Food and Drug Administration (FDA) Center for Tobacco Products (CTP)
2019 E-blast Online Survey Instrument
Note: The survey respondent will not see any text in blue.
[Screening Questions]
The purpose of the 2019 FDA CTP E-BLAST SURVEY is to see how satisfied you are with the Food and Drug Administration (FDA) Center for Tobacco Products’ (CTP) email communications (i.e., CTP Connect, CTP News, Spotlight on Science, and Modified Risk Tobacco Product Application Updates) and for us to learn about our email communications’ subscriber base. Would you like to participate in this study?
Yes
No [TERMINATE SURVEY; GO TO TERMINATION TEXT 1]
Prefer not to answer [TERMINATE SURVEY; GO TO TERMINATION TEXT 1]
What year were you born?
[Drop-down menu]
[TERMINATE SURVEY AND GO TO TERMINATION TEXT 2 IF RESPONDENT WAS BORN IN 2001 OR LATER]
[TERMINATION TEXT 1:] You have indicated that you do not want to participate in the 2019 CTP E-Blast Survey and will now exit the survey. If you decide later that you would like to participate, you can use the same email invitation to access the survey. Thank you for your time!
[TERMINATION TEXT 2:] Based on your answer, you do not qualify for this survey. Thank you very much for your time.
[Landing Page/Introduction]
[INSERT APPENDIX D, INFORMED CONSENT FORM HERE]
1. Which of the following best describes you?
Public health professional (such as scientific researcher, research scientist, chemist, public health advocate/activist/organizer, public health educator/trainer, or public health communicator)
Please check the role that best describes you: [These options will only appear if the respondent checks “Public health professional”]
Scientific researcher/research scientist/chemist
Public health advocate/activist/organizer
Public health educator/trainer
Public health communicator
Other: Please specify: ___________ [Open-ended text box]
Healthcare professional (such as physician, nurse, Physician Assistant, Nurse Practitioner, or administrator)
Please check the role that best describes you: [These options will only appear if the respondent checks “Healthcare professional”]
Physician
Nurse
Physician Assistant/Nurse Practitioner
Administrator
Other: Please specify: ___________ [Open-ended text box]
Tobacco industry representative (such as manufacturer, retailer, wholesaler/distributor, importer, grower, or trade association representative)
Please check the role that best describes you: [These options will only appear if the respondent checks “Tobacco industry representative”]
Manufacturer or employed by a manufacturer
Retailer including shop owner, manager, or employee
Wholesaler or Distributor
Importer
Grower
Trade Association Representative
Other: Please specify: ___________ [Open-ended text box]
Media professional (such as member of the press/reporter or other communications professional)
Please check the role that best describes you: [These options will only appear if the respondent checks “Media professional”]
Member of the press/reporter
Other communications professional
Other: Please specify: ___________ [Open-ended text box]
Attorney/other legal professional
Inspector
Regulatory affairs professional
General public or other
2. Are you a government employee?
Yes
Please check the level of government that you work in: [These options will only appear if the respondent checks “Yes”]
Federal
Please check the role that best describes you: [These options will only appear if the respondent checks “Federal”]
FDA
CTP (Center for Tobacco Products)
Other: Please specify: __________ [open-ended text box]
Other: Please specify: __________ [open-ended text box]
State
Local (County or City)
Tribal
No
Prefer not to answer
The next several questions ask about your opinions on and needs related to CTP (Center for Tobacco Products) communications.
3. To which of our 4 email options are you subscribed?
[SELECT ALL THAT APPLY.]
CTP Connect
CTP News
Spotlight on Science
Modified Risk Tobacco Product Application Updates
I Don’t Know
4. Please rate the following 5 topics in order of interest level, 1 being of most interest and 5 being of least interest:
Youth tobacco education campaigns
Adult tobacco consumer health and cessation information
Tobacco product compliance and enforcement actions
Tobacco product policy, rulemaking, and guidance information
Tobacco science and research
4a. Are there any additional topics not listed above that are of interest to you?
Yes; Please specify: __________ [open-ended text box]
No
5. For which of the following topics would you like more plain language (easy-to-understand) information and resources?
[SELECT ALL THAT APPLY.]
|
|
1 |
6 Don’t know/Not Applicable |
9 |
5_1 |
How to talk to youth about the risks of using e-cigarettes |
1 |
6 |
9 |
5_2 |
Tobacco product application pathways (such as Premarket Tobacco Product Applications or Modified Risk Tobacco Product Applications) |
1 |
6 |
9 |
5_3 |
HPHCs (harmful and potentially harmful constituents) |
1 |
6 |
9 |
5_4 |
Low nicotine cigarettes |
1 |
6 |
9 |
5_5 |
Tobacco product research |
1 |
6 |
9 |
5_6 |
Nicotine |
1 |
6 |
9 |
5a. Are there any additional topics not listed above that are of interest to you?
