Reach and Recall (FP) Detailed Questionnaire MAIN QUESTIONNAIRE: R&R SURVEY Include reference to the household number and name of the couple selected from the listing data, and interview details (starting time, ending time, date of interview, name of interviewer, supervisor etc.) Informed Consent and Voluntary Participation Good……………….! My name is…………………and I work for a research agency called Karvy Insights Pvt. Ltd. I am member of a research team that is conducting a study to understand the recall of campaigns around child health and family planning created and aired by our client ABT Associates. This study is being conducted as part of a project called SHOPS Plus that seeks to promote the use of family planning, child health and tuberculosis treatment products and services among the urban poor. As a part of this study we are interviewing married couples, to gather data on their understanding of, beliefs, attitudes and behaviors with regard to health areas being covered by the project. This data will help our programming team to understand the impact and retention of the campaign messages among the project’s target audience. You have been selected for the Family Planning module for the current study. We are asking for 45 minutes of your time. There will be no monetary or other compensation that we will provide for your time. Please understand that your participation is voluntary and subject to your approval. The choice of whether to participate or not, is yours and yours alone. If you agree to participate, you have the choice to stop participating in the interactions at any time you feel uncomfortable — all you have to do is tell me that you do not want to continue. You may also refuse to answer any question. There will be no penalty for your refusal to answer any question. The information you discuss will be kept private. We will NOT publish your name, phone number, or any personal information. Only the research team will ever know that you participated in this study or what your answers were. The answers you give will be kept secure and will be combined with several other respondents in a summary report. You will not be identified in any manner in this report. Per USAID requirements, the datasets developed using this survey will be uploaded to USAID’s data warehouse for use by authorized researchers. Your name or any other identifying information will not be a part of this dataset. Benefits and Risks Risks: Discussing and answering questions about personal attitudes, opinions and experiences may make you uncomfortable, and you may decide not to participate in all or part of the discussion. There is also a small risk of loss of confidentiality. We have study procedures to reduce this risk. Benefits: These studies are purely informational, and offer no other immediate benefit to you. By participating in the study you and other participants could help to produce a positive social behavioral change related to key life decisions, relationships, reproductive health, child health and general well-being of people in India. The results of this study will be made publically available by Abt Associates and USAID and can be accessed by anyone, including participants. Research Study Contacts This research has been approved by the ABT Associates Institutional Review Board. For questions or concerns about your rights as a study participant, contact the ABT Institutional Review Board at [email protected]. If you have any questions about the research study, please contact any one of the project leaders: Project Wave Version 1.4.4 - Sept 16 FP Campaign Reach and Recall (FP) Detailed Questionnaire Andy Bhanot Rahul Dutta Director – Research, Abt Associates India Research Manager, Abt Associates India, Principal Investigator Co-Investigator M: 9810253614 M: 9205268588 Email: [email protected] Email: [email protected] Shipra Srihari Abt Associates Project Quality Advisor Email: [email protected] 1. Have you been read this consent form and had its contents explained to you? Yes 1 CONTINUE No 2 READ THE SCRIPT ABOVE ONCE AGAIN, AND ASK 1. 2. Have all your questions been answered? Yes 1 CONTINUE No 2 EXPLAIN THE PERSONS AND NUMBERS TO CALL AND CONFIRM A DATE TO VISIT AGAIN TO CONTINUE INTERVIEW. 3. Are you willing to participate in the survey? Yes 1 CONTINUE No 2 EXPLAIN THE PURPOSE OF THE STUDY AND ASK Q.3 AGAIN. TERMINATE IF RESPONDENT IS STILL NOT WILLING TO PARTICIPATE. 