Recruitment Screener

Recruitment Screener – Soup Kitchens

1. The U.S. Census Bureau will be conducting virtual focus groups using Microsoft Teams in January and February of 2024. The purpose of the focus group is to discuss ways that the U.S. Census Bureau may better count people who receive services at soup kitchens. Feedback from service providers offers valuable insights into this process. The focus group will last approximately 90 minutes. The information we collect from participants during the focus group is intended to improve our data collection efforts.

Are you willing to participate in a virtual focus group using Microsoft Teams?

We will send you directions for accessing Microsoft Teams. We want to use Microsoft Teams so that the participants can be on camera to facilitate an engaging conversation and so that we can share our computer screen with you.

Yes

No

2. What is your name?

First Name: [Write-in]

Last Name: [Write-in]

3. What is the name of your facility?

[Write-in]

4. What city and state is your facility located in?

City: [Write-in]

State: [Write-in]

5. What services does your facility provide?

[Write-in]

6. Please tell us about your role at your facility.

[write-in]

7. What is the maximum number of people who can be served a meal at your facility?

[Write-in]

8. How many employees work at this facility?

[Write-in]

9. Did you help with the 2020 Census count at this soup kitchen or any other soup kitchen?

Yes

No

10. Which of the following dates or times would work best for you to participate in a 90-minute focus group {Select all that apply}

    1. MONTH DAY, YEAR at XX:XX to XX:XX ET

    2. MONTH DAY, YEAR at XX:XX to XX:XX ET

    3. MONTH DAY, YEAR at XX:XX to XX:XX ET

11. We will need to send you a consent form for you to review and sign prior to the focus group. Could you please provide me with an email address so that we can send you this form?

[Email Write-in]

12. In case we need to contact you via phone, what is the best phone number to reach you?

[Phone write-in]

13. Your participation is greatly appreciated! Someone from the Census Bureau’s Center for Behavioral Science Methods will email you to confirm the date and time for you to attend a 90-minute focus group.

A consent form link will be included in the email for you to review and electronically sign prior to the focus group. Directions on how to fill out the consent form will be included in the email.

The email will also include information for accessing the Microsoft Teams. Thank you.