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APPENDIX 2 QUESTIONNAIRE
Good morning/afternoon my name is …….. and I work for TNS, an independent market research agency. We're conducting a survey about health issues. I am working in this area today and I selected you randomly and I was wondering if you might have time to answer a few questions. It should take less than 10 minutes.
This questionnaire will remain confidential and anonymous. I will leave you this leaflet which explains how this confidential information will be protected by the Data Protection Act.
SHOWSCREEN
R1 I'd like you to look at this list and tell me if you suffer from any of these? You do not need to tell me which one, just if you suffer from any.
Asthma
Other respiratory problem/disease
Heart problem/disease
Diabetes
Kidney problem/disease
Liver problem/disease
Neurological conditions (including strokes)
Lowered immunity due to disease or treatment
01. | Yes |
02. | No |
03. | [Don't know] |
[ONLY CONTINUE IF R1:01, CLOSE IF R1:02 OR R1:03]
DO NOT READ OUT
R2 Gender
R3 What was your age last birthday?
TYPE IN, SHOW SCREEN ONLY IF RESPONDENT IS RELUCTANT TO GIVE THEIR EXACT AGE
01. | Under 16 |
02. | 16-19 |
03. | 20-24 |
04. | 25-29 |
05. | 30-34 |
06. | 35-39 |
07. | 40-44 |
08. | 45-49 |
09. | 50-54 |
10. | 55-59 |
11. | 60-64 |
12. | 65+ |
[CLOSE IF R3:01 or 12]
R4 [STANDARD SOCIAL CLASS QUESTIONS]
01. | A |
02. | B |
03. | C1 |
04. | C2 |
05. | D |
06. | E |
CHECK QUOTAS
Main questionnaire
Q1 Have you seen or heard any advertising or publicity recently on the subject of flu?
01. | Yes |
02. | No |
03. | [Don't know] |
[IF Q1:01 ASK Q2, OTHERS SKIP TO Q6 INTRO]
DO NOT SHOW SCREEN
Q2 Where did you see/hear this advertising or publicity?
INTERVIEWER: If radio or TV, probe for advertising or programmes. If poster, probe for which type
01. | Advertising on TV |
02. | In programmes on TV |
03. | Advertising on radio |
04. | In programmes on radio |
05. | Advertising in newspapers/magazines |
06. | Outdoor poster - talking or interactive |
07. | Outdoor poster - unspecified |
08. | Poster inside a pharmacy |
09. | Leaflets in doctors surgeries |
10. | Posters in doctors surgeries |
11. | Poster in a pharmacy window |
12. | On pharmacy bags |
13. | From a health professional |
14. | Word of mouth |
15. | On the streets\pavements\reverse graffiti |
16. | Publicity stunt with doctors and hospital beds |
17. | NHS 24 website |
18. | Other (specify) |
19. | [Don't know] |
[IF Q2:01]
Q3 Please describe the advertising you saw on TV. What did it show and what did it say? WRITE IN
…………
[IF Q2:03, 05-13 and 15-18]
Q4 Please describe the advertising you saw/heard other than on TV. What did it show and what did it say? PROBE FULLY AND WRITE IN
…………
[IF Q2:03, 05-13 and 15-18]
Q5 Please can you say what you think the advertising you saw/heard other than on TV was trying to say? PROBE FULLY AND WRITE IN
…………
[ASK ALL]
READ OUT: I would now like to show you two posters and would like you to tell me whether or not you have seen them recently.
SHOW SCREEN
Q6 Have you seen either of these ads before today?
SHOW POSTER ADS LISA AND BEN
01. | Yes, seen Lisa |
02. | Yes, seen Ben |
03. | Yes, but not sure which |
04. | No |
05. | [Don't Know] |
[IF Q6:01-03 ASK Q7]
DO NOT SHOW SCREEN
Q7 Where do you recall having seen these ads?
01. | Outdoor poster - talking or interactive |
02. | Outdoor poster - unspecified |
03. | On posters in pharmacy windows |
04. | In the GP surgery |
05. | Inside pharmacies |
06. | On pharmacy bags |
07. | On a letter |
08. | Other (specify) |
09. | [Don't know] |
SHOWSCREEN
Q8 Thinking about the ads you've just seen, what are your impressions of them? Choose an answer from this list according to how much you agree or disagree.
ROTATE ORDER OF STATEMENTS
a) The advertising helped me understand how serious getting flu can be
b) The advertising helped me realise that the flu jab is not just for old people
c) The advertising was relevant to me
d) The advertising told me something I didn't know
e) The advertising made me realise I am in an 'at risk' group
01. | Agree strongly |
02. | Agree slightly |
03. | Neither agree nor disagree |
04. | Disagree slightly |
05. | Disagree strongly |
06. | [Don't know] |
Q9 Have you received a letter or telephone call from your GP this year regarding you receiving a flu vaccine?
IF YES: Which?
01. | Yes - letter |
02. | Yes - a telephone call |
03. | No |
04. | [Don't know] |
[IF Q9:01-02]
Q10 Did you get a flu jab as a result of receiving the letter or telephone call from your GP?
01. | Yes |
02. | No |
03. | [Don't know] |
ASK ALL SHOWSCREEN
Q11 How likely would you be to visit the Scottish Government Flu website to find out further information on flu vaccinations?
01. | Very likely |
02. | Quite likely |
03. | Neither likely nor unlikely |
04. | Not very likely |
05. | Not at all likely |
06. | [Don't know] |
Q12a Have you had a free flu jab in the past? IF RESPONDENT SAYS YES, ASK WHETHER THEY RECEIVED THE JAB THIS YEAR OR A PREVIOUS YEAR?
01. | Yes - this year - CAN BE MULTICODED WITH CODE 2 |
02. | Yes - prior to this year - CAN BE MULTICODED WITH CODE 1 |
03. | No |
04. | [Don't know] |
[IF Q12a NOT 01, ASK Q12b]
Q12b Do you intend to get a flu jab this winter?
01. | Yes |
02. | No |
03. | [Don't know] |
[IF Q12a:03 ASK Q13]
MULTI CODE
Q13 Why have you not had a free flu jab in the past?
01. | Did not know there was a free flu jab |
02. | Did not know I was eligible |
03. | I was not in an 'at risk' group in the past |
04. | I did not feel it was necessary |
05. | I worry about the side effects of having the flu jab |
06. | Too busy/no time |
07. | Other (Specify) |
08. | [Don't know] |
Q14 In the future, how likely would you be to get your free flu jab as a direct result of…? SHOWSCREEN
ROTATE
a) Receiving a letter from your GP
b) Receiving a phone call from your GP
c) Receiving a letter from the NHS
d) Reading information leaflets
e) Seeing information posters
f) Seeing TV adverts
01. | Very Likely |
02. | Fairly Likely |
03. | Neither Likely nor Unlikely |
04. | Fairly Unlikely |
05. | Very Unlikely |
06. | [Don't Know] |
SHOWSCREEN
Q15 I'd like you to look at this list again. Please can you tell me which you suffer from? You do not need to read out the name, the letter will do.
01. | A - Asthma |
02. | B - Other respiratory problem/disease |
03. | C - Heart problem/disease |
04. | D - Diabetes |
05. | E - Kidney problem/disease |
06. | F - Liver problem/disease |
07. | G - Neurological conditions (including strokes) |
08. | H - Lowered immunity due to disease or treatment |
09. | [Refused] |
THANK AND CLOSE
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