ATTACHMENT 13. Wave 2 Telephone Verification Survey for the Point of Sale Intervention for Tobacco Evaluation (POSITEv)
OMB
No. 0910-0815
Exp. Date 04/30/2021
RIHSC No. 17-082CTP
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OMB |
RTI IRB |
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Programming conventions and specifications notes
Don’t Know/Refused are not allowed in combination with other responses
Variable names and section headings are not displayed on screen
Response options should not be labeled with numbers
Bolding conveys emphasis while capital letters convey instructions for programmers or interviewers
Questionnaire will include a progress bar
All items are required
“Next” buttons will be displayed on every survey screen as appropriate
All images should be arranged in such a way that focus on usability and layout
Images should be aligned and of similar sizes as one another
Information needed for verification
Completed Cases
2690 (Survey Completed)
2691 (Interview Complete-App Consented)
Case Information:
(Street Num, Street Name, Apt/Unit, city, state and zip code): Street number, Street address, Apt/Unit, city, state and zip code for address
Information Provided:
CaseID
Phone number provided in variables W1_AL_EHPH2A (Respondent home telephone number and W1_AL_ECPH1B (Respondent cell phone number)
Panel Member Name provided in AL-FU1_FNAME and AL-FU1_LNAME
CALL-IN: [IF CALL-IN]
Thank you for calling us about the study sponsored by the U.S. Food and Drug Administration at RTI. This is _____________. In case we get cut off, let me get the telephone number you are calling from. (On behalf of the U.S. Food and Drug Administration, I am trying to reach [FILL: Panel Member Name].)
INTERVIEWER: THE ROSTER WILL BE DISPLAYED NEXT. IF THE PHONE NUMBER EXISTS ON THE ROSTER FOR THE SUBJECT AND HAS NOT BEEN CODED OUT, SELECT THAT NUMBER. OTHERWISE, ADD A NEW ROSTER LINE.
0 GO TO ROSTER INFO SCREEN TO SELECT CORRECT ROSTER LINE GO TO INTRO7A
4 NEVER HEARD OF SUBJECT GO TO INTRO6
9 MORE CODES GO TO SUBJ_CODES
ASK: Respondents who initiate a call to the verification staff
_________________________________________________________________________
INTRO6 [IF CALL-IN = 4]
NOTE: IF THIS CALL IS A CALL-IN CASE, SIMPLY VERIFY THEIR PHONE NUMBER.
Let me make sure that I have the correct number. Is this [FILL: PHONE NUMBER]
1 YES GO TO EVEND
2 NO GO TO EVEND
5 LANGUAGE BARRIER GO TO EVEND
6 REFUSED GO TO WHO_REF
9 MORE CODES GO TO SUBJ_CODES
ASK: Respondents who initiate a call to the verification staff but do not know the case’s listed subject.
_________________________________________________________________________
INTRO7A [IF CALL-IN = 0]
IF NOT ALREADY SPEAKING WITH THE ENROLLED PM, ASK: Can I speak with [FILL: Panel Member Name]
IF CALL-IN CASE AND PM HAS NOT ALREADY TOLD YOU: What can I help you with today?
1 YES SUBJECT IS AVAILABLE NOW GO TO INTRO1
3 SUBJECT NOT AVAILABLE NOW – SET APPT GO TO CALLBACK
8 KNOWS SUBJECT, WILL GIVE INFO (THIS WILL ADD A NEW ROSTER LINE) GO TO EVEND
9 MORE CODES GO TO SUBJ_CODES
ASK: Respondents who initiate a call to the verification staff who know the case’s listed subject
_________________________________________________________________________
CELL_RESP. [ALL OUTGOING CALLS BEGIN HERE]
(Hello, my name is ________________. I am calling from RTI International
regarding a study sponsored by the U.S. Food and Drug Administration.) Are you driving a vehicle at this moment?
IF YES, ASK FOR A BETTER TIME TO CALL AND SET A CALLBACK. IF YES, AND RESPONDENT INDICATES S/HE IS WILLING TO TALK NOW, SAY "I'm sorry but for your safety I'm not able to conduct the survey while you're driving. When would be a better time to call you?"
1 YES GO TO CALLBACK
2 NO GO TO INTRO1
9 MORE CODES GO TO SUBJ_CODES
ASK: All respondents who are calling from a phone number listed as a mobile phone.