Yes; Please specify: __________ [open-ended text box]
No
The next few questions ask about your satisfaction with CTP (Center for Tobacco Products) communications.
6. Please rate the value of each of the following characteristics of our emails.
|
Don’t know/NA |
Prefer not to answer |
||||||
Length of Articles |
|
|
||||||
6_1 Too short |
○1 |
○2 |
○3 |
○4 |
○5 |
Too long |
6 |
9 |
Depth of Coverage |
|
|
||||||
6_2 Too little |
○1 |
○2 |
○3 |
○4 |
○5 |
Too much |
6 |
9 |
Amount of Graphics |
|
|
||||||
6_3 Too few |
○1 |
○2 |
○3 |
○4 |
○5 |
Too many |
6 |
9 |
Amount of Shareable Content |
|
|
||||||
6_4 Too little |
○1 |
○2 |
○3 |
○4 |
○5 |
Too much |
6 |
9 |
Frequency of Communications |
|
|
||||||
6_5 Too infrequently |
○1 |
○2 |
○3 |
○4 |
○5 |
Too often |
6 |
9 |
7. How helpful are the email communications you receive from CTP in keeping you informed about the work of the Center?
Very helpful
Somewhat helpful
Neutral (neither helpful or unhelpful)
Somewhat unhelpful
Very unhelpful
Prefer not to answer
8. Do you find our email content fresh and relevant?
Yes, always
Yes, usually
No, not usually
No, never
Don’t know/Not sure
Prefer not to answer
9. Overall, how satisfied or dissatisfied are you with the email communications you receive from CTP?
Very satisfied
Somewhat satisfied
Neutral (neither satisfied or dissatisfied)
Somewhat dissatisfied
Very dissatisfied
Prefer not to answer
10. Are you interested in receiving information from CTP in other languages?
Yes [GO TO QUESTION 10a]
No [GO TO QUESTION 11]
Prefer not to answer
10a. Please specify the language(s). List language(s) here: ____________ [Open-ended text box]
Prefer not to answer
The next several questions ask about information sources.
11. Select your TOP 3 TOBACCO NEWS sources from the following list:
Emails from CTP
Non-CTP emails
CTP Twitter
FDA Facebook
Non-FDA/CTP social media channels
Television
Radio
Print (e.g., newspapers, magazines)
Government websites
Non-government websites
Prefer not to answer
12. Through which of the following social media channels would you like to receive more tobacco education and regulatory information from CTP? [SELECT ALL THAT APPLY.]
YouTube
Forums (e.g., Reddit)
None
Other: Please specify: ___________ [Open-ended text box]
Prefer not to answer
13. Aside from FDA, who do you turn to for trusted information on the topic of tobacco? ______________________________
[Open-ended text box]
The next few questions tell us more about you.
14. Have you used a nicotine product (e.g., cigarettes, e-cigarettes, etc.) in the last 30 days?
Yes
14a. Which nicotine product(s) do you use? [SELECT ALL THAT APPLY.]
Cigarette
Heat-not-burn cigarette
Cigar
Chew
Snus
Hookah
E-cigarette or vape
Pipe
No
Prefer not to answer
15. What is your gender? [SELECT ONLY ONE.]
Male
Female
Transgender
Non-binary
Other
Prefer not to answer
16. What race do you consider yourself? [SELECT ALL THAT APPLY.]
White / Caucasian
Black / African American / African
Asian / Asian American
American Indian / Native American
Alaska Native
Native Hawaiian
Other Pacific Islander
Prefer not to answer
17. Are you Hispanic or Latino? [SELECT ONLY ONE.]
Yes
No
Prefer not to answer
18. In what country do you live? [Drop down menu of countries]
Prefer not to answer
18a. [For those who responded “United States”] In what state do you work? [Drop down menu of states]
Prefer not to answer
19. Which of the following categories best describes your level of education?
Some high school
High school diploma or GED
Trade or technical school
Some college
Associate’s degree
Bachelor’s degree
Graduate or professional degree (e.g., M.A., Ph.D., Psy.D., J.D., M.D.)
Prefer not to answer
20. Did you take this survey last year, in 2018?
No
Yes
I don’t remember
Prefer not to answer
21. Please feel free here to make suggestions for how we can improve our email communications:
[Open-ended text box]
Thank you very much for taking the time to complete our E-Blast Survey!
The FDA CTP Team
Paperwork Reduction Act Statement: The public reporting burden for this information collection has been estimated to average 5 minutes per response (the time estimated to read, review, and complete). Send comments regarding this burden estimate or any other aspects of this information collection, including suggestions for reducing burden, to PRAStaff@fda.hhs.gov.
[End of survey]
OMB#: 0910-0697 | Exp. 12/31/20
RIHSC #17-052CTP
Rev. 10/2/2019
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Everly Macario |
| File Modified | 0000-00-00 |
| File Created | 2021-01-15 |