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Questionnaire Outline: Cigna BX Tracker 2018 171188 December 08, 2021
Questionnaire Outline: Cigna BX Tracker 2018 171188 December 08, 2021
Questionnaire Outline: Cigna BX Tracker 2018 171188 December 08, 2021
The contents of this document are the confidential property of Lieberman Research Worldwide. No part of this document may be
reproduced or distributed in any form without the express written permission of Lieberman Research Worldwide.
QUESTIONNAIRE OUTLINE
[DV_LinkType]
- Hidden Question. Applies to all.
DV_LinkType Hidden variable to capture link type
.
Select one response.
DEFAULT ORDER.
1. National PC: DV_LinkSource = anything National
2. Priority PC: DV_LinkSource = anything Priority
3. Hispanic PC: DV_LinkSource = anything Hispanic
4. IFP PC: DV_LinkSource = anything IFP
5. Senior PC: DV_LinkSource = anything Senior
6. MSA PC: DV_LinkSource = anything MSA
[DV_SpeederSettingMain]
- Hidden Question. Applies to all.
DV_SpeederSettingMain. Captures link type to determine main section speeder threshold.
Select one response.
DEFAULT ORDER.
1. Link Type = MSA (5 Minutes) Autocode if respondent selected code [6] at
DV_LinkType.
2. Link Type ≠ MSA (10 Minutes) Autocode if respondent selected any codes [1-5]
at DV_LinkType.
[DV_LinkSourceAugment]
- Hidden Question. Applies to all.
- Programmer Comment: Autocode based on 'user1' parameter from the link.
SUPPRESSED AS OF JULY 2017. THIS WAS A DUPLICATE VARIABLE SINCE WE ALREADY HAVE DV_LINKTYPE.
DV_LinkSourceAugment. Hidden variable to capture augment from Link Source.
Select one response.
DEFAULT ORDER.
1. National Rep
2. Priority
3. Senior
4. Hispanic
5. IFP
[DV_LinkSourceMSA]
- Hidden Question. Applies to all.
- Programmer Comment: Use link source to punch Yes or No.
DV_LinkSourceMSA. Punches Yes or No based on link source.
Select one response.
DEFAULT ORDER.
1. Yes PC: SUPPRESSED - DON'T NEED ANYMORE
2. No
[DV_Year]
- Hidden Question. Applies to all.
- Programmer Comment: Hard code all respondents at _2021
DV_Year. Hidden Variable. Capture year
Select one response.
DEFAULT ORDER.
1. 2015
2. 2016
3. 2017
4. 2018
5. 2019
6. 2020
7. 2021
DEFAULT ORDER.
1. Wave 1 + 2: August - December 2015
2. Wave 3: January - June 2016 (Q1 and Q2)
3. Wave 4: July - December 2016 (Q3 and Q4)
4. Wave 5: January - June 2017 (Q1 and Q2)
5. Wave 6: July - December (Q3 and Q4)
6. Wave 7: January - June 2018 (Q1 and Q2)
7. Wave 8: July - December 2018 (Q3 and Q4)
8. Wave 9: January - June 2019 (Q1 and Q2)
9. Wave 10: July - December 2019 (Q3 and Q4)
10. Wave 11: January - June 2020 (Q1 and Q2)
11. Wave 12: July - December 2020 (Q3 and Q4)
12. Wave 13: January - June 2021 (Q1 and Q2)
13. Wave 14: July - December 2021 (Q3 and Q4) PC: Reminder: update DV_Wave every wave to
hard-code respondents.
[DV_Month]
- Hidden Question. Applies to all.
DV_Month. Hidden Variable. Capture month
Select one response.
DEFAULT ORDER.
1. January
2. February
3. March
4. April
5. May
6. June
7. July
8. August
9. September
10. October
11. November
12. December
DEFAULT ORDER.
1. Week 1
2. Week 2
3. Week 3
4. Week 4
5. Week 5
6. Week 6
7. Week 7
8. Week 8
9. Week 9
10. Week 10
11. Week 11
12. Week 12
13. Week 13
14. Week 14
15. Week 15
16. Week 16
17. Week 17
18. Week 18
19. Week 19
20. Week 20
21. Week 21
22. Week 22
23. Week 23
24. Week 24
25. Week 25
26. Week 26
27. Week 27
28. Week 28
29. Week 29
30. Week 30
DEFAULT ORDER.
1. Week 1
2. Week 2
3. Week 3
4. Week 4
5. Week 5
6. Week 6
7. Week 7
8. Week 8
9. Week 9
10. Week 10
11. Week 11
12. Week 12
13. Week 13
14. Week 14
15. Week 15
16. Week 16
17. Week 17
18. Week 18
19. Week 19
20. Week 20
21. Week 21
22. Week 22
23. Week 23
24. Week 24
25. Week 25
26. Week 26
27. Week 27
28. Week 28
29. Week 29
30. Week 30
[DV_Country]
- Hidden Question. Applies to all.
DV_Country. Hidden question. Capture country.
Select one response.
DEFAULT ORDER.
1. United States
[Language]
- Show to all.
S17_Language. In which of the following languages would you prefer to take this survey?
DEFAULT ORDER.
1. English
2. Español
[DV_Language]
- Hidden Question. Applies to all.
DV_Language. Hidden variable. Capture language used for the rest of the survey.
Select one response.
DEFAULT ORDER.
1. English Autocode if respondent selected code [1] at
S17_Language.
