Foundational Focus Groups

IRB APPROVED
11/11/2021

W2 Foundational Focus Group
Screener - Parents
Notes to Recruiters
Recruitment Segments:
•

4 Focus Groups with Parents of 5-11-year-olds
o Parents/guardians must be 18+
o Parents/guardians must be vaccinated
o Parents/guardians must be part of the movable middle when it comes to their child
getting vaccinated
o Must have at least one unvaccinated 5-11-year-old child for whom the parent/guardian
makes health-related decisions (on their own or with someone else)
o Mix of gender, age, race/ethnicity, location, SES, political ideology, etc.

Other Notes
•
•

For all groups, recruit 8 to seat 6.
If participants are not eligible for parent focus groups (e.g., they are unvaccinated), please note
that they may be eligible for Black, Latino, or White focus groups.

IRB APPROVED
11/11/2021

Screener
Hello, my name is [INSERT NAME] from [INSERT FACILITY NAME], a market research firm. We are
recruiting for an upcoming study that will collect feedback about COVID-19. 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 90-minute focus group. The focus group would be conducted virtually, and you would receive $75 for
participating. I have some 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 online
research panel? [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
As a health care provider or medical professional (e.g.,
physician, nurse)
At a health care company

[ ]

> TERMINATE

[ ]

> CONTINUE

[ ]

> CONTINUE

Construction, repair and maintenance

[ ]

> CONTINUE

Finance

[ ]

> CONTINUE

None of these

[ ]

> CONTINUE

3. What is your age? _______________ [RECORD VERBATIM, TERMINATE <18]
[NOTE TO RECRUITMENT: RECRUIT A MIX OF AGES.]
4. Are you the parent or guardian of a child who is 5 to 11 years old?
Yes

[ ]

> CONTINUE

No

[ ]

> TERMINATE

5. 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 focus group. Will you be able to
meet both requirements?
Yes

[ ]

> CONTINUE

No

[ ]

> TERMINATE

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

W2 Foundational Focus Groups Screener – Parents

Yes

[ ]

> CONTINUE

No

[ ]

> TERMINATE

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IRB APPROVED
11/11/2021

7. Have you received all required doses of an authorized COVID-19 vaccine? That is, two doses of
either the Pfizer or Moderna vaccines or one dose of the Johnson & Johnson vaccine.
Yes

[ ]

> CONTINUE

No

[ ]

> TERMINATE

8. When you became eligible for a vaccine, how long did you wait before getting the first (or only) shot?
I got it right away
[ ]
> CONTINUE
I chose to wait to get vaccinated for one or more
reasons

[ ]

> CONTINUE

9. Please tell me the first name only, gender, and age of each person aged 5 to 11 who is currently living
in your household for whom you are a guardian. (RECORD FOR ALL LIVING IN THE HOUSEHOLD.)
[CONTINUE IF AT LEAST ONE CHILD IS AGE 5 TO 11.]
1st

2nd

3rd

Name:
Gender:
Age:
Note to recruitment:
• If there is a child aged 11, ask parent/guardian for child’s birthday; if child is turning 12
within the next month, do not include this child in Q9.
• If there is more than one child aged 5-11 in the household for whom respondent is a
guardian, ask respondent whose birthday is next. Use this child for Q10-Q15.
10. Who primarily makes your child’s health-related decisions? Select all that apply.
You

[ ]

> CONTINUE

Someone else

[ ]

> TERMINATE

You and someone else

[ ]

Other:___

[ ]

> CONTINUE
> TERMINATE IF
“YOU” IS NOT ALSO
SELECTED

11. Has your child participated in a COVID-19 vaccine clinical trial?
Yes

[ ]

> TERMINATE

No

[ ]

> CONTINUE

No, my child has not received a COVID-19 vaccine

[ ]

> CONTINUE

Yes, my child has at least one shot of a COVID-19
vaccine

[ ]

> TERMINATE

12. Has your child received a COVID-19 vaccine?

W2 Foundational Focus Groups Screener – Parents

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IRB APPROVED
11/11/2021

13. Do you have an appointment scheduled to get [INSERT NAME FROM Q9] an authorized COVID-19
vaccine in the next two weeks?
Yes

[ ]

> TERMINATE

No

[ ]

> CONTINUE

14. What is the likelihood you will get [INSERT NAME FROM Q9] vaccinated? [RECRUIT A MIX]
Very unlikely
[ ]
> TERMINATE
Somewhat unlikely

[ ]

> CONTINUE

Neither likely nor unlikely

[ ]

> CONTINUE

Somewhat likely

[ ]

> CONTINUE

Very likely

[ ]
> CONTINUE
Note to recruitment: If selected child from Q9 has been vaccinated and there are other children aged
5-11 listed in Q9, ask Q10 for child with the next birthday after first child, etc. If no child aged 5-11
in household is unvaccinated, terminate.
Participants for the parents groups must meet the following criteria:
• Parent/guardian must be fully vaccinated
• Must have at least one child aged 5-11;
• Must make health-related decisions (on their own or with someone else) for the child;
• Child (ages 5-11) must not have participated in a vaccine clinical trial;
• Child (ages 5-11) must not be vaccinated;
• Child (ages 5-11) must not have an appointment to get vaccinated in next two weeks; and
• Parent/guardian must not answer “Very unlikely” to Q14.
15. What is your relationship to [INSERT NAME FROM Q9]?
Mother/female guardian

[ ]

> CONTINUE

Father/male guardian

[ ]

> CONTINUE

Grandmother

[ ]

> CONTINUE

Grandfather

[ ]

> CONTINUE

Aunt

[ ]

> CONTINUE

Uncle

[ ]

> CONTINUE

Sister

[ ]

> CONTINUE

Brother

[ ]

