry, but we won’t be able to interview you. Thanks for your interest. CONCLUDE SCREENER
[IF YES] Great!
Are you currently receiving SNAP/Food Stamps /[SPECIFIC NAME OF STATE PROGRAM]?
[If yes:] How long have you been receiving SNAP?
Are the SNAP benefits you receive in your name?
(4) Are you 18 years old or older?
[IF NO TO QUESTIONS 2, 3 or4] I’m sorry, you are not eligible for this interview Thank you for your interest. CONCLUDE SCREENER
(5) May I ask your zip code?
[IF SELECTED FOR INTERVIEW]:
May I please have your address, phone and email address? If we need you for an interview, we will contact you via telephone or email.
Name:
Address:
Phone:
Email address:
Thank you so much for your time. We’ll be in touch if we need you the week of [INTERVIEW WEEK].
Important Contact Information: Refer to as necessary: If you have questions about the interviews or the study in general, please contact my supervisor, NAME, at XXX-XXX-XXXX or NAME@westat.com.
C. Screener for Craig’s List Respondents [CONTINGENCY PLAN IF INSUFFICIENT NUMBERS RECRUITED FROM SURVEY RESPONDENTS IN A GIVEN AREA]
[IF CALL GOES TO VOICEMAIL]
Hello [NAME]. My name is ________. I am with a research firm called Westat and I am calling in response to your call/e-mail about our Craig’s List ad for an interview for the “Food and Your Household“ study. I would like to see if you are available to talk about where you shop and how you decide what foods to buy and eat. With your permission, we would also like to take a tour of your kitchen and see where you eat. Trained interviewers will be in your area the week of [GIVE DATES].
If you are eligible to participate in this 90 minute interview, and we do interview you, you will receive $75 after your participation.
Please call me back at xxx-xxx-xxxx so we can speak further about your eligibility for an interview. Again my name is [NAME] and you can reach me at xxx-xxx-xxxx.
[IF PHONE IS ANSWERED]
Hello, this is ________ from Westat. May I speak with [NAME]?
[IF RESPONDENT NOT AVAILABLE, FIND THE BEST TIME TO CALL BACK]
[IF SPEAKING WITH RESPONDENT]
I am with a research firm called Westat I am calling in response to your call/e-mail about our Craig’s List ad for an interview for the “Food and Your Household“ study. We are conducting this study for the US Department of Agriculture or USDA, Food and Nutrition Services (FNS). We are conducting in-person interviews to talk in detail about where people shop and how they decide what foods to buy and eat. Trained interviewers will be in your area the week of [GIVE DATES]. With your permission, we would also like to take a tour of your kitchen and see where you eat. The interview will take 90 minutes and will be conducted in your home.
If you are eligible for the study and we interview you, you will receive $75 after your participation.
Are you interested?
[IF NO]: Thank you for your time. CONCLUDE SCREENER
[IF YES]:
Before I can schedule an interview with you, I have to ask you a few questions to see if you are a good fit for the study.
First, would you be available for a pair of interviewers to visit your house during the week of [range of dates]?
[IF NO] That’s too bad—that is the week our interviewers will be in your area. I am sorry, but we won’t be able to interview you this time. Thanks for your interest. CONCLUDE SCREENER
[IF YES] Great!
Are you currently receiving SNAP/food stamps /[SPECIFIC NAME OF STATE PROGRAM]?
[If yes:] How long have you been receiving SNAP?
Are the SNAP benefits you receive in your name?
(4) Are you 18 years old or older?
[IF NO TO QUESTIONS 2, 3 or4] I’m sorry, you are not eligible for this interview Thank you for your interest. CONCLUDE SCREENER
(5) May I ask your zip code?
[SIX-ITEM FOOD SECURITY MODULE]
These next questions are about the food eaten in your household in the last 12 months, since [current month] of last year and whether you were able to afford the food you need.
I am going to read you several statements that people have made about their food situation. For these statements, please tell me whether the statement was often true, sometimes true, or never true for (you/your household) in the last 12 months—that is—since [current month].
The first statement is “the food that I/we bought just didn’t last, and I/we didn’t have money to get more.” Was that often, sometimes, or never true for (you/your household) in the last 12 months?
[ ] Often true
[ ] Sometimes true
[ ] Never true
[ ] DK or refused
“(I/we) couldn’t afford to eat balanced meals.” Was that often, sometimes, or never true for (you/your household) in the last 12 months?
[ ] Often true
[ ] Sometimes true
[ ] Never true
[ ] DK or refused
In the last 12 months, since last [current month], did (you/you or other adults in your household) ever cut the size of your meals or skip meals because there wasn’t enough money for food?
[ ] Yes
[ ] No (Skip next question)
[ ] DK (Skip next question)
[If YES above, ask]: How often did this happen—almost every month, some months but not every month, or in only 1 or 2 months?
[ ] Almost every month
[ ] Some months but not every month
[ ] Only 1 or 2 months
[ ] DK
In the last 12 months, did you ever eat less than you felt you should because there wasn’t enough money for food?
[ ] Yes
[ ] No
[ ] DK
Those are all my questions. I will call you back [GIVE DATE AND APPROXIMATE TIME] to let you know whether we’ll be able to interview you.
Thank you.
Important Contact Information: Refer to as necessary: If you have questions about the interviews or the study in general, please contact my supervisor, NAME, at XXX-XXX-XXXX or NAME@westat.com.
C1. Return call for those selected for interview:
Hello, this is ______________ from the Food and Your Household study. I’d like to invite you to participate in an interview in your home on [DATE AND TIME]. Would that time and date work for you?
[IF NO]: Which days of the week of [WEEK INTERVIEWS WILL BE CONDUCTED IN THIS GEOGRAPHICAL AREA] would work for you?
[SCHEDULE A TIME AND DATE THAT IS AGREEABLE TO THE RESPONDENT.]
We would like to conduct the interview in the room where you eat.
May I please have your home address, phone and email address?
Name:
Address:
Phone:
Email address:
I will send you a confirmation email now [IF NO EMAIL, will send letter]. If you need to cancel or reschedule your interview, please call me back, OK? My number is xxx-xxx-xxxx.
C2. Return call for those selected for reserve sample among Craig’s List
Hello, this is _________________ from the Food and Your Household Study. We have enough people for the interviews right now, but I’m wondering if you would agree to be a back-up person who we might interview if someone cancels?
IF YES: We will contact you at this number if someone cancels. Thank you.
IF NO: Thank you for your time.
C3. Return call for those not selected
Hello, this is [NAME] from the Food and Your Household Study. I’m sorry to tell you that you were not selected for an interview. Thank you for your interest in the study. We really appreciate it.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Jocelyn Marrow |
| File Modified | 0000-00-00 |
| File Created | 2021-01-22 |