ASPA
COVID-19 PUBLIC EDUCATION CAMPAIGN A
campaign to increase vaccine acceptance and reinforce basic
prevention measures
CET – Annotated Questionnaire (Wave 11)
Note: The questions below are the proposed questions for the eleventh wave of the Weekly Current Events Tracker (CET). Questions highlighted in yellow will be asked every week; questions highlighted in blue will be rotated into the survey on a monthly basis; and questions highlighted in green are meant to be asked in Wave 11 only or are being asked again to update data on a variable of interest. This wave’s module is Vaccine Eligibility and Vaccine Concerns. This week we have added questions on Preparing the Nation message testing, post-vaccination behavior, awareness of CDC guidance for vaccinated people, and concerns about variants.ASPA will provide OMB with updates to the questionnaire for subsequent Waves. |
Standard Questions
Modular Questions
One-Time or Repeat Questions Being Asked Again to Update Data
For the next section we would like to talk about current events.
// Page Break //
//PROGRAMMING NOTE: RANDOMIZE ORDER OF Q1/Q2 and Q3/Q4 (I.E., 50% SEE Q1/Q2 FIRST, 50% SEE Q3/Q4 FIRST)//
//BASE: All respondents//
Item #: Q1
Question type: Single punch
// Soft Prompt: “We would like your response to this question.” //
hhs_fam: How familiar are you with the U.S. Department of Health and Human Services (HHS)?
Variable Label: hhs_fam: Familiarity with HHS
Value |
Value Label |
1 |
Not at all familiar |
2 |
Slightly familiar |
3 |
Moderately familiar |
4 |
Very familiar |
-99 |
Refused |
// Page Break //
//BASE: hhs_fam= 2, 3, 4, OR -99//
Item #: Q2
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
hhs_trust. How much trust do you have in the U.S. Department of Health and Human Services (HHS) to provide you with accurate information about the coronavirus or COVID-19?
Variable Label: hhs_trust: Trust in HHS
Value |
Value Label |
1 |
None at all |
2 |
Not very much |
3 |
A fair amount |
4 |
A great deal |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: All respondents//
Item #: Q3
Question type: Single punch
// Soft Prompt: “We would like your response to this question.” //
cdc_fam: How familiar are you with the Centers for Disease Control and Prevention (CDC)?
Variable Label: cdc_fam: Familiarity with CDC
Value |
Value Label |
1 |
Not at all familiar |
2 |
Slightly familiar |
3 |
Moderately familiar |
4 |
Very familiar |
-99 |
Refused |
// Page Break //
//BASE: cdc_fam= 2, 3, 4, OR -99//
Item #: Q4
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
cdc_trust. How much trust do you have in the Centers for Disease Control and Prevention (CDC) to provide you with accurate information about the coronavirus or COVID-19?
Variable Label: cdc_trust: Trust in CDC
Value |
Value Label |
1 |
None at all |
2 |
Not very much |
3 |
A fair amount |
4 |
A great deal |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: All respondents//
Item #: Q5
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
vacc_off. How much do you trust U.S. federal public health officials to provide reliable information on COVID-19?
Variable Label: vacc_off: Confidence in U.S. public health officials
Value |
Value Label |
1 |
None at all |
2 |
Not very much |
3 |
A fair amount |
4 |
A great deal |
-99 |
Refused |
// Page Break //
//BASE: All respondents//
Item #: Q6
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
vacc_trust. How much trust do you have that an FDA-authorized COVID-19 vaccine may be safe and effective for you to get?
Variable Label: vacc_trust: Trust in Safety of Vaccine
Value |
Value Label |
1 |
None at all |
2 |
Not very much |
3 |
A fair amount |
4 |
A great deal |
-99 |
Refused |
// Page Break //
//BASE: All respondents//
Item #: Q7
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
beh1_cet. Food and Drug Administration (FDA)-authorized vaccines to prevent COVID-19 are now available at no cost. Have you received a COVID-19 vaccine?
