General Population: Pilot test of Procedures in Bars

Form Approved

OMB No. 0910-0808

Exp. Date 01/31/2019

IRB 13819

RIHSC No. 15-108CTP

ATTACHMENT 13: LONGITUDINAL SCREENER

[LONGITUDINAL RESPONDENTS THAT LAUNCH THE MAIN SURVEY WILL FIRST SEE THE LONGITUDINAL SCREENER CONSENT AND THEN THE QUESTIONS IN THIS ATTACHMENT. ATTACHMENT 2 INCLUDES PLACEHOLDERS FOR THESE DOCUMENTS.]

Z0. [IF LONGITUDINAL (LC_W7=1)] Before we begin, we have a couple of general questions about you. You may have seen these questions before, but we appreciate you responding to them again.

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PROGRAMMER: VALIDATE FORMAT FOR EMAIL ADDRESS. IF FORMAT IS INCORRECT, PLEASE DISPLAY “Please enter a valid email address.” IF THE EMAIL ADDRESSES DON’T MATCH PLEASE DISPLAY “The email addresses do not match. Please try again.”

ASK: All longitudinal respondents who have been recruited in prior waves

Z1. [IF LONGITUDINAL (LC_W7=1)] What is the 5-digit zip code where you currently live?

__ __ __ __ __ (5-digit, numeric responses only)

ASK: All longitudinal respondents who have been recruited in prior waves

_________________________________________________________________________

Z2. [IF LONGITUDINAL (LC_W7=1) What is your date of birth?

PROGRAMMER: DISPLAY A DROP DOWN LIST OF 12 MONTHS AND ANOTHER OF YEARS 1985 – 2005.

ASK: All longitudinal respondents who have been recruited in prior waves

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Z2a. [IF LONGITUDINAL (LC_W7=1)] You have entered your month and year of birth as [FILL FROM Z2]. Is that correct?

1 Yes

2 No  GO BACK TO Z2

ASK: All longitudinal respondents who have been recruited in prior waves

_________________________________________________________________________________

Z3. [IF LONGITUDINAL (LC_W7=1)]

What is your current gender identity?

1 Male

2 Female

3 Trans male/Trans man

4 Trans female/Trans woman

5 Genderqueer/Gender non-conforming

6 Different identity (please state) ________________________

9 Prefer not to answer

ASK: All longitudinal respondents who have been recruited in prior waves

_________________________________________________________________________

Z4. [IF LONGITUDINAL (LC_W7=1)]

What sex were you assigned at birth, on your original birth certificate?

1 Female

2 Male

9 Prefer not to answer

ASK: All longitudinal respondents who have been recruited in prior waves

_________________________________________________________________________

Z5. [IF Z3= 1 or 3 AND LONGITUDINAL (LC_W7=1)]

Which of the following best represents how you think of yourself?

1 Gay – GO TO Z9

2 Straight, that is, not gay – GO TO Z9

3 Bisexual – GO TO Z9

4 Something else – GO TO Z7

5 I don’t know the answer – GO TO Z8

9 Prefer not to answer – GO TO Z9

ASK: All longitudinal respondents who have been recruited in prior waves and who are male or trans male

_________________________________________________________________________

Z6. [IF (Z3= 2 OR 4 OR 5 OR 6 OR 9) AND LONGITUDINAL (LC_W7=1)] Which of the following best represents how you think of yourself?

1 Lesbian or gay – GO TO Z9

2 Straight, that is, not lesbian or gay – GO TO Z9

3 Bisexual - GO TO Z9

4 Something else – GO TO Z7

5 I don’t know the answer – GO TO Z8

9 Prefer not to answer – GO TO Z9

ASK: All longitudinal respondents who have been recruited in prior waves and who are female or trans female

_________________________________________________________________________

Z7. [IF Z5=4 OR Z6=4 AND LONGITUDINAL (LC_W7=1)]

What do you mean by something else?

1 You are not straight, but identify with another label such as queer, trisexual, omnisexual, or pansexual – GO TO Z9

2 You are transgender, transsexual, or gender variant - GO TO Z9

3 You have not figured out or are in the process of figuring out your sexuality - GO TO Z9

4 You do not think of yourself as having sexuality - GO TO Z9

5 You do not use labels to identify yourself - GO TO Z9

6 You mean something else (please state) - GO TO Z9 ________________

9 Prefer not to answer - GO TO Z9

ASK: All longitudinal respondents who have been recruited in prior waves and who report ‘something else’ in Z5 or Z6

_________________________________________________________________________

Z8. [IF Z5=5 OR Z6=5 AND LONGITUDINAL (LC_W7=1)] What do you mean by don’t know?

1 You don’t understand the words

2 You understand the words, but you have not figured out or are in the process of figuring out your sexuality

3 You mean something else

9 Prefer not to answer

ASK: All longitudinal respondents who have been recruited in prior waves and who report ‘don’t know’ in Z6

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Z8b. A person’s appearance, style, dress, or mannerisms (such as the way they walk or talk) may affect the way people think of them. On average, how do you think other people would describe your appearance, style, dress, or mannerisms?  Would you say…

1. Very feminine,

2. Mostly feminine,

3. Somewhat feminine,

4. Equally feminine and masculine,

5. Somewhat masculine, or

6. Mostly masculine

9. Prefer not to answer

ASK: All new cohort respondents

Z9. [IF LONGITUDINAL (LC_W7=1)]

What is your age? ____________ (Range: 15-80)

ASK: All longitudinal respondents who have been recruited in prior waves

_________________________________________________________________________

PROGRAMMER: IF LONGITUDINAL (LC_W7=1) THEN SET ELIGFLAG. IF [Z1 IS THE SAME ZIP OR DMA AS FRAME INFORMATION, OR IF FRAME DMA=CONTROL AND Z1=CONTROL, OR FRAME DMA=TREATMENT AND Z1=TREATMENT, AND Z2 MATCHES SAMPLE FRAME INFORMATION AND (LONGITUDINAL (LC_W7=1) AND Z9= 18 to 26-years-old AND Z9= LAST KNOWN AGE OR LAST KNOWN AGE+1 OR LAST KNOWN AGE +2 OR LAST KNOWN AGE +3 OR LAST KNOWN AGE +4) AND [Z3= 3 to 5 OR Z5= 1 or 3 OR Z6= 1 or 3 OR Z7= 1 or 2 or 6] THEN ELIGFLAG=1. ELSE ELIGFLAG=2.

NOTE: Respondent cannot be younger than their last known ages and be eligible

PROGRAMMER: PUSH ELIGIBLITY OUTCOME TO SURVEY FLOW AND PANEL. INCLUDE REASON FOR INELIGIBLITY.

NOTE: This programming directs who is eligible for the study. To be eligible, respondents must be in the same zip code or the same DMA as they were previously. If they are not in the same DMA, the DMA that they are in must remain a control or a treatment DMA. They must have the same date of birth as previously reported. They must be between 18 and 26 years old or be the same age as last wave or one year older than last wave. They must also be LGBT, but their sexual orientation or identity is not compared to that of last survey.

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INELIG [IF (ELIGFLAG=2 AND LONGITUDINAL (LC_W7=1)]

Thank you for your responses. Based on your responses, you are not eligible to participate in the study. We have no further questions at this time.

ASK: Respondents who are ineligible due to responses to the screening questions.

_________________________________________________________________________

ELIG [IF (ELIGFLAG=1 AND LONGITUDINAL (LC_W7=1)]

Please click Next to continue.

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ASK: Respondents who are eligible due to responses to the screening questions.