2. Spanish Autocode if respondent selected code [2] at
S17_Language.
[QCHotCold]
- Show to all.
- Terminate Immediately if respondent did NOT select code [1] at S1b_QCHotCold.
- Programmer Comment: SUPPRESS QUESTION AS OF JULY 2018
S1b_QCHotCold. And one more silly question. What is the opposite of hot?
Select one response.
RANDOMIZE LIST.
1. Cold
2. Tree
3. House
4. Fish
[DV_QCLowAssigned]
- Hidden Question. Applies to all.
DV_QCLowAssigned. Low-incidence QC items assigned (randomly assign 5)
Select all that apply.
DEFAULT ORDER.
1. Ran a marathon
2. Purchased a home
3. Rode in a hot air balloon
4. Rode in a submarine
5. Went skydiving
6. Had the mumps or measles
7. Renewed a passport PC: Suppressed as of June 2021
8. Got divorced
9. Graduated from a graduate degree program
10. Purchased a boat
11. Gave birth to triplets
12. Rented an RV
[DV_QCHighAssigned]
- Hidden Question. Applies to all.
DV_QCHighAssigned. High-incidence QC items assigned (randomly assign 5)
Select all that apply.
DEFAULT ORDER.
1. Purchased food (at a supermarket, fast food restaurant,
etc.)
2. Did laundry or washed dishes
3. Bought something (at a store, street vendor, online, etc.)
4. Watched at least 1 hour of video (TV show, movie,
sporting event, clips on YouTube, etc.)
5. Called or texted friends or family
6. Went somewhere in a car, truck, bus, subway, or train
7. Drank water, juice, or milk
RANDOMIZE LIST.
1. Ran a marathon
2. Purchased a home
3. Rode in a hot air balloon
4. Rode in a submarine
5. Went skydiving
6. Had the mumps or measles
7. Renewed a passport PC: Suppressed as of June 2021
8. Got divorced
9. Graduated from a graduate degree program
10. Purchased a boat
11. Gave birth to triplets
12. Rented an RV
1. Purchased food (at a supermarket, fast food restaurant,
etc.)
2. Did laundry or washed dishes
3. Bought something (at a store, street vendor, online, etc.)
4. Watched at least 1 hour of video (TV show, movie,
sporting event, clips on YouTube, etc.)
5. Called or texted friends or family
6. Went somewhere in a car, truck, bus, subway, or train
7. Drank water, juice, or milk
99. None of the above ANCHOR. EXCLUSIVE.
[DV_HiLowQCQualified]
- Hidden Question. Applies to all.
- Terminate Immediately if respondent selected any codes [1-2] at DV_HiLowQCQualified.
- Programmer Comment: Terminate every other respondent who selected codes LowIncidence or HighIncidence
DEFAULT ORDER.
1. Low incidence (chose 1+) Terminate immediately. PC: Autocode if
respondent selected anything from
QCLowIncidience shared list at S1d_HiLowQc.
2. High incidence (chose <1) Terminate immediately. PC: Autocode if
respondent selected less than 1 item from
QCHighIncidence shared list at S1d_HiLowQc.
3. Qualified (chose 0 low incidence and 1+ high incidence) EXCLUSIVE. PC: Autocode if respondent selected
nothing from QCLowIncidence shared list AND
selected 1+ items from QCHighIncidence shared
list at S1d_HiLowQCQualified.
[ScreenerIntro]
- Show to all.
DT_ScreenerIntro. Welcome to our study! Thank you for taking the time to share your views with us. Your answers will be kept strictly
confidential and will only be used in aggregate for research purposes only.
This questionnaire will take approximately 20 minutes to complete, on average. However, you may take as much time
as you would like.
Thank you in advance for your participation. Please click “Next” to start the survey.
[ZipCode]
- Show to all.
S1c_ZipCode. Please provide your 5-digit zip code.
Enter a numeric response.
DEFAULT ORDER.
1. Failed zip code QC
2. Didn't fail zip code QC
[DV_PriorityMarketQuota]
- Hidden Question. Applies to all.
- Programmer Comment: Hidden Variable. Capture priority market status.
DV_PriorityMarketQuota. Hidden Variable. Capture priority market status.
Select one response.
DEFAULT ORDER.
1. Atlanta, GA
2. Charlotte, NC
3. Chicago, IL
4. Dallas, TX
5. Denver, CO
6. Houston, TX
7. Miami/Ft. Lauderdale, FL
8. Nashville, TN
9. New England
10. NYC/ New Jersey
11. Orlando, FL
12. Philadelphia, PA
13. Phoenix, AZ
14. Southern California
15. St. Louis, MO
16. Tampa, FL
17. Washington, D.C.
19. Baltimore, MD
21. Memphis, TN
18. Not a priority market
20. Pittsburgh
22. Salt Lake City, UT PC: Code if respondent S1c_ZipCode is within
DMA 770 (Salt Lake City)
23. Palm Beach County, FL PC: Code if respondent S1c_ZipCode is within
Palm Beach County
24. San Francisco, CA PC: Code if respondent S1c_ZipCode is within San
Francisco DMA
[DV_IFPMarketQuota]
- Hidden Question. Applies to all.
- Programmer Comment: Capture location of all respondents. Prior augment markets suppressed with IFP reinstatement for Q3'21.
Linked to QTA_PriorityMarketQuota_IFP in program.
DV_IFPMarketQuota Hidden variable to capture IFP market status. Defined by DMA unless otherwise noted.