_________________________________________________________________________
INTRO1. [IF INTRO7A =1 OR IF CALL_RESP = 2]
(Hello, my name is ________________. I am calling from RTI International regarding a study sponsored by the U.S. Food and Drug Administration.) May I please speak to [FILL: Panel Member Name]?
1 YES, SPEAKING TO PANEL MEMBER GO TO INTRO3
2 PANEL MEMBER AVAILABLE GO TO INTRO1A
3 PANEL MEMBER UNAVAILABLE GO TO CALLBACK
4 PANEL MEMBER UNAVAILABLE - OUT OF THE COUNTRY GO TO OTC_WHY
5 PANEL MEMBER UNKNOWN GO TO INTRO2A
6 PANEL MEMBER KNOWN, BUT WILL NEVER BE AVAILABLE GO TO INTRO1B
7 OTHER GO TO INTRO1B
8 LANGUAGE BARRIER GO TO EVEND
9 MORE CODES GO TO SUBJ_CODES
ASK: All respondents
GO TO: If the person on the phone is a household member, go to INTRO3. If the panel member is available, go to INTRO1A. If the Panel member is unavailable, go to INTRO2A, unless they are out of the country, then go to OTC_WHY, or if they will otherwise never be available, then go to INTRO1B.
_________________________________________________________________________
OTC_WHY. [IF INTRO1 = 4] Is [FILL: Panel Member Name] out of the country due to:
INTERVIEWER: TRY TO DETERMINE REASON SUBJECT IS OUT OF THE COUNTRY AND ENTER BELOW.
1 MILITARY SERVICE
2 SCHOOL
3 OTHER REASON?
9 DON'T KNOW/DOESN'T WANT TO TELL
ENTER REASON.
[500 CHAR]
[CONTINUE GO TO OTC_INFO]
ASK: Respondents who report the panel member is out of the country.
_________________________________________________________________________
OTC_INFO. [IF INTRO1 = 4]
Can you give me any address or telephone information or an email address for contacting [FILL Panel Member Name ] ?
[TEXT BOX - 500 CHAR]
[CONTINUE GO TO EVEND]
ASK: Respondents who report the panel member is out of the country.
_________________________________________________________________________
INTRO1A. [IF INTRO = 2 OR INTRO2B = 3or SV1 = 2]
May I speak with this person?
1 YES GO TO INTRO3
2 NO GO TO CALLBACK
ASK: Respondents who report panel member is available to speak with.
GO TO: If the panel member is available to speak to, go to INTRO3. If they are not available to speak to, schedule a time for a call back, go to CALLBACK.
_________________________________________________________________________
INTRO1B. [IF INTRO1 = 6 OR 7]
INTERVIEWER: ENTER RESPONDENT’S ANSWER VERBATIM. [500 CHAR]
CONTINUE: If Enrollment GO TO CALLBACK
ASK: Cases where a verification call will not be possible with the survey respondent.
GO TO: If the verification call is for survey verification, go to CALLBACK.
_________________________________________________________________________
INTRO2A. [IF INTRO1 =5]
[If INTRO1 = 3, 4, 5, FILL: Perhaps you can help me.] My name is ____________. I am calling from RTI International regarding a study sponsored by the U.S. Food and Drug Administration.
Our records indicate that [FILL: Panel Member Name] was [FILL: contacted about an important research study sponsored by the U.S. Food and Drug Administration].
This call is to verify the quality of our interviewer’s performance. It will take just a few minutes of your time. For training and quality assurance purposes, this call may be monitored.
CONTINUE
ASK: Cases where a verification call will not be possible with the survey respondent.
GO TO: If the verification call is for survey verification, go to CALLBACK.
_______________________________________________________________________
INTRO2B [IF INTRO2A = 1]
Is this the correct phone number for [FILL: Panel Member Name?]
PROBE: (This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work in several ways. One very important check is to call some of the residences that were contacted to ensure the interviewer followed proper procedures and behaved professionally.)
1 YES, RESPONDENT IS AVAILABLE GO TO INTRO3
2 SOMEONE ELSE IS AVAILABLE GO TO CALLBACK
3 PANEL MEMBER UNKNOWN GO TO EVEND
4 NO= GO TO SV1
-1 DON’T KNOW GO TO SV1
9 MORE CODES GO TO SUBJ_CODES
ASK: All respondents
GO TO: If the survey respondent is available to speak to, go to INTRO3. If the respondent reports a survey did not occur, go to SV1. If the respondent does not recognize the person we are asking to verify with, go to EVEND.