> CONTINUE

Girlfriend or partner of child’s parent/guardian

[ ]

> CONTINUE

Boyfriend or partner of child’s parent/guardian

[ ]

> CONTINUE

Cousin

[ ]

> CONTINUE

Other relative

[ ]

> CONTINUE

Other non-relative

[ ]

> CONTINUE

[NOTE TO RECRUITMENT:
▪ MOTHER/FEMALE GUARDIAN INCLUDES: BIRTH OR BIOLOGICAL MOTHERS, ADOPTIVE,
STEP, FOSTER, AND OTHER MOTHERS, AS WELL AS LEGAL FEMALE GUARDIANS.
▪ FATHER/MALE GUARDIAN INCLUDES: BIRTH OR BIOLOGICAL FATHERS, ADOPTIVE,
STEP, FOSTER, AND OTHER FATHERS, AS WELL AS LEGAL MALE GUARDIANS.

W2 Foundational Focus Groups Screener – Parents

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IRB APPROVED
11/11/2021

▪
▪
▪
▪
▪
▪
▪

▪
▪
▪
▪

GRANDMOTHER INCLUDES: THE FEMALE PARENT OF THE CHILD’S BIOLOGICAL OR
ADOPTIVE MOTHER OR FATHER.
GRANDFATHER INCLUDES: THE MALE PARENT OF THE CHILD’S BIOLOGICAL OR
ADOPTIVE MOTHER OR FATHER.
AUNT INCLUDES: THE SISTER OF THE CHILD’S BIOLOGICAL OR ADOPTIVE MOTHER OR
FATHER OR THE WIFE OF THE CHILD’S AUNT OR UNCLE.
UNCLE INCLUDES: THE BROTHER OF THE CHILD’S BIOLOGICAL OR ADOPTIVE MOTHER
OR FATHER OR THE HUSBAND OF THE CHILD’S AUNT OR UNCLE.
SISTER INCLUDES: BIOLOGICAL (FULL, HALF), ADOPTIVE, STEP, AND FOSTER SISTERS.
BROTHER INCLUDES: BIOLOGICAL (FULL, HALF), ADOPTIVE, STEP, AND FOSTER
BROTHERS.
GIRLFRIEND OR PARTNER OF CHILD’S PARENT/GUARDIAN INCLUDES: FEMALE WHO
HAS A PARTNER-LIKE RELATIONSHIP WITH ONE OF THE CHILD’S PARENTS OR
GUARDIANS. “LIVING AS MARRIED” IS ANOTHER WAY OF DESCRIBING THE
RELATIONSHIP.
BOYFRIEND OR PARTNER OF CHILD’S PARENT/GUARDIAN INCLUDES: MALE WHO HAS
A PARTNER-LIKE RELATIONSHIP WITH ONE OF THE CHILD’S PARENTS OR GUARDIANS.
“LIVING AS MARRIED” IS ANOTHER WAY OF DESCRIBING THE RELATIONSHIP.
COUSIN INCLUDES: A CHILD OF THE FOCAL CHILD’S UNCLE, AUNT, OR COUSIN.
OTHER RELATIVE INCLUDES: RELATIONSHIPS THAT AREN’T SPECIFICALLY LISTED,
SUCH AS GREAT GRANDMOTHER OR GREAT GRANDFATHER.
OTHER NON-RELATIVE INCLUDES: RELATIONSHIP BETWEEN TWO PEOPLE WHEN
THERE IS NO FAMILY RELATIONSHIP THROUGH BLOOD, MARRIAGE, ADOPTION, OR
PARTNERSHIP (I.E., LIVING TOGETHER AS MARRIED).]

16. What is your gender?
Male

[ ]

> CONTINUE

Female

[ ]

> CONTINUE

Prefer to self-describe (specify)

[ ]

> CONTINUE

17. Are you of Hispanic, Latino, or Spanish origin?
Yes

[ ]

> CONTINUE

No

[ ]

> CONTINUE

18. What is your race? Please select all that apply. [RECRUIT A MIX]
American Indian or Alaska Native
[ ]
> CONTINUE
Asian

[ ]

> CONTINUE

Black or African American

[ ]

> CONTINUE

Native Hawaiian and Other Pacific Islander

[ ]

> CONTINUE

White/Caucasian

[ ]

> CONTINUE

Prefer not to say/Refuse to answer

[ ]

> CONTINUE

19. In what city, state, and ZIP code do you live? [RECRUIT A MIX]
CITY: ________________ STATE:__________________ ZIP CODE:__________________

W2 Foundational Focus Groups Screener – Parents

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IRB APPROVED
11/11/2021

20. 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 high school equivalent (GED)

[ ]

> CONTINUE

Some college, no degree

[ ]

> CONTINUE

Associate degree

[ ]

> CONTINUE

Bachelor’s degree

[ ]

> CONTINUE

Master’s degree

[ ]

> CONTINUE

Professional or doctorate degree

[ ]

> CONTINUE

21. 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/guardian

[ ]

> CONTINUE

Student

[ ]

> CONTINUE

Retired

[ ]

> CONTINUE

22. Last year (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/Refuse to answer

[ ]

> CONTINUE

Extremely liberal

[ ]

> CONTINUE

Liberal
Slightly liberal

[ ]

> CONTINUE

[ ]

> CONTINUE

Moderate, middle of the road

[ ]

> CONTINUE

23. In general, do you think of yourself as…? [RECRUIT A MIX]

W2 Foundational Focus Groups Screener – Parents

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IRB APPROVED
11/11/2021

Slightly conservative

[ ]

> CONTINUE

Conservative

[ ]

> CONTINUE

Extremely conservative

[ ]

> CONTINUE

Thank you for taking the time to answer these questions. We will be in touch with additional information on
the study.

W2 Foundational Focus Groups Screener – Parents

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