Variable Label: beh1: Vaccination behavior
Value |
Value Label |
0 |
No, I have not received a COVID-19 vaccine |
1 |
Yes, but I have only received one shot out of the two required shots |
2 |
Yes, I have received all of the required shots |
-99 |
Refused |
// Page Break //
//BASE: beh1_cet =0 OR -99//
Item #: Q8
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
beh2a_cet. What is the likelihood that you will get a COVID-19 vaccine?
Variable Label: beh2a: Intention to get vaccinated
Value |
Value Label |
1 |
Very unlikely |
2 |
Somewhat unlikely |
3 |
Neither likely nor unlikely |
4 |
Somewhat likely |
5 |
Very likely |
-99 |
Refused |
-100 |
Valid Skip |
// Page Break //
//BASE: beh1_cet =0 OR -99//
Item #: Q9
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
beh3a_cet. Food and Drug Administration (FDA)-authorized vaccines to prevent COVID-19 are now available at no cost. How soon will you get vaccinated? For this question, assume there is enough vaccine so that everyone who wants it can get it.
Variable Label: BEH3a_CET: Wait to get vaccinated
Value |
Value Label |
1 |
I will get a vaccine as soon as I can |
2 |
I will wait to get a vaccine for one or more reasons |
3 |
I will never get a COVID-19 vaccine |
-99 |
Refused |
-100 |
Valid Skip |
// Page Break //
//BASE beh3a_cet =2//
Item #: Q10-Q11
Question Type: Single punch
// Soft Prompt: “We would like your response to this question.” //
beh4_cet. You responded that you will wait to get a COVID-19 vaccine. For each of the following statements, is this a reason why you would wait to get a COVID-19 vaccine? Select yes or no for each item.
Variable Label: BEH4_CET: Reasons: Waiting to get vaccinated
//PROGRAMMING NOTE: RANDOMIZE BEH3_1_CET-BEH3_10_CET
Variable Name |
Variable Text |
Variable Label |
beh4_1_cet |
I will wait because of my age. |
beh4_1_cet: Age |
beh4_2_cet |
I will wait because of my health status, allergies, or medical history. |
beh4_2_cet: Health |
beh4_3_cet |
I want to know if the vaccine is effective first. |
beh4_3_cet: Confirm effectiveness |
beh4_4_cet |
I am pregnant or expect to become pregnant. |
beh4_4_cet: Pregnant |
beh4_5_cet |
I want to talk to my doctor first. |
beh4_5_cet: Talk to doctor first |
beh4_6_cet |
I want to compare the effectiveness of the different vaccines. |
beh4_6_cet: Compare vaccines |
beh4_7_cet |
I want to see if my friends and family get the vaccine. |
beh4_7_cet: Friends/family |
beh4_8_cet |
I want to see if others who get the vaccine first develop any problems. |
beh4_8_cet: Side effects |
beh4_9_cet |
I want to make sure it is safe for people like me first. |
beh4_9_cet: Confirm safety |
beh4_10_cet |
I want to hear from leaders in my community about the vaccine first. |
beh4_10_cet: Hear from leaders |
beh4_11_cet |
Other |
beh4_11_cet: Other |
Value |
Value Label |
0 |
No |
1 |
Yes |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: beh3a_cet =1 OR 2//
Item #: Q12
Question Type: Grid
// Soft Prompt: “We would like your response to this question.” //
eligibility. How much do you agree or disagree with the following statements?
//PROGRAMMING NOTE: RANDOMIZE eligibility_1 – eligibility_5//
eligibility_1 |
I know where to look to find out when I am eligible to receive the COVID-19 vaccines. |
eligibility _1: Eligibility |
eligibility_6 |
I know when I will be eligible to get a vaccine. |
eligibility_6: When |
eligibility_3 |
I know how to schedule an appointment when it is time for me to get the COVID-19 vaccine. |
eligibility _3: How to schedule |
eligibility_4 |
I know where to schedule an appointment when it is time for me to get the COVID-19 vaccine. |
eligibility _4: Where to schedule |
eligibility_5 |
I know how to prepare for my eventual COVID-19 vaccine appointments (e.g., what to bring). |
eligibility _5: How to prepare |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Disagree |
3 |
Neither agree nor disagree |
4 |
Agree |
5 |
Strongly agree |
-99 |
Refused |
-100 |
Valid Skip |
// Page Break //
//BASE: beh3a_cet =1 OR 2//
Item #: Q13-Q14
Question Type: Grid
// Soft Prompt: “We would like your response to this question.” //
eligible_sources. Which of the following sources have you used to find out about COVID-19 vaccine eligibility and distribution? Select all that apply.