_________________________________________________________________________
INTRO3. [IF INTRO 1 = 1 OR INTRO1A = 1 OR (INTRO2B = 1)]
[FILL if INTRO1 =/= 1: Hello, my name is _______________. I am calling from RTI International regarding a study sponsored by the U.S. Food and Drug Administration.]
“Our records indicate that you were interviewed for the Point of Sale Intervention for Tobacco Evaluation (POSITEv)”.
This call is to verify the quality of our interviewer’s performance. It will take just a few minutes of your time. For training and quality assurance purposes, this call may be monitored.
Did you complete an interview for this study?]
[FILL IF Enrollment: 1 YES GO TO EV3
[FILL IF Enrollment: 2 NO GO TO EV2A
PROBE: This is a scientific research study and the quality of data is essential. We monitor our interviewer’s work in several ways. One very important check is to call some of the residences that were contacted to ensure the interviewer followed proper procedures and behaved professionally.
ASK: Panel members
GO TO: If the verification call is to verify a survey, go to EV3 if the person reports completing the survey, or EV2A if the person does not report completing the survey. If the person familiar with the address is not available, go to CALLBACK to schedule a call when they are available. If no person is familiar with the address on file, go to EVEND.
_________________________________________________________________________
SV1. [IF INTRO2B = 5 OR -1]
Do you have a telephone number for [FILL: Panel Member Name?]
1 YES GO TO SV1a
2 NO GO TO EVEND
-1 DON’T KNOW GO TO EVEND
9 MORE CODES GO TO SUBJ_CODES
ASK: Respondents who report not being familiar with the sampled address
GO TO: If the person has a telephone number for the panel member go to SV1a. If the person does not have a telephone number for the panel member go to EVEND
_________________________________________________________________________
SV1a [IF SV1 = 1] What is [IF Panel Member’s Name] telephone number, including area code?
TELEPHONE NUMBER: __________________________ [ALLOW 10 NUMERIC CHARACTERS]
999 PREFER NOT TO ANSWER
OPEN END NUM
VALIDATION: MIN 0 MAX 9999999999
PROGRAMMER: VALIDATE FORMAT FOR PHONE NUMBER. IF FORMAT IS INCORRECT, PLEASE DISPLAY:
“PLEASE VERIFY THIS AREA CODE WITH RESPONDENT. PRESS “CANCEL” TO CORRECT AREA CODE, OR “OK” TO CONTINUE.
_________________________________________________________________________
EV2A. [IF INTRO3 = 2]
You may have answered questions concerning your use of tobacco products, and provided some basic demographic information. The interviewer would have used a computer to record your responses. Does this sound familiar?
1 YES GO TO EV3
2 NO GO TO EV2B
ASK: Respondents who report not completing a survey
GO TO: If the person does not recall the survey, go to EV2B, if they do, go to EV3
_________________________________________________________________________
EV2B. [IF EV2A = 2]
Were you ever contacted by one of our interviewers?
1 YES, BUT RESPONDENT DOES NOT REMEMBER COMPLETING INTERVIEW GO TO EV2C
2 YES, AND RESPONDENT DOES REMEMBER COMPLETING INTERVIEW GO TO EV3
3 NO GO TO EV2C
ASK: Respondents who report not completing a survey
GO TO: If the person was not contacted by an interviewer or did not complete the survey, go to EV2C, if they recall completing the survey, go to EV3
_________________________________________________________________________
EV2C. [IF EV2B = 1 OR 3]
Our interviewer would have been wearing a white badge with a picture I.D., and would have had a laptop computer. Did this person ever contact you?
1 YES, BUT RESPONDENT DOES NOT REMEMBER COMPLETING INTERVIEW GO TO EVEND
2 YES, AND RESPONDENT DOES REMEMBER COMPLETING INTERVIEW GO TO EV3
3 NO GO TO EVEND
ASK: Respondents who report not being contacted by our interviewers
GO TO: If the person was contacted by an interviewer but did not complete the survey, go to EV3, if they do not recall being contacted by the interviewer or completing the survey, go to EVEND
_________________________________________________________________________
EV3. [IF EV2A = 1 OR EV2B = 2 OR EV2C = 2 OR INTRO3 =1]
It is important that the interviewer recorded your address correctly. Please provide the full address where you lived when the interviewer contacted you. Please tell me the full address including any apartment number, city, state, and zip code.