.
Select one response.
DEFAULT ORDER.
1. Chicago, IL
2. St. Louis, MO
3. Orlando, FL
4. South Florida PC: Miami DMA + Palm Beach
5. Raleigh, NC
6. Northern VA PC: Washington DC DMA AND in Virginia State
7. Denver, CO
8. Pennsylvania State PC: PA State
9. Mississippi State PC: MS State
10. Georgia State PC: GA State
11. Not an IFP Market
DEFAULT ORDER.
1. Boston
2. Chicago
3. Greensboro
4. Hartford
5. LA DMA
6. Philadelphia
7. Raleigh/Durham
8. Richmond
9. San Francisco
10. Not an MSA priority market EXCLUSIVE. PC: Term if DV_LinkType = MSA
[DV_ControlMkt]
- Hidden Question. Applies to all.
DV_ControlMkt. Hidden Variable. Capture control market status
Select one response.
DEFAULT ORDER.
1. North Carolina -- Raleigh, Durham, Chapel Hill
1. California -- San Francisco, Oakland, San Jose
3. California -- San Diego
4. Washington -- Seattle
6. Kansas -- Kansas City
7. North Carolina -- Charlotte, Gastonia, Rock Hill
8. Washington -- Seattle
9. California -- Los Angeles
10. California -- San Diego
11. Michigan -- Detroit
12. Florida -- Jacksonville
13. Florida -- Tampa Bay Area
14. Connecticut - Hartford, and Massachusetts - Springfield
15. North Carolina - Winston-Salem, Greensboro
16. Oregon - Portland
17. Tennessee - Chattanooga
18. South Carolina - Spartanburg, Greenville
19. Tennessee - Knoxville, Eastern
20. Ohio - Cleveland, Akron
21. Utah - Salt Lake City
22. Massachusetts - Boston
23. Texas - Austin
5. Not a control market PC: Select if not a control market above
[DV_LocalizationMkts]
- Hidden Question. Applies to all.
DV_LocalizationMkts. Hidden question: capture localization markets based on zip codes from client
Select one response.
DEFAULT ORDER.
1. Houston
2. Central Florida
3. Mid-Atlantic
4. Chicago
5. Phoenix
6. Dallas
7. Tennessee
8. Not in a localization market PC: Select if not one of the codes above
DEFAULT ORDER.
1. Alabama
2. Alaska
3. Arizona
4. Arkansas
5. California
6. Colorado
7. Connecticut
8. Delaware
9. Florida
10. Georgia
11. Hawaii
12. Idaho
13. Illinois
14. Indiana
15. Iowa
16. Kansas
17. Kentucky
18. Louisiana
19. Maine
20. Maryland
21. Massachusetts
22. Michigan
23. Minnesota
24. Mississippi
25. Missouri
26. Montana
27. Nebraska
28. Nevada
29. New Hampshire
30. New Jersey
31. New Mexico
32. New York
33. North Carolina
34. North Dakota
35. Ohio
36. Oklahoma
37. Oregon
38. Pennsylvania
39. Rhode Island
40. South Carolina
41. South Dakota
42. Tennessee
43. Texas
44. Utah
45. Vermont
46. Virginia
47. Washington
48. Washington D.C.
49. West Virginia
50. Wisconsin
51. Wyoming
[DV_ReactivityTierMar20]
- Hidden Question. Applies to all.
- Note to client: DV for tracking reactivity for each state as of 3/20/2020. Highly recommend addition to all US studies.
DV_ReactivityTierMar20. DV to track reactivity of each US state to COVID-19, based on 3/20/2020 reports.
Select one response.
DEFAULT ORDER.
1. Most reactive states Autocode if respondent selected any codes [2, 5,
7, 9, 11, 19, 28, 30, 32, 37, 39, 44, 47-48] at
DV_State.
2. Least reactive states Autocode if respondent selected any codes [12,
26, 34, 36, 41, 49] at DV_State.
3. Moderate reactive states Autocode if respondent did NOT select codes [1-2]
at DV_ReactivityTierMar20.
DEFAULT ORDER.
1. ORANGE PC: only punch this stub if State = CA and they
live in this county
2. SAN DIEGO PC: only punch this stub if State = CA and they
live in this county
3. LOS ANGELES PC: only punch this stub if State = CA and they
live in this county
4. Other
[DV_NielsenCountySize]
- Hidden Question. Applies to all.
- Programmer Comment: Please use the standard Nielsen database and code based off of CitySize.
DV_NielsenCountySize. Hidden variable to capture Nielsen county size, based on zip code.
DEFAULT ORDER.
1. A (part of 1 of the 25 largest metropolitan areas in the PC: CITYSIZE = 6
US)
2. B (150,000+ population or a part of a metropolitan area) PC: CITYSIZE = 7
3. C (population size between 40,000 - 150,000) PC: CITYSIZE = 8
4. D (population size <40,000) PC: CITYSIZE = 9
[DV_UsRegion]
- Hidden Question. Applies to all.
- Programmer Comment: Capture US census region.
DV_UsRegion. Hidden Question. Capture US census region
Select one response.
DEFAULT ORDER.
1. Northeast
2. Midwest
3. South
4. West
5. Not classified
[DV_CovidGEOGroup]
- Hidden Question. Applies to all.
- Note to client: State reactivity nested by Region to support CTP data collection.
DV_CovidGEOGroup. US geographic region by COVID reactivity
Select one response.