//PROGRAMMING NOTE: RANDOMIZE eligible_sources_1-eligible_sources_10//
eligible_sources_1 |
Your state health department |
eligible_sources_1: State |
eligible_sources_2 |
Your county/city health department |
eligible_sources _2: County/city |
eligible_sources_3 |
National public health departments (e.g., CDC, HHS) |
eligible_sources _3: National public health departments |
eligible_sources_4 |
Local or national chain pharmacies |
eligible_sources _4: Pharmacies |
eligible_sources_5 |
Health care providers |
eligible_sources _5: Health care providers |
eligible_sources_6 |
Advertising campaigns |
eligible_sources _6: Ad campaigns |
eligible_sources_7 |
Family members |
eligible_sources _7: Family |
eligible_sources_8 |
Friends |
eligible_sources _8: Friends |
eligible_sources_9 |
Coworkers |
eligible_sources _9: Coworkers |
eligible_sources_10 |
Your employer |
eligible_sources _10: Employer |
eligible_sources_11 |
Other |
eligible_sources _11: Other |
eligible_sources_12 |
None of the above, I have not looked for information on vaccine eligibility or distribution |
eligible_sources _12: None |
Value |
Value Label |
0 |
No |
1 |
Yes |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: SHOW IF AT LEAST ONE RESPONSE FROM eligible_sources_1-eligible_sources_6= 1. PIPE “YES” RESPONSES //
Item #: Q15-Q16
Question Type: Multi-Punch Grid
// Soft Prompt: “We would like your response to this question.” //
eligible_sources. From which of the following sources did you see or hear about vaccine eligibility and distribution? Select all that apply.
//PROGRAMMING NOTE: MATCH ORDER OF eligible_sources_1-eligible_sources_6. //
source_1 |
Your state health department |
eligible_sources_1: State |
source_2 |
Your county/city health department |
eligible_sources_2: County/city |
source_3 |
National public health departments (e.g., CDC, HHS) |
eligible_sources_3: National public health departments |
source_4 |
Local or national chain pharmacies |
eligible_sources_4: Pharmacies |
source_5 |
Health care providers |
eligible_sources_5: Health care providers |
source_6 |
Advertising campaigns |
eligible_sources_6: Ad campaigns |
Value |
Value Label |
1 |
Website |
2 |
Newspaper (online or print) |
3 |
Social media |
4 |
Television |
5 |
Radio |
6 |
Other |
Value |
Value Label |
0 |
No |
1 |
Yes |
-99 |
Refused |
-100 |
Valid skip |
// Page Break //
//BASE: All respondents//
Item #: Q17
Question Type: Grid
// Soft Prompt: “We would like your response to this question.” //
vaccine_guidance. Please indicate whether you think each of the following statements are true or false.
According to the latest CDC guidance, adults that have been fully vaccinated...
Note: Someone is considered fully vaccinated two weeks after their last dose (i.e., second dose for Pfizer or Moderna vaccines, or single dose for Johnson & Johnson vaccine).
