Form 1 Appendix A Screenshots Condition 1

Questionnaire Cognitive Interviewing and Pretesting (NCI)

Appendix A Screenshots Condition 1

Formative Research to Investigate a Web Panel and to Determine Feasibility of Web-Based Cognitive Pretesting

OMB: 0925-0589

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OMB No. 0925-0589, Expiration Date 7/31/2017



Appendix A

Shape1

































Looking for Health Information Module














Using the Internet to Find Information Module







Quality of Health Care Module












Electronic Medical Records Module




Cancer Screening Module












Cancer History and Beliefs Module






























Physical Activity and Nutrition Module




























Tobacco Use Module
















Demographic Questions




















Shape2























Shape3


































Cognitive Probes














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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorWolff, Dana (NIH/NCI) [F]
File Modified0000-00-00
File Created2021-01-24
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