Rural Screener Script - Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Rural Screener Script - Survey

OMB: 3084-0159

Document [pdf]
Download: pdf | pdf
FTC Communication Support Vendor - Applied Research & Consulting
Rural Fraud Survey
Screener
August 2017

Session Participants:


Adults (21+), self-described “rural” residents

Recruit a mix of male and female participants for the focus groups (800 participants).
A.

[Introduction/Screening] – (.5 minutes)

Be assured that all of your answers will be completely ANONYMOUS and CONFIDENTIAL.
Therefore, please try to answer these questions as openly and honestly as possible.
A1. What is your gender?
1. Male
2. Female
A2. What is your age? [DROP DOWN MENU]
1. _______________
A3. What is your zip code? _____________
A4. How would you characterize the area in which you live?
1. Urban
[TERMINATE]
2. Suburban [TERMINATE]
3. Rural


File Typeapplication/pdf
File Modified2017-08-22
File Created2017-08-22

© 2024 OMB.report | Privacy Policy