//PROGRAMMING NOTE: RANDOMIZE vaccine_guidance_1-vaccine_guidance_5//
vaccine_guidance_1 |
...can gather indoors with other fully vaccinated people without wearing a mask or staying 6 feet apart. |
vaccine_guidance_1: Gather with other vaccinated people (T) |
vaccine_guidance _2 |
...can gather indoors with unvaccinated people of any age without masks or staying 6 feet apart (even if those people or anyone they live with has an increased risk for severe illness from COVID-19). |
vaccine_guidance_2: Gather with unvaccinated people (F) |
vaccine_guidance _3 |
...do not need to wear a mask in public places. |
vaccine_guidance_3: Wear masks (F) |
vaccine_guidance _4 |
…and have been exposed to someone who has COVID-19 do not need to stay away from others or get tested unless they have symptoms. |
vaccine_guidance_4: Exposure to COVID-19 (T) |
vaccine_guidance _5 |
…do not need to self-quarantine after arriving in the United States after international travel. |
vaccine_guidance_5: Quarantine after international travel (T) |
Value |
Value Label |
1 |
True |
2 |
False |
-99 |
Refused |
// Page Break //
//PROGRAMMING NOTE: RANDOMIZE ORDER OF ptn_msg_effective to ptn_msg_notsick//
//RANDOMIZE GRID SUBITEMS FOR ptn_msg_effective to ptn_msg_notsick, BUT KEEP ORDER CONSISTENT FOR EACH PARITICIPANT//
//BASE: beh1_cet=0 OR -99//
Item
#: Q18
Question
Type:
Grid
//
Soft Prompt: “We would like your response to this question.”
//
ptn_msg_severe
We are interested in your opinion of a few messages about COVID-19 vaccination.
For each of the below statements, please consider the following message:
“In clinical trials, all 3 COVID vaccines reduced the risk of severe COVID-19 by over 99%.”
When thinking about the message you just viewed, how much do you agree or disagree with the following statements? Select one response for each item.
//PROGRAMMING NOTE: RANDOMIZE ORDER OF SUBITEMS IN THE GRID.//
Variable Name |
Variable Text |
Variable Label |
ptn_msg_severe_1 |
This message is convincing to you personally as a reason to get a COVID-19 vaccine when it is available to you. |
ptn_msg_severe_1: Convincing |
ptn_msg_severe_2 |
This message was difficult to understand. |
ptn_msg_severe_2: Difficulty |
ptn_msg_severe_3 |
You would share the information in the message with a friend or family member who wants to know more about COVID-19 vaccines. |
ptn_msg_severe_3: Share |
ptn_msg_severe_4 |
You would visit a website, such as cdc.gov/coronavirus, to learn more about the information shared in this message. |
ptn_msg_severe_4: Web |
ptn_msg_severe_5 |
This message was believable. |
ptn_msg_severe_5: Believable |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Disagree |
3 |
Neither agree nor disagree |
4 |
Agree |
5 |
Strongly agree |
-99 |
Refused |
// Page Break //
//BASE: beh1_cet=0 OR -99//
Item
#: Q19
Question
Type:
Grid
//
Soft Prompt: “We would like your response to this question.”
//
ptn_msg_death
We are interested in your opinion of a few messages about COVID-19 vaccination.
For each of the below statements, please consider the following message:
“In clinical trials, all 3 of the vaccines were 100% effective at preventing death from COVID-19.”
When thinking about the message you just viewed, how much do you agree or disagree with the following statements? Select one response for each item.
//PROGRAMMING NOTE: RANDOMIZE ORDER OF SUBITEMS IN THE GRID.//
Variable Name |
Variable Text |
Variable Label |
ptn_msg_death_1 |
This message is convincing to you personally as a reason to get a COVID-19 vaccine when it is available to you. |
ptn_msg_death_1: Convincing |
ptn_msg_ death_2 |
This message was difficult to understand. |
ptn_msg_ death_2: Difficulty |
ptn_msg_ death_3 |
You would share the information in the message with a friend or family member who wants to know more about COVID-19 vaccines. |
ptn_msg_ death_3: Share |
ptn_msg_ death_4 |
You would visit a website, such as cdc.gov/coronavirus, to learn more about the information shared in this message. |
ptn_msg_ death_4: Web |
ptn_msg_ death_5 |
This message was believable. |
ptn_msg_ death_5: Believable |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Disagree |
3 |
Neither agree nor disagree |
4 |
Agree |
5 |
Strongly agree |
-99 |
Refused |
// Page Break //
// BASE: beh1_cet=0 OR -99//
Item
#: Q20
Question
Type:
Grid
//
Soft Prompt: “We would like your response to this question.”