TI NOTE: DO NOT READ ADDRESS TO RESPONDENT. IF THE ADDRESS PROVIDED MATCHES THE BELOW INFORMATION, SELECT CORRECT. IF IT DOES NOT MATCH SELECT INCORRECT.
[FILL: address]
TI NOTE: IF RESPONDENT PROVIDES ONLY PARTIAL INFORMATION, YOU SHOULD PROVIDE THE MISSING INFORMATION TO THE RESPONDENT TO CONFIRM IT IS ACCURATE.
1 CORRECT GO TO EV4
2 INCORRECT GO TO EV3A
-1 DON’T KNOW GO TO EVEND
-2 REFUSE GO TO WHO_REF
ASK: Verification call respondents who report completing the survey
GO TO: If the person verifies the address on file, go to EV4. If the person states the address on file does not match where they lived when contacted by the interviewer, go to EV3A. Otherwise go to EVEND
_________________________________________________________________________
EV3A. [IF EV3 = 2]
Can you please repeat that?
ENTER ADDITIONAL COMMENTS UP TO 500 CHARACTERS.
ENTER RESPONDENT’S ADDRESS VERBATIM. [500 CHAR]
ASK: Verification call respondents who report completing the survey but provide an address that does not match records
_________________________________________________________________________
EV4. [IF EV3 = 1]
Did you answer questions about topics such as your use of tobacco products and tobacco advertisements you have seen in stores?
1 YES GO TO EV5a
2 NO GO TO EV5
ASK: Verification call respondents who report the survey was completed at the listed address
GO TO: If the person recalls answering questions with content matching the survey, go to EV6, if not, go to EV5
_________________________________________________________________________
EV5. [IF EV4 = 2]
Just to be sure, did you answer questions about the type of tobacco products you use (such as cigarettes, cigars, or smokeless tobacco products) as well as questions about tobacco advertisements you have seen in stores?
1 YES GO TO EV5a
2 NO GO TO EV7
ASK: Verification call respondents who report the correct survey content was not administered
GO TO: If the person recalls being asked questions with content matching the survey, go to EV6, if not, go to EV7
_________________________________________________________________________
EV5a. [[IF EV4 = 1 OR EV5 = 1] ]
Do you smoke cigarettes every day, some days, or not at all?
1 EVERY DAY
2 SOME DAYS
3 NOT AT ALL
-1 DON’T KNOW
ASK: Verification call respondents who report the correct survey content was administered ________________________________________________________
EV5b [IF (EV4 = 1 OR EV5 = 1] AND (BLINE_CONTACT1_HPHONE OR BLINE_CONTACT1_CELLPHONE ARE NOT BLANK)] During the interview you provided contact information for another person who will would always know your whereabouts. We’d like to confirm that the interviewer recorded that information correctly. We have [BLINE_CONTACT1_FNAME BLINE_CONTACT1_LNAME] as your contact. What is [BLINE_CONTACT1_FNAME BLINE_CONTACT1_LNAME]’s phone number?
TI NOTE: DO NOT READ NUMBER TO RESPONDENT. IF THE PHONE NUMBER PROVIDED MATCHES THE BELOW INFORMATION, SELECT CORRECT. IF IT DOES NOT MATCH SELECT INCORRECT.
[FILL: BLINE_CONTACT1_FNAME BLINE_CONTACT1_LNAME
BLINE_CONTACT1_HPHONE OR BLINE_CONTACT1_CELLPHONE]
TI NOTE: IF RESPONDENT PROVIDES ONLY PARTIAL INFORMATION, YOU SHOULD PROVIDE THE MISSING INFORMATION TO THE RESPONDENT TO CONFIRM IT IS ACCURATE.
1 CORRECT GO TO EV5c
2 INCORRECT GO TO EV5b
-1 DON’T KNOW GO TO EVEND
-2 REFUSE GO TO WHO_REF
ASK: Verification call respondents who report the correct survey content was administered
_________________________________________________________________________
EV5b. [IF EV5b = 2]
Can you please repeat that?
ENTER ADDITIONAL COMMENTS UP TO 500 CHARACTERS.
ENTER RESPONDENT’S ADDRESS VERBATIM. [500 CHAR]
ASK: Verification call respondents who report completing the survey but cannot confirm information they provided for a contact.
_________________________________________________________________________
EV5c [(EV5b = 1 AND W1_APP_CONSENT=2 AND J0 =1) OR (EV5b = 1 AND W1_APP_CONSENT = 1 AND (APP_STATUS = 2 OR J1 = 1 OR J7c=2)] Did the interviewer invite you to install a POSITEv app on your phone?
