OMB Control # 0910-0674
Exp. 3-31-2016
ONLINE QUALITATIVE STUDY OF YOUTH REACTIONS TO
ROUGH-CUT ADVERTISING DESIGNED TO PREVENT YOUTH TOBACCO USE AMONG GENERAL MARKET YOUTH (WAVE 2)
QUESTIONNAIRE
Part I
ALL PARTICIPANTS
(Questions to be presented prior to showing rough-cut advertisements)
(Part 1 questions are only asked once)
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
How many of your four closest friends smoke cigarettes?
0
1
2
3
4
During the past 30 days, have you smoked a cigarette?
Yes
No
Don’t know
Part II
AD VIEW PARTICIPANTS ONLY
(Questions to be provided after each rough-cut advertisement)
Perceived Ad Effectiveness
We would now like to show you a television ad and then gather your reactions to that ad. Please make sure the volume on your computer is turned up, so that you can both see and hear the video. Please click the forward arrow to continue.
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. Visit ‘The Real Cost’ website
B. Look for more information online
C. Tell a friend
D. Mention it on social media
E. Share the ad online
F. Do nothing
For exposure groups show second ad when applicable, then re-ask Part II questions only
Part III
ALL PARTICIPANTS
Attitudes, Beliefs and Risk Perceptions
How much do you agree or disagree with following statements:
C1. If I smoke I will…
C1_1. Damage my body
A. Strongly Disagree
B. Disagree
C. Neither Agree or Disagree
D. Agree
E. Strongly Agree
C1_2. Be controlled by smoking
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
C1_3. Inhale chemicals
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
C1_6. Shorten my life
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
C1_7. Damage my lungs
Strongly Disagree
Disagree
Neither Agree or Disagree
Agree
Strongly Agree
C2. Smoking cigarettes is…
A. Very Bad
B. Bad
C. Neither Good or Bad
D. Good
E. Very Good
C3. Smoking cigarettes is…
A. Very Unenjoyable
B. Unenjoyable
C. Neither enjoyable or unenjoyable
D. Enjoyable
E. Very Enjoyable
Additional Demographics
C4.What is your birthdate?
MM/DD/YYYY
C5. What is your zip code?
[___________]
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 5 minutes per response (the time to complete this questionnaire). You can send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for reducing burden, to PRAStaff@fda.hhs.gov.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Alexander, Tesfa |
File Modified | 0000-00-00 |
File Created | 2021-01-30 |