//
ptn_msg_diverse
We are interested in your opinion of a few messages about COVID-19 vaccination.
For each of the below statements, please consider the following message:
“More than 100,000 people from diverse backgrounds and ethnicities participated in the vaccine trials.”
When thinking about the message you just viewed, how much do you agree or disagree with the following statements? Select one response for each item.
//PROGRAMMING NOTE: RANDOMIZE ORDER OF SUBITEMS IN THE GRID.//
Variable Name |
Variable Text |
Variable Label |
ptn_msg_diverse_1 |
This message is convincing to you personally as a reason to get a COVID-19 vaccine when it is available to you. |
ptn_msg_diverse_1: Convincing |
ptn_msg_ diverse_2 |
This message was difficult to understand. |
ptn_msg_ diverse_2: Difficulty |
ptn_msg_ diverse_3 |
You would share the information in the message with a friend or family member who wants to know more about COVID-19 vaccines. |
ptn_msg_ diverse_3: Share |
ptn_msg_ diverse_4 |
You would visit a website, such as cdc.gov/coronavirus, to learn more about the information shared in this message. |
ptn_msg_ diverse_4: Web |
ptn_msg_ diverse_5 |
This message was believable. |
ptn_msg_ diverse_5: Believable |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Disagree |
3 |
Neither agree nor disagree |
4 |
Agree |
5 |
Strongly agree |
-99 |
Refused |
// Page Break //
// BASE: beh1_cet=0 OR -99//
Item
#: Q21
Question
Type:
Grid
//
Soft Prompt: “We would like your response to this question.”
//
ptn_msg_socialize
We are interested in your opinion of a few messages about COVID-19 vaccination.
For each of the below statements, please consider the following message:
“When you’re fully vaccinated, you can safely socialize with other vaccinated people indoors without masks or distancing.”
When thinking about the message you just viewed, how much do you agree or disagree with the following statements? Select one response for each item.
//PROGRAMMING NOTE: RANDOMIZE ORDER OF SUBITEMS IN THE GRID.//
Variable Name |
Variable Text |
Variable Label |
ptn_msg_socialize_1 |
This message is convincing to you personally as a reason to get a COVID-19 vaccine when it is available to you. |
ptn_msg_socialize_1: Convincing |
ptn_msg_ socialize_2 |
This message was difficult to understand. |
ptn_msg_ socialize_2: Difficulty |
ptn_msg_ socialize_3 |
You would share the information in the message with a friend or family member who wants to know more about COVID-19 vaccines. |
ptn_msg_ socialize_3: Share |
ptn_msg_ socialize_4 |
You would visit a website, such as cdc.gov/coronavirus, to learn more about the information shared in this message. |
ptn_msg_ socialize_4: Web |
ptn_msg_ socialize_5 |
This message was believable. |
ptn_msg_ socialize_5: Believable |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Disagree |
3 |
Neither agree nor disagree |
4 |
Agree |
5 |
Strongly agree |
-99 |
Refused |
// Page Break //
// BASE: beh1_cet=0 OR -99//
Item
#: Q22
Question
Type:
Grid
//
Soft Prompt: “We would like your response to this question.”
//
ptn_msg_quarantine
We are interested in your opinion of a few messages about COVID-19 vaccination.
For each of the below statements, please consider the following message:
“If you’re fully vaccinated and are exposed to COVID, you don’t have to quarantine unless you have symptoms.”
When thinking about the message you just viewed, how much do you agree or disagree with the following statements? Select one response for each item.
