Number of Main Study Screener Completes (assumes 10% eligible)

FDA Ad Exposure Frequency Study

Screener

Introduction

Hello, my name is _______________ and I’m from [name of company]. I’m calling on behalf of RTI International, a non-profit research organization, about a research study. I’m not selling or promoting any product. Ask to speak to someone 18 years or older.

The purpose of this study is to learn more about how people watch TV. To see if you are eligible, I’d like to ask you some questions. If you are eligible and choose to participate, all of your comments will be kept private and we will reimburse you [$100] at the end of the study.

May I continue?

Yes  CONTINUE

No  [Thank respondent and end call.]

CORE ELIGIBILITY CRITERIA

1. Have you ever been told by a doctor that you have any of the following conditions?

High Blood Pressure
Arthritis
Seasonal Allergies		 CONTINUE
Asthma
Diabetes

2. Do you still have this medical condition?

No		 TERMINATE
Yes		 CONTINUE

3. What is your current occupation?

Healthcare Provider (e.g., Physician, Nurse, Counselor, Physical therapist)  TERMINATE

Pharmaceutical employee (e.g., Pharma Rep)  TERMINATE

Researcher / Scientist  TERMINATE

Department of Health and Human Services employee TERMINATE

Market Research employee/Advertising employee TERMINATE

All Other Occupations  CONTINUE

4. What year were you born?

_____

1996 or earlier  CONTINUE 1997 or later  TERMINATE

5. What is your sex?

Male		 CONTINUE
Female		 CONTINUE
SCREEN FOR A MIX

6. What is the highest level of education you have attained?

Less than high school		 CONTINUE
High school graduate (or GED)		 CONTINUE
Some college or technical school (No degree)		 CONTINUE
College graduate (2- or 4-year degree)		 CONTINUE
Some graduate school (No degree)		 CONTINUE
Graduate school degree		 CONTINUE
SCREEN FOR AT LEAST 20% with LESS THAN HS

7. Which of these racial groups best describes you? [Read options below]

White		 CONTINUE
Black / African American		 CONTINUE
American Indian or Alaskan Native		 CONTINUE
Asian		 CONTINUE
Native Hawaiian or Pacific Islander		 CONTINUE
Other		 CONTINUE
SCREEN FOR A MIX

Study Invitation:

Thank you for answering all of my questions. Based on your responses, you appear eligible to participate in our study.

Your participation will last about 90 minutes and should be very interesting. We will ask you to watch one hour of TV and then answer some questions about it. No one will try to sell you anything, and no one will call you later because you participated. We will reimburse you [$100] at the end of the survey for your time and participation. Can I schedule your participation?

The surveys will take place on [DATES AND TIMES TBD]. Which date and time would work best for you?

Your participation in this study is very important. If for some reason you will not be able to attend, please let us know right away. You can call us anytime at [insert phone number], and if we are not here, please leave a message.

Closing for Ineligible Participants:

I’m sorry, but you are not eligible for this study. There are many possible reasons why people are not eligible. These reasons were decided earlier by the researchers. However, thank you for your interest in this study and for taking the time to answer our questions today.

Participant Information

NAME: ________________________________________________________

ADDRESS: ________________________________________________________

CITY: ________________________________________________________

ZIP CODE: ________________________________________________________

EMAIL ________________________________________________________

What is the best time to reach you? What is the best telephone number to reach you at that time?

BEST TIME TO BE REACHED: ________________________________________

BEST PHONE NUMBER: ______________

Is there another time and number we can try if we miss you?

ALTERNATE PHONE NUMBER:

Recruiter: ____________________