Pretesting Outreach and Web Materials for Fish Consumption Advisories
Screener
This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2030-0051). Responses to this collection of information are voluntary. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this collection of information is estimated to be 5 minutes per response. Send comments on the Agency’s need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to Director, Information Engagement Division, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.
Screener
Introduction:
Hello, my name is ____________________. I am working with ____________, a research organization. We are not selling anything. The Environmental Protection Agency or EPA, a federal government agency, has hired us to get feedback on images that are being developed about eating fish.
If you are interested in participating, we would ask you to participate in a group interview online. During the group discussion, we will look at the images and discuss them as a group. The purpose of the interviews is to gather feedback to improve the images before a lot of people see them. The interviews will take no more than 60 minutes and we will give you $85 Visa electronic gift card (e- Card) as a token of our appreciation.
Before we go any further, I need to ask you a few questions to see if you are eligible to participate. May I ask you the questions now?
IF NO and INTERESTED, ASK TO RESCHEDULE FOR ANOTHER DATE AND TIME.
Date and time: _____________
Questions:
In which State do you reside? ______________
What gender do you Identify with? RECRUIT A MIX
Male
Female
Transgender Female/Transwoman/male-to-female transgender
Transgender Male/Transmale/female-to-male transgender
Genderqueer
Other
What is your age? RECRUIT A MIX OF AGES
______________ [Interviewer records age]
Prefer not to answer.
[Must be age 18 years or older to participate. If prefer not to answer or under age 18, skip to Closing for ineligible participants]
Do you eat fish?
Yes
No
Prefer not to answer
Do you ever catch fish to eat or share with others?
Yes
No
Prefer not to answer
RECRUITER, PLEASE ADD A MIX OF RESPONSES from Question 6 and Question 7 PER GROUP
Do you ever buy or receive locally caught fish to eat?
Yes
No
Do you ever prepare (clean, gut, skin, or fillet) fish to eat?
Yes
No
Prefer not to answer
[Must answer “Yes” to Q 5, 6, or 7 to be eligible. Otherwise, skip to Closing for ineligible participants]
What language do you speak? This would be the language that you use when talking with your family or friends. CHOOSE ALL THAT APPLY
Armenian – RECRUITER ASK QUESTION 8
Bengali
Cambodian
Farsi
German
Greek
Gujarati
Haitian Creole
Hindi
Hmong
Italian
Japanese
Korean
Laotian
Polish
Portuguese
Punjabi
Samoan
Serbo-Croatian
Tamil
Telugu
Urdu
Other [specify] _____________________ [Interviewer records language]
Prefer not to answer
What Language are you most comfortable speaking in a group discussion? (SEE LIST ABOVE) RECRUITER IF RESPONDENT IS BILINGUAL IN ENGLISH AND ANOTHER LANGUAGE, PLEASE INVITE BASE ON AVAILABILITY AND TIME)
What is your ethnicity?
a. Hispanic or Latino/a
b. Not Hispanic or Latino/a
c. Prefer not to answer
What is your marital status (READ THE LIST)? Recruit a mix: 50% married, 50% other
Single
Single but living with someone
Married
Divorced
Separated
Widowed
What is your race? Select all that apply.
White or Caucasian
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or Other Pacific Islander
Other [Specify] _____________________
Prefer not to answer
What is the highest level of education that you have completed?
Grade school
Some high school
High school graduate or completed GED
Some college or technical school
Four-year college degree or more
Prefer not to answer
Which of the following categories best describes your total, annual household income?
Under $20,000 per year
$20,000-$44,999 per year
$45,000-$74,999 per year
$75,000 or more per year
Prefer not to answer
Are you the parent, guardian or primary caretaker of a child under age 11?
Yes
No
Prefer not to answer
[Question 16 and Question 17 for women only; Skip to Question 18 for male participants]
Are you currently pregnant?
Yes [Skip to q18]
No
Don’t know
Prefer not to answer
Are you planning or hoping to get pregnant within the next year?
Yes
No
Prefer not to answer
Finally, one question for fun. Please tell me two unusual ways someone might use a paperclip. List the responses.
______________________________________________________________________
(THIS IS AN ARTICULATION QUESTION ONLY. PLEASE MAKE CERTAIN RESPONDENT SPEAKS FREELY AND IS EASY TO UNDERSTAND. FOR GENERAL MARKET GROUPS, TERMINATE IF ENGLISH IS POOR AND DIFFICULT TO UNDERSTAND.)
This interview will be held via a video online platform and neither your responses nor the interview will be made public and will be held in the strictest of confidence.
Having said that, how comfortable would you say you feel being part of a confidential group interview using a video online platform like ZOOM?
Extremely comfortable
Somewhat comfortable
Comfortable
Not comfortable – TERMINATE
Not at all comfortable – TERMINATE
Do you currently own any of the following?
Wireless cell phone with wireless access (Prefer they use Computer, Tablet, or Laptop)
Desktop with internet access at home
Laptop with internet access at home
Tablet with internet access at home
None of the above—TERMINATE
Invitation for Eligible Individuals:
Thank you so much for taking the time to answer these questions. I am happy to inform you that you do qualify for this study! We would like to invite you to join BY CLICKING ON THE LINK THAT WILL EMAILED TO YOU BY USING YOUR LAPTOP, DESKTOP, OR TABLET________________ on _______(DATE) from _________(TIME) for a group discussion that will last approximately 60 minutes. We would like to offer you an $85 e-gift card for your participation. Are you interested in participating in the study online?
( ) Yes [CONTINUE]
Have you used ZOOM before?
( ) Yes [CONTINUE]
( ) No [Somebody from Ebony Marketing will contact you to conduct a Tech check]
PLEASE READ THE FOLLOWING TO RESPONDENT:
Please login by clicking on the link above at least 10 minutes prior to the start time to ensure you don’t experience any technical difficulties. If you wear reading glasses, please bring them to the group. We will call you the day before the interview as a reminder. Is this the best number to reach you (DAY BEFORE SESSION)? Is there a preferred time for us to call you?
ALTERNATIVE PHONE, IF NECESSARY: ____________________________
PREFFERD TIME, IF APPLICABLE: _________________________________
If you have any questions, or find that you can't attend, please call my supervisor right away at [PHONE NUMBER] so we can find a replacement to make sure we have enough people participating. We are counting on you to attend. Thanks for your time and for agreeing to participate.
If respondents say yes to question to invitation, please record data below:
Name: _______________________________
Telephone: ____________________________
Address: _______________________________
_______________________________
Email: ________________________________
Schedule Focus Group:__________________
Date:_____________________
Closing for Ineligible Individuals:
Thank you for answering my questions. I’m sorry, you are not eligible to participate. The eligibility criteria were determined in advance by the study team. Thank you for being willing to help us.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Uhrig, Jennifer |
File Created | 2024:11:10 09:02:28Z |