Qualitative Research to Design Advertising to Encourage Quitting Among Adult Cigarette Smokers (SGM Population) (CTP

OMB# 0910-0796

Exp. 07/31/2021

CONCEPT RATING SHEET

TITLE OF INFORMATION COLLECTION: Qualitative Research to Design Advertising to Encourage Quitting Among Adult Cigarette Smokers (SGM Population)

PLEASE DO NOT WRITE YOUR NAME ON THIS SHEET

1. What is the message? That is, what is the most important thing this ad/concept is trying to tell you?

2. What did you think about this ad/concept? Please give it a grade from A to F.

This ad/concept grabbed my attention.
I can relate to this ad/concept.
This ad/concept is compelling.
This ad/concept made me NOT want to smoke.
This ad/concept made me want to take steps to quit smoking.

3. How much do you agree or disagree with the following statements? Circle one choice for each statement:

4. What did you like about this ad/concept?

5. What would you change about the ad/concept to make it better?

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