Appendix
C: Manufacturer Cooking
Instructions (MCI) Focus Groups
Screening
Questionnaire
Food Safety Consumer
Research Project
Manufacturer Cooking Instructions Focus
Groups
Screening Questionnaire
[Date, Time]
Name: |
|
||||||
Address: |
|
||||||
City: |
|
State: |
|
Zip: |
|
||
Home Phone: |
|
Work Phone: |
|
||||
Hello, this is _____________ from [facility], a local market research firm. May I please speak to_____________?
(Hello, this is _____________ from [facility], a local market research firm.) We are working with RTI, a nonprofit research organization, and the U.S. Department of Agriculture, or USDA, on a research study about cooking and would like to include your opinions. We are holding a discussion on [date] with a small group of people like yourself. The discussion group starts at [time]. It will last no longer than 1.5 hours and will be audio- and video-recorded. The discussion group is for research purposes only and is in no way sales related.
If you participate in this discussion group, you will receive a $75 Visa gift card and a free gift as tokens of our appreciation. First, however, I need to ask you a few questions to see if you qualify for the study.
Record Gender (Do not ask. Recruit at least 2 to 3 males to show per group.)
Male
Female
About how much of the grocery shopping do you do for your household? Would you say …? (Read list.)
None of it Thank & terminate.
Less than half of it Thank & terminate.
About half
More than half
All of it
How many times a week do you prepare or cook meals at home for you and your family? Would you say …? (Read list.)
Less than once a week Thank & terminate.
Once or twice a week Thank & terminate.
About three times a week
Four or more times a week
In the past 30 days, which of the following have you prepared …? (Read list.) Recruit if item 1 or 4 is selected.
1. Frozen, prepackaged meat products, for example, hamburger patties
2. Eggs or egg products, for example, Egg Beaters
3. Frozen vegetables
4. Frozen, prepackaged poultry products, for example, chicken tenders or stuffed chicken breasts
5. Luncheon or deli meat
6. None of the above (Do not read.)
When cooking a new food product at home for the first time, how often do you read the cooking instructions on the package before you start cooking?
Always
Most of the time
Sometimes
Hardly ever
Never
What is the last grade of school you completed? (Read list.)
High school graduate or less, including GED Recruit for less educated.
Technical or vocational school Recruit for less educated.
Some college, but do not have a degree Recruit for more educated.
Associate or 2-year degree Recruit for more educated.
College or 4-year degree Recruit for more educated.
Postgraduate degree Recruit for more educated.
Have you ever cooked professionally?
Yes Thank & terminate.
No
Have you ever taken a ServSafe training or other food safety class?
Yes Thank & terminate.
No
In the past 5 years, have you or any member of your household worked for a market research, advertising, or public relations firm?
Yes Thank & terminate.
No
In the past 5 years, have you or any member of your household worked in a restaurant or other foodservice industry?
Yes Thank & terminate.
No
In the past 5 years, have you or any member of your household worked in a food processing plant or other food industry?
Yes Thank & terminate.
No
In the past 5 years, have you or any member of your household worked as a doctor, nurse, dietitian, or other healthcare professional?
Yes Thank & terminate.
No
In the past 5 years, have you or any member of your household worked for the Food and Drug Administration, U.S. Department of Agriculture, or Centers for Disease Control and Prevention?
Yes Thank & terminate.
No
Have you participated in a focus group or paid research discussion group in the past 6 months?
Yes Thank & terminate.
No
Which of the following categories best describes your age? (Read list. Recruit a mix to show per group.)
Under 18 Thank & terminate.
18 to 24 Recruit for 18–35.
25 to 35 Recruit for 18–35.
36 to 44 Recruit for 36–64.
45 to 64 Recruit for 36–64.
65+ Thank & terminate.
Hispanic or Latino
Not Hispanic or Latino
What is your race? Please select one or more. (Read list. Recruit a mix to show per group that reflects local population.)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
How many children younger than 18 years of age live in your household? (Do not read list.)
None
One
Two
Three
Four or more
For study purposes, the group discussion will be audio- and video-recorded. During the discussion, no sensitive questions will be asked. Are you okay with us recording your participation in the discussion?
Yes
No Thank & terminate.
During the group discussion, you will be asked to review written materials and offer your opinions; therefore, I need to ask whether you have a medical or non-medical condition that hinders your ability to read and/or understand written materials.
Yes Thank & terminate.
No
Have you knowingly interacted with someone who has been diagnosed with COVID-19?
Yes Terminate.
No
Have you been diagnosed with COVID-19 in the past 14 days?
Yes Terminate.
No
Do you have any (one or more) symptoms of COVID-19 such as cough, fever, shortness of breath, chills, muscle pain, new loss of taste or smell?
Yes Terminate.
No
Are you willing to follow all safety and sanitation procedures while participating in this study including wearing appropriate personal protective equipment?
Yes
No Terminate.
Do any of the following describe you?
I am someone with chronic lung disease or moderate to severe asthma
I am someone with a heart condition
I am someone who is immunocompromised. (This can result from cancer treatment, bone marrow or organ transplantation, immune deficiencies, poorly controlled HIV or AIDS, and prolonged use of corticosteroids and other immune weakening medications)
I am someone with a body mass index (BMI) of 40 or higher
I am someone with diabetes or pre-diabetes
I am someone with chronic kidney disease undergoing dialysis
I am someone with liver disease
Great! You qualify for our study. The discussion group is on [date] at [time] and will last no longer than 1.5 hours. For your time and opinions, you will receive a $75 Visa gift card and a free gift.
If any selected in Q24:
Please note that you have indicated that because of experiences you may be at risk for developing severe illness should you contract COVID-19. Participation in this research requires in-person interaction which may result in contracting COVID-19. Precautions including physical distancing, wearing PPE and cleaning and disinfection, will be taken to mitigate possible transmission of COVID-19; however, you may want to take additional personal precautions.
Would you like to participate in the group discussion at [time] on [date]?
Yes
No Thank & terminate.
Great! May I please have your email address to send you a confirmation letter with directions before the group discussion? (If no email) may I please have your mailing address? (Verify address and phone number.)
Thank you. That’s all the questions I have today. Please arrive at least 15 minutes before the start of the group to ensure you have time to sign in and get a meal/snack. If you arrive 15 minutes early, your name will go into a drawing to win an extra $25 Visa gift card. You must be signed in at that time to be eligible for the drawing.
Read if necessary:
If you have any
questions about the study, you may contact Jenna Brophy of RTI at
1‑800‑334‑8571, extension 28881.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Brophy, Jenna |
| File Modified | 0000-00-00 |
| File Created | 2021-01-12 |