DEFAULT ORDER.
1. Northeast - Most Autocode if respondent selected code [1] at
DV_UsRegion AND respondent selected code [1]
at DV_ReactivityTierMar20.
2. South - Most Autocode if respondent selected code [3] at
DV_UsRegion AND respondent selected code [1]
at DV_ReactivityTierMar20.
3. West - Most Autocode if respondent selected code [4] at
DV_UsRegion AND respondent selected code [1]
at DV_ReactivityTierMar20.
4. Midwest - Most Autocode if respondent selected code [2] at
DV_UsRegion AND respondent selected code [1]
at DV_ReactivityTierMar20.
5. Northeast - Moderate Autocode if respondent selected code [1] at
DV_UsRegion AND respondent selected code [3]
at DV_ReactivityTierMar20.
6. South - Moderate Autocode if respondent selected code [3] at
DV_UsRegion AND respondent selected code [3]
at DV_ReactivityTierMar20.
7. West - Moderate Autocode if respondent selected code [4] at
DV_UsRegion AND respondent selected code [3]
at DV_ReactivityTierMar20.
[DV_USCensusDivision]
- Hidden Question. Applies to all.
- Programmer Comment: Capture US census division.
DV_USCensusDivision. Hidden Question. Capture US census division.
Select one response.
DEFAULT ORDER.
1. New England
2. Middle Atlantic
3. East North Central
4. West North Central
5. South Atlantic
6. East South Central
7. West South Central
8. Mountain
9. Pacific
10. Not classified
[SensitiveIndustry]
- Show to all.
- Terminate Immediately if respondent selected code [1] at S2_SensitiveIndustry.
S2_SensitiveIndustry. Do you or does anyone in your household work for an advertising agency, public relations firm, or marketing
research firm?
Select one response.
DEFAULT ORDER.
1. Yes Terminate immediately.
2. No
[Gender]
- Show to all.
S3_Gender. Are you...?
Select one response.
DEFAULT ORDER.
1. Male
2. Female
[Age]
- Show to all.
- Terminate Immediately if value provided at S4_Age is greater than 79 AND value provided at S4_Age is less than 26.
S4_Age. What is your age?
Enter a numeric response.
[DV_Age]
- Hidden Question. Applies to all.
- Terminate Immediately if respondent did NOT select codes [1-5] at DV_Age AND respondent selected code [4] at DV_LinkType.
- Programmer Comment: Hidden Variable. Capture age breaks 2.
DV_Age. Hidden Variable. Capture age breaks.
Select one response.
DEFAULT ORDER.
1. 26-29 Autocode if value provided at S4_Age is between
(inclusive) 26 and 29.
2. 30-39 Autocode if value provided at S4_Age is between
(inclusive) 30 and 39.
3. 40-49 Autocode if value provided at S4_Age is between
(inclusive) 40 and 49.
4. 50-59 Autocode if value provided at S4_Age is between
(inclusive) 50 and 59.
5. 60-64 Autocode if value provided at S4_Age is between
(inclusive) 60 and 64.
DEFAULT ORDER.
1. Male 26-29 Autocode if (respondent selected code [1] at
S3_Gender AND respondent selected code [1] at
DV_Age).
2. Male 30-39 Autocode if (respondent selected code [1] at
S3_Gender AND respondent selected code [2] at
DV_Age).
3. Male 40-49 Autocode if (respondent selected code [1] at
S3_Gender AND respondent selected code [3] at
DV_Age).
4. Male 50-59 Autocode if (respondent selected code [1] at
S3_Gender AND respondent selected code [4] at
DV_Age).
5. Male 60-64 Autocode if (respondent selected code [1] at
S3_Gender AND respondent selected code [5] at
DV_Age).
10. Male 65-69 Autocode if (respondent selected code [1] at
S3_Gender AND respondent selected code [6] at
DV_Age).
11. Male 70-79 Autocode if (respondent selected code [1] at
S3_Gender AND respondent selected code [7] at
DV_Age).
6. Female 26-29 Autocode if (respondent selected code [2] at
S3_Gender AND respondent selected code [1] at
DV_Age).
7. Female 30-39 Autocode if (respondent selected code [2] at
S3_Gender AND respondent selected code [2] at
DV_Age).
8. Female 40-49 Autocode if (respondent selected code [2] at
S3_Gender AND respondent selected code [3] at
DV_Age).
9. Female 50-59 Autocode if (respondent selected code [2] at
S3_Gender AND respondent selected code [4] at
DV_Age).
12. Female 60-64 Autocode if (respondent selected code [2] at
S3_Gender AND respondent selected code [5] at
DV_Age).
13. Female 65-69 Autocode if (respondent selected code [2] at
S3_Gender AND respondent selected code [6] at
DV_Age).
14. Female 70-79 Autocode if (respondent selected code [2] at
S3_Gender AND respondent selected code [7] at
DV_Age).
[DV_SeniorQuota]
- Hidden Question. Applies to all.
- Programmer Comment: Hidden Variable. Capture senior quota.
DV_SeniorQuota. Hidden Variable. Capture senior quota.
Select one response.
DEFAULT ORDER.
1. Senior Autocode if respondent selected any codes [6-7]
at DV_Age.
2. Not Senior Autocode if respondent selected any codes [1-5]
at DV_Age.
[Ethnicity]
- Show to all.
S5_Ethnicity. Which of these best describes you?
