Foundational Focus Groups

HHS COVID-19 PUBLIC EDUCATION CAMPAIGN
IRB APPROVED
04/22/2021

A campaign to increase vaccine acceptance while reinforcing basic prevention measures

Foundational Focus Group – Nonvaccinated
American Indian or Alaska Native Screener
NOTES TO RECRUITERS
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Recruit 8 to “seat” 4-6 participants.
2 focus groups among AI/AN adults only
Groups segmented by gender:
o 1 group of women and those who would prefer to be grouped with women
o 1 group of men and those who would prefer to be grouped with men
Each group must include a range of:
o Ages
o Education levels
o Geographic locations (mix of cities/states)
o Ideologies
All participants must not have received any doses of a COVID-19 vaccine or be scheduled to
receive a dose in the next two weeks

SCREENER
Hello, my name is
from [INSERT FACILITY NAME], a market research firm. We are recruiting for
an upcoming study to get your thoughts and opinions about COVID-19 and how it is affecting life in the
country today. This is not a sales call of any kind. I am only calling to see if you or an eligible member of
your household has an interest in participating in a 90-minute focus group that will be conducted virtually
for which you would receive a $75 incentive. I have a few questions I need to ask to see if you are qualified
for this study. You don’t have to answer any question that you don’t want to answer.
1. Are you interested in seeing if you or anyone in your household qualifies to participate in this focus
group? [ACCEPT ONLY 1 PER HOUSEHOLD]
Yes

[ ]

> CONTINUE

No

[ ]

> TERMINATE

2. In the past five years, have you or a member of your immediate family worked in any of the following
fields, companies, or organizations?
Market or public opinion research

[ ]

> TERMINATE

An advertising, public relations, or marketing agency

[ ]

> TERMINATE

News, radio, TV, print, media

[ ]

> TERMINATE

As a health care provider or medical professional (e.g.,
physician, nurse)

[ ]

> CONTINUE

At a health care company

[ ]

> CONTINUE

For internal communications only

IRB APPROVED
04/22/2021

Construction, repair and maintenance

[ ]

> CONTINUE

Finance

[ ]

> CONTINUE

None of these

[ ]

> CONTINUE

3. In order to participate, you need to have a desktop or laptop computer or a smartphone with an internet
connection. You will also need to consent to be recorded during the interview. Will you be able to meet
both of these requirements?
Yes

[ ]

> CONTINUE

No

[ ]

> TERMINATE

4. Would you be willing and able to participate in this study via a webcam or smartphone camera?
Yes

[ ]

> CONTINUE

No

[ ]

> TERMINATE

5. Have you received one or more doses of an authorized COVID-19 vaccine?
Yes

[ ]

> TERMINATE

No

[ ]

> CONTINUE

6. Do you have an appointment scheduled to get an authorized COVID-19 vaccine in the next two weeks?
Yes

[ ]

> TERMINATE

No

[ ]

> CONTINUE

7. FDA-authorized vaccines to prevent COVID-19 are now available at no cost. What is the likelihood you
will get vaccinated? [RECRUIT A MIX]
Very unlikely

[ ]

> TERMINATE

Somewhat unlikely

[ ]

> CONTINUE

Neither likely nor unlikely

[ ]

> CONTINUE

Somewhat likely

[ ]

> CONTINUE

Very likely

[ ]

> CONTINUE

8. FDA-authorized vaccines to prevent COVID-19 are now available at no cost. How soon will you get
vaccinated?
I will get a vaccine as soon as I can

[ ]

> TERMINATE

I will wait to get a vaccine for one or more reasons

[ ]

> CONTINUE

I will never get a COVID-19 vaccine

[ ]

> TERMINATE

9. What is your race? Please select all that apply.

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IRB APPROVED
04/22/2021

White

[ ]

Black or African American

[ ]

American Indian or Alaska Native

[ ]

Asian (e.g., Asian Indian, Chinese, Filipino, Japanese,
Korean, Vietnamese)

[ ]

Native Hawaiian or other Pacific Islander (e.g., Native
Hawaiian Samoan, Chamorro, Tongan, Fijian,
Marshallese)

