Copy Testing – Questionnaire
ONLINE QUALITATIVE STUDY OF YOUTH REACTIONS TO STRATEGIC CONCEPTS DESIGNED TO PREVENT YOUTH TOBACCO USE
QUESTIONNAIRE
OMB No: 0910-0674 Expiration Date: 03/31/2016
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 10 minutes per response (the time estimated to answer the following questionnaire). Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for reducing burden, to PRAStaff@fda.hhs.gov.
Part I
(Questions to be provided after each rough-cut advertisement)
AD VIEW PARTICIPANTS ONLY
Perceived Ad Effectiveness
What do you think [or would you say] is the main message of this advertisement?
What do you like about this advertisement? Please be as specific as possible.
What do you dislike about this advertisement? Please be as specific as possible.
People sometimes have different emotional reactions when they see or hear advertisements. On a scale from 1 to 5, where 1 means “not at all” and 5 means “very”, please indicate how much this ad made you feel:
Not at all Very
1 2 3 4 5
[RANDOMIZE ORDER]
Sad
Afraid
Irritated
Ashamed
Discouraged
Hopeful
Motivated
Understood
Angry
Amused
Worried
Disgusted or grossed out
Happy
Uneasy
Surprised
Please tell us if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with the following statements:
[RANDOMIZE ORDER]
This ad is worth remembering
This ad grabbed my attention
This ad is powerful
This ad is informative
This ad is meaningful to me
This ad is convincing
This ad is terrible
This ad is silly
This ad is annoying
This ad was difficult to watch
I trust the information in this ad
This ad told me things I never knew before about tobacco
The person/people in this ad are like me
This ad gave me a reason not to use tobacco
I can identify with what the ad says
This ad is different from other anti-tobacco ads I’ve seen or heard
On a scale of 1 to 5, how would you rate the claims or arguments in this ad:
Not believable Believable
1 2 3 4 5
On a scale of 1 to 5, indicate whether the ad made smoking look like something you would or wouldn’t want to do.
Makes me want to smoke Makes me want to not smoke
1 2 3 4 5
Is there anything confusing, unclear, or hard to understand in this ad?
Yes
No
[If B8 = Yes, Ask B9. If B6 = No, Ask B10]
What is confusing about this ad?
If you saw this advertisement, on a scale from 1 to 5, where 1 is not at all likely and 5 is extremely likely, how likely would you be to do each of the following:
Not at all Very
1 2 3 4 5
A. Tell a friend
B. Look for more information online
C. Visit [insert campaign name] website or Facebook page
D. Share [insert campaign name] YouTube channel with a friend
E. Mention it on social media
F. Do nothing
Part II
Attitudes, Beliefs and Risk Perceptions
How much do you agree or disagree with following statements:
If I smoke I will…
C1_1. Damage my body
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
C1_2. Be controlled by smoking
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
C1_3. Inhale poisons
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
C1_4. Develop cancer
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
C1_5. Be unable to stop when I want
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
How much do you agree or disagree with following statement:
Menthol cigarettes are safer than non-menthol cigarettes
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
Smoking cigarettes is…
Bad
Good
Smoking cigarettes is…
Not enjoyable
Enjoyable
Additional Demographics
Does anyone who lives with you now…
Smoke cigarettes?
Smoke cigars, cigarillos, or little cigars?
Use any other form of tobacco?
No one who lives with me now uses any form of tobacco
Out of every 10 students in your grade at school, how many do you think smoke cigarettes?
0
1
2
3
4
5
6
7
8
9
10
How many of your four closest friends…
C7_1. Smoke cigarettes?
0
1
2
3
4
C7_2. Smoke menthol cigarettes?
0
1
2
3
4
What grade are you in? --
5th
6th
7th
8th
9th
10th
11th
12th
Ungraded or other grade
Are you Hispanic or Latino?
Yes
No
What race or races do you consider yourself to be? (You can choose one answer or more than one answer)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Other
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