_
1 YES
2 NO
ASK: Verification call respondents who did not consent to app-based data collection at Wave 1 and have a smartphone at Wave 2; Wave 1 respondents that consented to app-based data collection at Wave 1 but did not enroll in the app or have changed phones since Wave 1, or have uninstalled the app.
_________________________________________________________________________
EV5d [IF EV5c = 1] Did you agree to install this app?
1 YES
2 NO
ASK: Verification call respondents who were asked to participate in app-based data collection in Wave 2.
_________________________________________________________________________
EV5e [IF EV5d = 1] Did the interviewer help you successfully download and log into the POSITEv app with login information provided by the interviewer?
1 YES
2 NO
ASK: Participants that indicated that they agreed to download the app at Wave 2.
_________________________________________________________________________
EV5f [IF EV5e = 2] Can you say more about that, please? What did the interviewer do after you agreed to install the app?
___ ENTER ADDITIONAL COMMENTS UP TO 500 CHARACTERS.
ENTER RESPONDENT’S ADDRESS VERBATIM. [500 CHAR]
ASK: Verification call respondents that report the interviewer didn’t help download and log into the app._________________________________________________________________
EV5g [IF EV5e = 2] Would you like assistance downloading and installing the POSITEv app? If so, please contact us at 1-800-957-6457.
CONTINUE
ASK: Verification call respondents that report the interviewer didn’t help download and log into the app._________________________________________________________________
_________________________________________________________________________
_EV5h. [IF EV4 = 1 OR EV5 = 1]
Was
the interviewer polite and did the interviewer treat you
professionally?
1 YES
2 NO
ASK: Verification call respondents who report the correct survey content was administered
____________________________________________________________________
EV6. [IF EV4 = 1 OR EV5 = 1] Did you receive $25 in cash for your participation?
1 YES GO TO EVEND
2 NO GO TO EVEND
3 DECLINED CASH INCENTIVE
-1 DON’T KNOW/DON’T REMEMBER GO TO EVEND
ASK: Verification call respondents who report the correct survey content was administered
_________________________________________________________________________
EV7. [IF EV5 = 2]
Did you receive $25 in cash when the interviewer visited you?
1 YES GO TO EVEND
2 NO GO TO EVEND
3 DECLINED CASH INCENTIVE
-1 DON’T KNOW/DON’T REMEMBER GO TO EVEND
ASK: All verification call respondents who do not recall being asked survey questions.
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
SV5. [IF SV1 = 1 OR SV2 = 1 OR SV3 = 1]
[IF SCREENER 1, FILL: Do you / IF ENROLLMENT FILL: Does [Panel Member Name]) smoke cigarettes every day, some days, or not at all?
1 EVERY DAY
2 SOME DAYS
3 NOT AT ALL
-1 DON’T KNOW
-2 PREFER NOT TO ANSWER
ASK: Verification call respondents who report being screened
_________________________________________________________________________
CALLBACK. [IF INTRO7A = 3 OR CELL_RESP = 2 OR INTRO1 =3) OR INTRO1A = 2 OR INTRO1 = 6 OR 7 OR INTRO3 = 5))
Thank you very much for your time, I will call back at a later time. Have a good (evening/day).
[SET FOR CALLBACK]
ASK: Verification call respondents that will need to receive a call back
_________________________________________________________________________
EVEND. [IF (INTRO6 = 1 OR 2 OR 5) OR (INTRO7A = 8) OR (INTRO1 = 8) OR (OTC_INFO = ASKED) OR (INTRO2B = 4) OR (EV2C = 1 OR 3) OR (EV3 = -1) OR (EV6 = 1 OR 2 OR -1) OR (EV7 = 1 OR 2 OR -1)
Those are all of the questions I have. Thank you very much for your time. Have a good (evening/day).
[EXIT SURVEY.