Select one response.
RANDOMIZE LIST.
1. White or Caucasian
2. Black or African American
3. Hispanic, Latino or Spanish origin
4. Asian
5. American Indian or Alaskan Native
6. Native Hawaiian or other Pacific Islander
7. Some other race, ethnicity, or origin ANCHOR.
DEFAULT ORDER.
1. Afghanistan
2. Albania
3. Algeria
4. Andorra
5. Angola
6. Antigua and Barbuda
7. Argentina
8. Armenia
9. Australia
10. Austria
11. Azerbaijan
12. Bahamas
13. Bahrain
14. Bangladesh
15. Barbados
16. Belarus
17. Belgium
18. Belize
19. Benin
20. Bhutan
21. Bolivia
22. Bosnia and Herzegovina
23. Botswana
24. Brazil
25. Brunei
26. Bulgaria
27. Burkina Faso
28. Burundi
29. Cabo Verde
30. Cambodia
31. Cameroon
32. Canada
33. Central African Republic
34. Chad
35. Chile
36. China
37. Colombia
38. Comoros
39. Congo, Republic of the
40. Congo, Democratic Republic of the
41. Costa Rica
42. Cote d'Ivoire
43. Croatia
44. Cuba
45. Cyprus
46. Czech Republic
47. Denmark
48. Djibouti
49. Dominica
50. Dominican Republic
51. Ecuador
52. Egypt
53. El Salvador
54. Equatorial Guinea
55. Eritrea
56. Estonia
57. Ethiopia
58. Fiji
59. Finland
60. France
61. Gabon
62. Gambia
63. Georgia
64. Germany
65. Ghana
66. Greece
67. Grenada
LRW # 171188 © 2021 LRW. All rights reserved. CONFIDENTIAL. 20
68. Guatemala
69. Guinea
70. Guinea-Bissau
71. Guyana
72. Haiti
73. Honduras
74. Hungary
75. Iceland
76. India
77. Indonesia
78. Iran
79. Iraq
80. Ireland
81. Israel
82. Italy
83. Jamaica
84. Japan
85. Jordan
86. Kazakhstan
87. Kenya
88. Kiribati
89. Kosovo
90. Kuwait
91. Kyrgyzstan
92. Laos
93. Latvia
94. Lebanon
95. Lesotho
96. Liberia
97. Libya
98. Liechtenstein
99. Lithuania
100. Luxembourg
101. Macedonia
102. Madagascar
103. Malawi
104. Malaysia
105. Maldives
106. Mali
107. Malta
108. Marshall Islands
109. Mauritania
110. Mauritius
111. Mexico
112. Micronesia
113. Moldova
114. Monaco
115. Mongolia
116. Montenegro
117. Morocco
118. Mozambique
119. Myanmar (Burma)
120. Namibia
121. Nauru
122. Nepal
123. Netherlands
124. New Zealand
125. Nicaragua
126. Niger
127. Nigeria
128. North Korea
129. Norway
130. Oman
131. Pakistan
132. Palau
133. Palestine
134. Panama
135. Papua New Guinea
136. Paraguay
137. Peru
138. Philippines
139. Poland
140. Portugal
198. Puerto Rico
141. Qatar
LRW # 171188 © 2021 LRW. All rights reserved. CONFIDENTIAL. 21
142. Romania
143. Russia
144. Rwanda
145. St. Kitts and Nevis
146. St. Lucia
147. St. Vincent and The Grenadines
148. Samoa
149. San Marino
150. Sao Tome and Principe
151. Saudi Arabia
152. Senegal
153. Serbia
154. Seychelles
155. Sierra Leone
156. Singapore
157. Slovakia
158. Slovenia
159. Solomon Islands
160. Somalia
161. South Africa
162. South Korea
163. South Sudan
164. Spain
165. Sri Lanka
166. Sudan
167. Suriname
168. Swaziland
169. Sweden
170. Switzerland
171. Syria
172. Taiwan
173. Tajikistan
174. Tanzania
175. Thailand
176. Timor-Leste
177. Togo
178. Tonga
179. Trinidad and Tobago
180. Tunisia
181. Turkey
182. Turkmenistan
183. Tuvalu
184. Uganda
185. Ukraine
186. United Arab Emirates
187. UK (United Kingdom)
188. USA (United States of America)
189. Uruguay
190. Uzbekistan
191. Vanuatu
192. Vatican City (Holy See)
193. Venezuela
194. Vietnam
195. Yemen
196. Zambia
197. Zimbabwe
More More
Spanish English
COLS: DEFAULT ORDER. Only than Both than Only
ROWS: RANDOMIZE LIST. Spanish English equally Spanish English
1. In general, what
language do you read and 1 2 3 4 5
speak?
2. What language do you
1 2 3 4 5
usually speak at home?
3. In what language do
1 2 3 4 5
you usually think?
4. What language do you
usually speak with your 1 2 3 4 5
friends?
[DV_AccultrationLevel]
- Hidden Question. Applies to all.
- Programmer Comment: Calculate average score for each respondent (sum of codes/4)
DEFAULT ORDER.
1. Low acculturation
2. Bi-cultural
3. High acculturation
4. Not Hispanic PC: All other respondents, those not asked S5b
[DV_HispanicQuota]
- Hidden Question. Applies to all.
- Programmer Comment: Hidden Variable. Capture Hispanic quota.
DV_HispanicQuota. Hidden Variable. Capture Hispanic quota.