[ ]

MUST BE
SELECTED TO
CONTINUE

Note to recruitment: Respondents will qualify so long as American Indian or Alaska Native is
selected in Q9. This can be a stand-alone response or in conjunction with another race/ethnicity.
10. Are you of Hispanic, Latino, or Spanish origin?
Yes

[ ]

> CONTINUE

No

[ ]

> CONTINUE

Yes

[ ]

> CONTINUE

No

[ ]

> TERMINATE

11. Do you identify with a state- or federally-recognized tribe?

12. What is the name of the state- or federally-recognized tribe you identify with? _______________
[RECORD VERBATIM]
13. In what ways do you identify with this tribe? [SELECT ALL THAT APPLY.]
Enrolled

[ ]

> CONTINUE

I have tribal affiliation or community attachment

[ ]

> CONTINUE

None of the above

[ ]

> TERMINATE

Male

[ ]

> SKIP TO Q16

Female

[ ]

> SKIP TO Q16

Prefer to self-describe (specify)

[ ]

> CONTINUE TO Q15

14. What is your gender?

15. Because these focus groups are divided by gender, in which group, if any, would you prefer to
participate?
Male

[ ]

> CONTINUE

Female

[ ]

> CONTINUE

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IRB APPROVED
04/22/2021

Prefer not to participate

> TERMINATE

16. What is your age? _______________ [RECORD VERBATIM, TERMINATE <18]
Note to recruitment: Recruit a mix of ages.
17. What city and state do you live in? CITY: ________________
Note to recruitment: Recruit a mix of locations.

STATE:_____________________

18. What is the highest level of school you have completed? [RECRUIT A MIX]
Some high school or less (no diploma)

[ ]

> CONTINUE

High school diploma or equivalent (GED)

[ ]

> CONTINUE

Some college, no degree

[ ]

> CONTINUE

Associate degree

[ ]

> CONTINUE

Bachelor’s degree

[ ]

> CONTINUE

Master’s degree

[ ]

> CONTINUE

Professional or doctorate degree

[ ]

> CONTINUE

19. Which of the following best describes you? Please select all that apply. [RECRUIT A MIX]
Employed full-time

[ ]

> CONTINUE

Employed part-time

[ ]

> CONTINUE

Self-employed

[ ]

> CONTINUE

Not employed, but looking for work

[ ]

> CONTINUE

Not employed, and not looking for work

[ ]

> CONTINUE

Stay-at-home parent

[ ]

> CONTINUE

Student

[ ]

> CONTINUE

Retired

[ ]

> CONTINUE

20. When it comes to overall public policy from the federal government, do you consider yourself liberal,
conservative or somewhere in between? [RECRUIT A MIX]
Very liberal

[ ]

> CONTINUE

Somewhat liberal

[ ]

> CONTINUE

Neutral

[ ]

> CONTINUE

Somewhat conservative

[ ]

> CONTINUE

Very conservative

[ ]

> CONTINUE

Prefer not to answer

[ ]

> CONTINUE

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IRB APPROVED
04/22/2021

21. Last year—that is, in 2020—what was your total household income from all sources, before taxes?
[RECRUIT A MIX, ENSURE ROBUST REPRESENTATION OF <$50K]
Less than $15,000

[ ]

> CONTINUE

$15,000 to $24,999

[ ]

> CONTINUE

$25,000 to $34,999

[ ]

> CONTINUE

$35,000 to $49,999

[ ]

> CONTINUE

$50,000 to $74,999

[ ]

> CONTINUE

$75,000 to $99,999

[ ]

> CONTINUE

$100,000 to $149,999

[ ]

> CONTINUE

$150,000 to $199,999

[ ]

> CONTINUE

$200,000 and over

[ ]

> CONTINUE

Don’t know/Refused

[ ]

> CONTINUE

Thank you for taking the time to answer these questions. We will be in touch with additional information on
the study. The virtual focus group will last no longer than 90 minutes. Thank you again for your time and
we will send additional information soon.

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