ASSIGN PENDING 2589 IF SV2 = 3 OR - 1 (BAD TELEPHONE NUMBER) || EV2C = 1 OR 3 (DOES NOT REMEMBER INTERVIEWER CONTACT) || EV3 =2 OR -1 OR -2 (REMEMBERS INTERVIEW, BUT ADDRESS INFORMATION IS INCORRECT) || EV5 = 2 (DOES NOT REMEMBER BEING ASKED SURVEY CONTENT) || EV6 OR EV7 = 2 (DID NOT RECEIVE INCENTIVE) || INTRO2B = 4 (PANEL MEMBER NAME NOT RECOGNIZED) || || SV8 = 2 (INTERVIEWER UNPROFESSIONAL) || EV5e = 2 (INTERVIEWER UNPROFESSIONAL) ||
ELSE ASSIGN FINAL CODE 2690]
ASK: Verification call respondents at the end of the call
_________________________________________________________________________
SUBJ_CODES
SUBJECTS NAME <FILL NAME>
1 SUBJECT OUT OF THE COUNTRY (NOT IN CALLING AREA
2 SUBJECT INSTITUTIONALIZED OR INCARCERATED
3 SUBJECT OTHERWISE UNAVAILABLE
4 SUBJECT DECEASED
5 LANGUAGE BARRIER
6 REFUSED
7 SET CALLBACK FOR SUBJECT (ONLY IF YOU SPOKE WITH THE SM OR A CONTACT)
9 PERSON HUNG UP BEFORE / DURING INTRO
12 SUBJECT INCAPABLE (INCAPACITATED)
13 SUBJECT HAS NO PHONE
14 SUBJECT IS HEARING IMPAIRED
0 RETURN TO MAIN MENU
[EXIT SURVEY]
ASK: Screen administered to the Telephone Interviewer after a call was terminated and the reason for the termination needs to be coded.
_________________________________________________________________________
WHO_REF
(Thank you very much for your time)
INTERVIEWER:
WAS THE REFUSAL BY THE SAMPLE MEMBER?
PLEASE NOTE THAT TWO SUCH REFUSALS WOULD MAKE THIS A FINAL REFUSAL CASE
1 YES, SAMPLE MEMBER REFUSED….VERIFIED NAME
2 NO / DON’T KNOW
[CONTINUE]
ASK: Screen administered to the Telephone Interviewer after a call was terminated as a refusal.
_________________________________________________________________________
PREREF
INTERVIEWER: DETERMINE THE STRENGTH OF THE REFUSAL
1 SOFT
2 HARD (FIRM)
3 HOSTILE
[CONTINUE]
ASK: Screen administered to the Telephone Interviewer after a call was terminated as a refusal.
_________________________________________________________________________
REF
INTERVIEWER: DESCRIBE WHAT HAPPENED DURING REFUSAL (CHECK ALL THAT APPLY)
1 SM DOES NOT DO PHONE SURVEYS
2 SM DOES NOT PARTICIPATE IN SURVEYS
3 HUNG UP DURING INTRO (AFTER AFFILIATION)
4 HUNG UP AT SAMPLE MEMBER VERIFICATION SCREENS
5 “TOO BUSY” / “NO TIME”
6 “NOT INTERESTED” (NO MENTION OF STUDY)
7 NOT INTERESTED IN DOING STUDY (AGAIN)
8 QUESTIONED PURPOSE OF STUDY
9 CONCERNED ABOUT LENGTH OF INTERVIEW
10 CONCERNED ABOUT LEGITIMACY OR CONFIDENTIALITY OF DATA
11 OTHER SPECIFY [ENTER 500 CHARACTERS]
12 SUBJECT REFUSED BECAUSE DID NOT GET INCENTIVE FROM PRIOR STUDY
13 CONTACT WILL NOT LET US SPEAK WITH SM
[EXIT SURVEY]
ASK: Screen administered to the Telephone Interviewer after a call was terminated as a refusal.
_________________________________________________________________________
BURDEN
OMB
No. 0910-0851
Exp. Date 04/30/2021
RIHSC No. 17-082CTP
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response to complete the survey questions. Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for reducing burden, to PRAStaff@fda.hhs.gov.
ASK: Screen administered to the Telephone Interviewer when accessing help menu.
_________________________________________________________________________
END SURVEY
VOICE MAIL SCRIPTS:
ENROLLMENT VERSION: My name is ____________. I am calling for [fill panel member] from RTI International regarding an important research study sponsored by the U.S. Food and Drug Administration. This call is to verify the quality of our interviewer’s performance. Please call me back at your convenience at 1-xxx-xxx-xxxx.
MESSAGE LEFT WITH LIVE PERSON: My name is___________. I am calling from RTI International regarding an important research study sponsored by the U.S. Food and Drug Administration. Please ask him/her to call me at his/her earliest convenience at 1-xxx-xxx-xxxx.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | PR* |
| File Modified | 0000-00-00 |
| File Created | 2021-01-15 |