Select one response.
DEFAULT ORDER.
1. Hispanic (acculturated) Autocode if respondent selected any codes [2-3]
at DV_AccultrationLevel.
2. Hispanic (not acculturated) Autocode if respondent selected code [1] at
DV_AccultrationLevel.
3. Not Hispanic Autocode if respondent selected code [4] at
DV_AccultrationLevel.
[Income_Current]
- Show to all.
- Terminate Immediately if respondent selected code [1] at S6b_Income_Current AND respondent selected code [4] at DV_LinkType.
S6b_Income_Current. Which of the following categories best describes your household’s expected [Insert response from DV_Year] total
household income from all sources before taxes?
Select one response.
DEFAULT ORDER.
1. Less than $12,000
2. $12,000 to $19,999
3. $20,000 to $29,999
4. $30,000 to $39,999
5. $40,000 to $49,999
6. $50,000 to $74,999
7. $75,000 to $99,999
8. $100,000 to $149,999
9. $150,000 to $199,999
[Income]
- Show to all.
- Terminate Immediately if respondent selected any codes [1-2] at S6_Income AND respondent did NOT select code [4] at
DV_LinkType.
S6_Income. We know COVID-19 (“Coronavirus”) and its impact on the economy affected a lot of people’s incomes. Think back before the
pandemic. In 2019, what was your household’s total income, before taxes?
Select one response.
DEFAULT ORDER.
1. Less than $12,000
2. $12,000 to $19,999
3. $20,000 to $29,999
4. $30,000 to $39,999
5. $40,000 to $49,999
6. $50,000 to $74,999
7. $75,000 to $99,999
8. $100,000 to $149,999
9. $150,000 to $199,999
10. $200,000 or higher
[DV_Income_COVChange]
- Hidden Question. Applies to all.
- Note to client: DV to store difference in 2021 and 2019 income.
DV_Income_COVChange. DV to Capture Income change between 2021 and 2019 from COVID
Select one response.
DEFAULT ORDER.
1. Current income is higher than Pre-COVID income PC: Punch if factor(Income_Current) -
factor(Income) is >0
2. Current income is equal to Pre-COVID income PC: Punch if factor(Income_Current) =
factor(Income)
3. Current income is lower than Pre-COVID income PC: Punch if factor(Income_Current) -
factor(Income) is <0
[HaveHealthInsurance]
- Show to all.
S7_HaveHealthInsurance. Do you currently have health insurance?
Select one response.
DEFAULT ORDER.
1. Yes
2. No
RANDOMIZE LIST.
RANDOMIZE WITHIN. Header: Row.
1. My employer, union or personal business
2. My state or local government employment
3. My federal or military government employment
RANDOMIZE WITHIN.
4.
My spouse/partner’s employer or union
5.
My spouse/partner’s state or local government
employment
6. My spouse/partner’s federal or military government
employment
7. My spouse’s/partner’s business
8. Another household member’s employer
RANDOMIZE WITHIN.
9. Medicare
10. Medicaid Terminate immediately.
11. COBRA
12. Disability
13. Veterans benefits
RANDOMIZE WITHIN.
14. I purchased it directly from a broker/advisor PC: SUPPRESS AS OF JULY 2021
15. I purchased it directly from a private health insurance PC: SUPPRESS AS OF JULY 2021
company
16. I purchased it directly through a government-sponsored PC: SUPPRESS AS OF JULY 2021
public health insurance marketplace/exchange
(HealthCare.gov, state exchange)
17. The health insurance plan was purchased through an
employer, work or school-sponsored private health
insurance marketplace/exchange where I was offered a
variety of health and other insurance options to select
from
19. The plan was purchased directly from an insurance Client: ADDED JULY 2021
company representative or website
20. The plan was purchased online directly from a Federal or Client: ADDED JULY 2021
State health insurance marketplace or exchange such as
www.healthcare.gov (Affordable Care Act also referred to
as Obamacare)
21. The plan was purchased directly through a health Client: ADDED JULY 2021
insurance professional or consultant (i.e., advisor, agent
or broker) who helped you select which plan options you
wanted
22. The health plan was purchased from a website such as Client: ADDED JULY 2021
ehealthinsurance.com
18. Other source ANCHOR.
[DV_IFPQuota]
- Hidden Question. Applies to all.
DV_IFPQuota. Hidden Variable. Capture IFP quota
Select one response.
DEFAULT ORDER.
1. IFP Autocode if respondent selected any codes [19-
22] at S8_SourceOfHealthInsurance.
2. Not IFP Autocode if respondent did NOT select codes [19-
22] at S8_SourceOfHealthInsurance.
DEFAULT ORDER.
1. PIX (Private exchange) Autocode if respondent selected code [17] at
S8_SourceOfHealthInsurance.
2. Not PIX Autocode if respondent did NOT select code [17]
at S8_SourceOfHealthInsurance.
[LikelyToGetInN12M]
- Show if respondent selected code [2] at S7_HaveHealthInsurance.
- Terminate at end of screener if respondent selected any codes [1-2] at S9_LikelyToGetInN12M.
S9_LikelyToGetInN12M. How likely are you to purchase or obtain health insurance in the next 12 months?
Select one response.
DEFAULT ORDER.
1. Not At All Likely Terminate at the end of [Screener].
2. Not Very Likely Terminate at the end of [Screener].
3. Somewhat Likely
4. Very Likely
5. Extremely Likely
[DV_PuchaseLikelihood]
- Hidden Question. Applies to all.