//PROGRAMMING NOTE: RANDOMIZE ORDER OF SUBITEMS IN THE GRID.//
Variable Name |
Variable Text |
Variable Label |
ptn_msg_quarantine_1 |
This message is convincing to you personally as a reason to get a COVID-19 vaccine when it is available to you. |
ptn_msg_quarantine_1: Convincing |
ptn_msg_ quarantine_2 |
This message was difficult to understand. |
ptn_msg_ quarantine_2: Difficulty |
ptn_msg_ quarantine_3 |
You would share the information in the message with a friend or family member who wants to know more about COVID-19 vaccines. |
ptn_msg_ quarantine_3: Share |
ptn_msg_ quarantine_4 |
You would visit a website, such as cdc.gov/coronavirus, to learn more about the information shared in this message. |
ptn_msg_ quarantine_4: Web |
ptn_msg_ quarantine_5 |
This message was believable. |
ptn_msg_ quarantine_5: Believable |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Disagree |
3 |
Neither agree nor disagree |
4 |
Agree |
5 |
Strongly agree |
-99 |
Refused |
// Page Break //
//BASE: beh1_cet=0 OR -99//
Item #: Q23
Question Type: Grid
//
Soft Prompt: “We would like your response to this question.”
//
ptn_outcome.
Thinking
about the messages you viewed, how likely are you to do each of the
following as a result?
//PROGRAMMING NOTE: RANDOMIZE ORDER OF SUBITEMS IN THE GRID.//
Variable Name |
Variable Text |
Variable Label |
ptn_outcome_1 |
Get a COVID-19 vaccine at no cost |
ptn_outcome_1: Vaccine |
ptn_outcome_2 |
Wear a mask anytime you leave your home and in public. |
ptn_outcome_2: Mask |
ptn_outcome_3 |
Maintain social distance of at least 6 feet from others when outside of your home in public. |
ptn_outcome_3: Social Distance |
ptn_outcome_4 |
Trust information that the U.S. Department of Health and Human Services (HHS) provides about COVID-19. |
ptn_outcome_4: Trust HHS |
ptn_outcome_5 |
Trust information that the U.S. Centers for Disease Control and Prevention (CDC) provides about COVID-19. |
ptn_outcome_5: Trust CDC |
Value |
Value Label |
1 |
Very unlikely |
2 |
Somewhat unlikely |
3 |
Neither |
4 |
Somewhat likely |
5 |
Very likely |
-99 |
Refused |
// Page Break //
//BASE: All respondents//
Item #: Q24
Question type: Single punch
//
Soft Prompt: “We would like your response to this question.”
//
variant_concerns.
Compared
to the beginning of this year when new COVID-19 variants were first
detected in the United States, how concerned are you now
about COVID-19 variants?
Value |
Value Label |
1 |
Much less concerned |
2 |
Slightly less concerned |
3 |
Neither more nor less concerned |
4 |
Slightly more concerned |
5 |
Much more concerned |
-99 |
Refused |
//BASE: beh1_cet=1 or 2//
Item #: Q25
Question Type: Grid
//
Soft Prompt: “We would like your response to this question.”
//
post_vacc.
Please
indicate how much you agree or disagree with the following
statements.
After getting the COVID-19 vaccine…
//PROGRAMMING NOTE: RANDOMIZE ORDER OF SUBITEMS IN THE GRID.//
Variable Name |
Variable Text |
Variable Label |
post_vacc_1 |
…I have only told close family and friends that I have been vaccinated. |
post_vacc_1: Told close family/friends |
post_vacc_2 |
…I have been hesitant to tell others I have been vaccinated because I do not want people to think I have skipped the line. |
post_vacc_2: Perceptions of skipping line |
post_vacc_3 |
…I have been hesitant to tell others I have been vaccinated because I do not want to answer questions about why I am eligible (e.g., because of underlying conditions). |
post_vacc_3: Revealing eligibility |
post_vacc_4 |
…I have been open about getting vaccinated with most people in my life (e.g., posted on social media, told coworkers). |
post_vacc_4: Open about being vaccinated |
post_vacc_5 |
…I have actively encouraged other people to get vaccinated. |
post_vacc_5: Encouraged others |
Value |
Value Label |
1 |
Strongly disagree |
2 |
Disagree |
3 |
Neither agree nor disagree |
4 |
Agree |
5 |
Strongly agree |
-99 |
Refused |
For
internal communications only
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |