Screener Sample - Think Out Loud (TOL)

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In this study, you will be required to activate your microphone to talk aloud and share your feedback. You will also be required to download a browser add-on (Desktop Browser studies) or a free app (Mobile Web studies), which you can easily and completely uninstall following the study, so that we can collect your audio feedback.

  1. Would you be willing to participate in this unique study? [SINGLE RESPONSE]
    • Yes
    • No [TERMINATE]
  2. Are you? [SINGLE RESPONSE]
    • Male
    • Female
  3. What is your age? [SINGLE RESPONSE]
    • Under 18 [TERMINATE]
    • 18 to 24
    • 25 to 34
    • 35 to 44
    • 45 to 54
    • 55 to 64
    • 65 or older
    • Prefer not to say [TERMINATE]
  4. Which of the following best describes you? [SINGLE RESPONSE]
    • Single, never married
    • Currently married
    • Living with partner but not married
    • Separated
    • Divorced
    • Widowed
    • Prefer not to say
  5. Indicate the HIGHEST level of education (or equivalent) you have completed. [SINGLE RESPONSE]
    • Some high school or less
    • High school graduate
    • Attended college less than one year
    • Attended college 1-3 years
    • Graduated from 4 year college
    • Post graduate study without degree
    • Master's degree
    • Doctoral degree/Professional degree
    • None of the above
  6. Which of the following best describes your race? [MULTIPLE RESPONSE]
    • White
    • Black/African-American
    • American Indian or Alaska Native
    • Native Hawaiian or Pacific Islander
    • Asian
    • Other
    • Prefer not to answer
  7. Are you of Hispanic or Latino descent? [SINGLE RESPONSE]
    • Yes
    • No
    • Prefer not to answer
  8. Which of the following best describes your current employment status? [SINGLE RESPONSE]
    • Employed full-time
    • Employed part-time
    • Homemaker
    • Student
    • Looking for work
    • Retired
    • Other
  9. What is your total annual household income? [SINGLE RESPONSE]
    • Less than $15,000
    • $15,000-$24,999
    • $25,000-$34,999
    • $35,000-$49,999
    • $50,000-$74,999
    • $75,000 - $99,999
    • $100,000 - $124,999
    • $125,000 - $149,999
    • $150,000 - $199,999
    • $200,000 or more
    • Prefer not to answer
  10. In which state do you currently live?[DROPDOWN MENU] [SINGLE RESPONSE] [USE FIPS CODES FOR REPORTING]
    • 01 Alabama
    • 02 Alaska
    • 04 Arizona
    • 05 Arkansas
    • 06 California
    • 08 Colorado
    • 09 Connecticut
    • 10 Delaware
    • 11 District of Columbia
    • 12 Florida
    • 13 Georgia
    • 15 Hawaii
    • 16 Idaho
    • 17 Illinois
    • 18 Indiana
    • 19 Iowa
    • 20 Kansas
    • 21 Kentucky
    • 22 Louisiana
    • 23 Maine
    • 24 Maryland
    • 25 Massachusetts
    • 26 Michigan
    • 27 Minnesota
    • 28 Mississippi
    • 29 Missouri
    • 30 Montana
    • 31 Nebraska
    • 32 Nevada
    • 33 New Hampshire
    • 34 New Jersey
    • 35 New Mexico
    • 36 New York
    • 37 North Carolina
    • 38 North Dakota
    • 39 Ohio
    • 40 Oklahoma
    • 41 Oregon
    • 42 Pennsylvania
    • 44 Rhode Island
    • 45 South Carolina
    • 46 South Dakota
    • 47 Tennessee
    • 48 Texas
    • 49 Utah
    • 50 Vermont
    • 51 Virginia
    • 53 Washington
    • 54 West Virginia
    • 55 Wisconsin
    • 56 Wyoming
    • 99 Other
  11. Placeholder [MULTIPLE RESPONSE]
    • First
    • Second
    • Third
    • Fourth
    • Fifth
    • Sixth
  12. How many things do you have? [NUMERIC RESPONSE] [RANGE 01-90]
    ________________________________
    • 99. I don’t have anything
  13. How much to you like each of the following? [GRID RESPONSE] [SINGLE SELECT FOR EACH ROW]
      Excellent Very Good Good Fair Poor
    Able 1 2 3 4 5
    Baker 1 2 3 4 5
    Charlie 1 2 3 4 5
    Delta 1 2 3 4 5
    Echo 1 2 3 4 5
    Foxtrot 1 2 3 4 5
  14. How motivated are you to take surveys? [SINGLE RESPONSE] [10 POINT SCALE, 1=NOT AT ALL, 10=EXTREMELY]
    1 2 3 4 5 6 7 8 9 10
    Not at all motivated Somewhat motivated Motivated Very motivated Extremely motivated

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2017-05-12T12:36:14Z
2018-08-04T21:59:48Z
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