- Terminate at end of screener if (respondent selected code [2] at DV_PuchaseLikelihood AND respondent selected code [2] at
S7_HaveHealthInsurance).
DV_PuchaseLikelihood. Hidden Variable. Capture purchase likelihood qualification
Select one response.
DEFAULT ORDER.
1. Likely to purchase health insurance in next 12 months Autocode if respondent selected any codes [3-5]
at S9_LikelyToGetInN12M.
2. Not likely to purchase health insurance in next 12 months Autocode if respondent selected any codes [1-2]
at S9_LikelyToGetInN12M.
3. Currently have health insurance Autocode if respondent selected code [1] at
S7_HaveHealthInsurance.
[DecisionRole]
- Show if respondent selected code [1] at S7_HaveHealthInsurance OR respondent selected any codes [3-5] at
S9_LikelyToGetInN12M.
S10_DecisionRole. Which of the following best describes your role in making health insurance decisions for you and your household?
Select one response.
DEFAULT ORDER.
1. I am the primary decision-maker in selecting a health
insurance provider
2. I share the decision-making in selecting a health
insurance provider with someone else equally
3. I am minimally involved in selecting a health insurance
provider
4. I am not involved in the health insurance provider
decisions at all
[ContactRole]
- Show if respondent selected code [1] at S7_HaveHealthInsurance.
S11_ContactRole. Which of the following best describes your role in the contact and interaction you have with your health insurance
provider(s), such as filling out paperwork, making payments, going to their websites, asking billing questions, etc.?
Select one response.
DEFAULT ORDER.
1. I am primarily responsible for the contact and interaction
with my/my household’s health insurance provider
2. I share the responsibility for the contact and interaction
with my/my household’s health insurance provider with
someone else equally
3. Someone else is responsible for the contact and
interaction with my/my household’s health insurance
provider
DEFAULT ORDER.
1. Decision maker/responsible for contact Autocode if respondent selected any codes [1-2]
at S10_DecisionRole OR respondent selected any
codes [1-2] at S11_ContactRole.
2. Not decision maker/responsible for contact Autocode if respondent selected any codes [3-4]
at S10_DecisionRole AND respondent selected
code [3] at S11_ContactRole.
[MaritalStatus]
- Show to all.
- Programmer Comment: Do not show question if insurance is obtained through spouse/partner; autopunch code 1 if S8=4, 5, 6, or
7.
S12_MaritalStatus. Which of the following describes your marital status?
Select one response.
DEFAULT ORDER.
1. Married or living with a partner PC: Autopunch if S8=4,5,6,or 7
2. Single, never married
3. Widowed/separated/divorced
4. Other
[Education]
- Show to all.
S13_Education. What is the highest level of education achieved?
Select one response for each.
For your
COLS: DEFAULT ORDER. spouse/par
ROWS: DEFAULT ORDER. For you tner
1. Some high school or
1 2
less
2. High school graduate 1 2
3. Some college or trade
1 2
school
4. Bachelor’s degree 1 2
5. Graduate/advanced
1 2
degree
Show if
respondent
selected
code [1] at
S12_Marital
Status.
Your
COLS: DEFAULT ORDER. spouse/par
ROWS: DEFAULT ORDER. You tner
1. Employed full-time – 30
1 2
or more hours per week
2. Employed part-time –
less than 30 hours per 1 2
week
3. Self-employed/business
1 2
owner
4. Retired 1 2
5. Student, not employed 1 2
6. Homemaker, not
employed outside of the 1 2
home
7. Currently unemployed 1 2
8. Unable to work/disabled 1 2
9. Other 1 2
Show if
respondent
selected
code [1] at
S12_Marital
Status.
[OtherTypesOfCoverage]
- Show if respondent selected code [1] at S7_HaveHealthInsurance.
- Programmer Comment: Autocode General Health Insurance for everyone and don't show.
RANDOMIZE LIST.
1. General health insurance ANCHOR.
2. Catastrophic health insurance
3. Vision
4. Dental
5. Mental health
6. Prescription
7. Short-term disability insurance
8. Disability income insurance
9. Long-term care insurance
10. Medicare supplemental insurance
11. Hospital indemnity insurance
12. Accidental death and dismemberment insurance
13. Other ANCHOR.
99. None of the above ANCHOR. EXCLUSIVE.
DEFAULT ORDER.
1. Your children under 2 years old
2. Your children aged 2-5
3. Your children aged 6-12
4. Your children aged 13-17
5. Spouse Show if respondent selected code [1] at
S12_MaritalStatus. PC: Only show if S12 = 1; do
not allow codes 5 and 6 to be selected together
6. Partner Show if respondent selected code [1] at
S12_MaritalStatus. PC: Only show if S12 = 1; do
not allow codes 5 and 6 to be selected together
7. Your adult children aged 18-26
8. Your adult children aged 27 or older
9. Parents or other older extended family
10. No one else - live alone or with non-family members EXCLUSIVE.
[DV_HHComposition]
- Hidden Question. Applies to all.
DV_HHComposition. Hidden Variable: Capture household composition, code selected or not asked for each respondent
Select one response for each.
[LGBT]
- Show to all.
S18_LGBT. How would you identify yourself?
Select one response.
DEFAULT ORDER.
1. Heterosexual or Straight
2. Gay or Lesbian
3. Bisexual
4. Other
5. I prefer not to answer
[Veteran]
- Show to all.