4. What language are you most comfortable speaking? Hindi 1 ACTIVATE THE LANGUAGE ON THE CAPI HANDHELD THAT THE RESPONDENT IS MOST COMFORTABLE SPEAKING AND CONTINUE TO NEXT SECTION. Oriya 2 Ahomiya 3 Other 4 TERMINATE Project Wave Version 1.4.4 - Sept 16 FP Campaign Reach and Recall (FP) Detailed Questionnaire Section-1: OCP CAMPAIGN RECALL 101 Do you have below mentioned people in your family? DISPLAY EACH CODE GO TO PERSON’S NAME AND MARITAL STATUS. Before we begin, please confirm marital status. For only married people, ask for their age and gender (MALE/ FEMALE). IN CASE RESPONDENT ASKS, how did they get the married persons’ name, THEN ONLY STATE – A health related study was conducted sometime back in your city and we would like to understand more about family planning related issues. Married 1 102 Never married 2 Divorced/separated/widowed 3 TERMI Co-habiting 4 NATE No response 99 102 Could you please tell me the age in completed years of every married person in the family? <18 years 1 TERMI 30 years or above 2 NATE 18-29 years 3 103 Please select the married person who is at home and whose age appears in the 18-29 year age group. If there are multiple married people in the family, select any one. INSTRUCTION: IF THE MARRIED PERSON IS THE SAME AS THE RESPONDENT, ASK 103. IF THE MARRIED PERSON IS DIFFERENT FROM THE RESPONDENT, INTRODUCE YOURSELF, EXPLAIN THE PURPOSE OF THE SURVEY AND START AGAIN AT BY READING OUT THE INFORMED CONSENT AND VOLUNTARY PARTICIPATION SCRIPT 103 Do you recall having seen or heard any advertisement or participated in any activity related to Oral Contraceptive Pills in the past 6-8 weeks? Yes 1 104 No 2 105 Don’t know/Can’t remember 99 104 Can you remember the tagline or slogan of the campaign? DO NOT PROMPT. RECORD ALL RESPONSE – Click Save Order Hai Goli Main Vishwas 1 106 Naye zamane ki garv nirodhak goli aasaan, asardar aur bharosemand hai 2 Other (RECORD VERBATIM)………………………………………………………………………….. 105 Don’t know/Can’t remember 99 105 Do you recall having seen or heard this advertisement or participated in any activity related to this campaign SHOWCARD – OCP CAMPAIGN – show all 3 cards one by one and code yes or no, if any one campaign has been seen then we will record “Yes” . Buaji – 1; Couple – 2; Aadat – 3 Yes 1 106 No 2 122 Don’t know/Can’t remember 99 106 You mentioned that you have seen or heard the advertisement or participated in some activity related to this campaign. Please remember and tell me where exactly did you see or hear this advertisement? Any other? Any other? DO NOT PROMPT. RECORD ALL MENTIONED [As this is multiple choice, 107-115 will be applicable as per codes selected here. Will then skip to 115] Project Wave Version 1.4.4 - Sept 16 FP Campaign Reach and Recall (FP) Detailed Questionnaire Saw advertisement on TV 1 SKIP Listened to advertisement on Radio 2 TO Saw advertisement on internet or mobile 3 RELEV Participated somewhere in activity related to the campaign 4 ANT QUESTI ON AS CODED Saw/listened somewhere else (RECORD VERBATIM)……………………………………… 115 Don’t know/Can’t remember 99 107 On which TV channel did you see the advertisement? Any other? Any other? DO NOT PROMPT. RECORD ALL MENTIONED ABP Ganga 1 ABP News 2 B4u Bhojpuri 3 B4u Movies 4 Big Ganga 5 Colors Cineplex 6 India TV 7 News Live 24*7 8 News18 India 9 Rengoni 10 Sony MAX 2 11 108 Sony Wah 12 Star Bharat 13 STAR Utsav 14 Tarang TV 15 Zee Action 16 Zee Anmol Cinema 17 Zee Bollywood 18 Zee MPCG 19 Zee News 20 Zee UP/UK 21 OTHER (RECORD VERBATIM)…………………………………………………………………….. Don’t know/Can’t say 99 109 108 Think about the advertisement and tell me how many times did you see it on TV? DO NOT PROMPT. CODE ONLY ONE Once 1 115 Twice 2 unless Thrice 3 any Four or more times 4 other Don’t remember/Can’t say 99 code selecte d in 106 109 On which radio station did you hear the advertisement? Any other? Any other? DO NOT PROMPT. RECORD ALL MENTIONED AIR Primary 1 BIG FM 2 Chokolate 3 GupShup 4 MY FM 5 Project Wave Version 1.4.4 - Sept 16 FP Campaign Reach and Recall (FP) Detailed Questionnaire Radio City 6 Radio Dhamaal 7 Radio Khusi 8 Radio Mirchi 9 Radio Nasha 10 Radio Tadka 11 RED FM 12 Sarthak 91.9 13 Other (RECORD VERBATIM)………………………………………………………………… Don’t know/Can’t remember 99 111 110 Think about the advertisement and tell me how many times did you hear it on radio? DO NOT PROMPT. CODE ONLY ONE Once 1 115 Twice 2 unless Thrice 3 any Four or more times 4 other Don’t remember/Can’t say 99 code selecte d in 106 111 On which website did you see the advertisement? Any other? Any other? DO NOT PROMPT. RECORD ALL MENTIONED You Tube 1 Facebook page 2 Twitter 3 112 Ministry of Health and Family Welfare webpage 4 SHOPS Plus webpage 5 Other (RECORD VERBATIM)………………………………………………………………… Don’t know/Can’t remember 99 113 112 Think about the advertisement and tell me how many times did you see it on internet/mobile? DO NOT PROMPT.