U.S. Department of Transportation
Federal Highway Administration
1200 New Jersey Avenue, SE
Washington, DC 20590
202-366-4000
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RECRUITMENT SCREENING QUESTIONNAIRE
FHWA/NHTSA Hispanic Pedestrian and Bicycle Safety
2004
Name: _______________________________________________
Street Address: ________________________________________________
City: _____________________________ State: ________ Zip: __________
Telephone Number (Home): ____________________ (Work): _________________
Inclusion Criteria:
|
Hello, my name is ___________ and I'm calling on behalf of a company that is doing research on traffic safety. I want to assure you, we are not selling anything, and your answers are completely confidential. We are doing focus groups in your area on ___________ [DC: March 30, NY: April 1, MIA: April 5, LA: April 8], and participants in the focus groups will earn $75 for their time. Do you have a few minutes to answer some brief questions to find out if you are eligible to participate?
(No) [SKIP TO CLOSE OR ARRANGE A TIME TO CALL BACK] (Yes) [CONTINUE]
INDICATE GENDER: (Female) (Male)
I'd like to start by asking you some questions about your background:
[Need at least one person over age 60 in each group, ideally 2 per group]
INVITATION
Thank you for answering our questions. As I said earlier, we are conducting research on traffic safety.
We would like to invite you to participate in a small group discussion on
BIKE:
WALK:
consisting of about 8 other people like yourself and a moderator. The session will be conducted in Spanish. This is not a sales meeting. No one will try to sell you anything; we are only interested in your opinions. Your thoughts will help us better understand people's attitudes about traffic safety. The discussion will last about two hours, and we will give you $75 for your participation.
Would you be willing to participate in such a discussion?
Great! In the next few days, we will send you a packet of information that includes directions to the facility as well as a reminder about the date and time of the discussion. If you can't attend this meeting, will you please call us at 1-800-565-4352/301-565-0770 so that we can find someone to replace you? [Wait for answer]
May I verify the correct spelling of your name, as well as your correct address and phone number so that we may send you the confirmation letter? [Refer to the top of the page]
We'll also call you the night before the discussion to remind you about this group. It is very important that you arrive on time. Thank you very much for accepting our invitation. We look forward to hearing your thoughts and opinions. Have a nice day.
CLOSE
Thank you for taking the time to talk to us. I'm sorry, but you will not be eligible to participate in our study. We will call you again if we have another opportunity in your area. Have a nice day.
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