S19_Veteran. Are you a U.S. veteran?
Select one response.
DEFAULT ORDER.
1. Yes, I am a U.S. Veteran
2. Yes, I am currently in the military
3. No
DEFAULT ORDER.
1. Yes
2. No
[DV_Augment]
- Hidden Question. Applies to all.
DV_Augment. Hidden Variable. Capture augments for pathway through survey
Select all that apply.
DEFAULT ORDER.
1. National rep PC: Auto-select for all respondents
2. Priority Market Augment Autocode if respondent did NOT select code [18]
at DV_PriorityMarketQuota.
3. Senior Augment Autocode if respondent selected code [1] at
DV_SeniorQuota.
4. Hispanic Augment Autocode if respondent selected code [1] at
DV_HispanicQuota.
5. IFP Augment Autocode if respondent selected code [1] at
DV_IFPQuota.
[DV_Augment2]
- Hidden Question. Applies to all.
DV_Augment2 Hidden Variable. Capture augments for pathway through survey, excluding Hispanic/IFP/Senior overlap
.
Select all that apply.
DEFAULT ORDER.
1. National rep PC: DV_LinkSource=National rep
2. Priority Market Augment PC: DV_LinkSource=Priority Market OR
(DV_LinkSource=Nat'l Rep and
DV_PriorityMarketQuota ≠ Not market,
SaltLakeCityUT, or PalmBeachCountyFL)
3. Senior Augment PC: DV_LinkSource=Senior OR
[(DV_LinkSource=Nat'l Rep or Priority Market) and
DV_SeniorQuota=1]
4. Hispanic Augment PC: DV_LinkSource=Hispanic OR
[(DV_LinkSource=Nat'l Rep or Priority Market) and
DV_HispanicQuota=1]
5. IFP Augment PC: DV_LinkSource=IFP OR
[(DV_LinkSource=Nat'l Rep or Priority Market) and
DV_IFPQuota=1]
6. MSA Priority Market PC: DV_LinkSource=MSA OR
[(DV_LinkSource=Nat'l Rep or Priority Market or
Senior or Hispanic or IFP) AND
DV_MSAPriorityMarket ≠ Not an MSA market]
DEFAULT ORDER.
1. National rep ONLY Autocode if respondent selected exactly code [1]
at DV_Augment. PC: Autocode if DV_Augment2 is
exactly(National Rep) or exactly(National Rep AND
MSA)
2. Nat'l Rep + Priority Market Augment ONLY Autocode if respondent selected exactly codes [1-
2] at DV_Augment. PC: Autocode if DV_Augment2
is exactly(National Rep AND Priority) or
exactly(National Rep AND Priority AND MSA)
3. Nat'l Rep + Hispanic ONLY Autocode if respondent selected exactly codes [1,
4] at DV_Augment. PC: Autocode if DV_Augment2
is exactly(National Rep AND Hispanic) or
exactly(National Rep AND Hispanic AND MSA)
4. Nat'l Rep + IFP ONLY Autocode if respondent selected exactly codes [1,
5] at DV_Augment. PC: Autocode if DV_Augment2
is exactly(National Rep AND IFP) or
exactly(National Rep AND IFP AND MSA)
5. Nat'l Rep + Senior ONLY Autocode if respondent selected exactly codes [1,
3] at DV_Augment. PC: Autocode if DV_Augment2
is exactly(National Rep AND Senior) or
exactly(National Rep AND Senior AND MSA)
6. National Rep + Multiple (2+) Augments PC: DV_Augment=1 AND at least 2 responses
from DV_Augment=2-5
[DV_PriorityAugmentSummary]
- Hidden Question. Applies to all.
DV_PriorityAugmentSummary. Hidden question. Capture augments from DV_Augment2 for the Priority Augments Summary quota.
Select one response.
DEFAULT ORDER.
1. Priority ONLY Autocode if respondent selected exactly code [2]
at DV_Augment2 OR respondent selected exactly
codes [1-2] at DV_Augment2. PC: Autocode if
DV_Augment2 is exactly(Priority) or
exactly(Priority and National) or exactly(Priority
AND MSA) or exactly(Priority AND National AND
MSA)
2. Priority + Hispanic Only Autocode if respondent selected exactly codes [2,
4] at DV_Augment2 OR respondent selected
exactly codes [1-2, 4] at DV_Augment2. PC:
Autocode if DV_Augment2 is exactly(Priority AND
Hispanic) or exactly(Priority AND National AND
Hispanic) or exactly(Priority AND Hispanic AND
MSA) or exactly(Priority AND National AND
Hispanic AND MSA)
3. Priority + IFP Only Autocode if respondent selected exactly codes [2,
5] at DV_Augment2 OR respondent selected
exactly codes [1-2, 5] at DV_Augment2. PC:
Autocode if DV_Augment2 is exactly(Priority AND
IFP) or exactly(Priority AND National AND IFP) or
exactly(Priority AND IFP AND MSA) or
exactly(Priority AND National AND IFP AND MSA)
4. Priority + Senior Only Autocode if respondent selected exactly codes [2-
3] at DV_Augment2 OR respondent selected
exactly codes [1-3] at DV_Augment2. PC:
Autocode if DV_Augment2 is exactly(Priority AND
Senior) or exactly(Priority AND National AND
Senior) or exactly(Priority AND Senior AND MSA)
or exactly(Priority AND National AND Senior AND
MSA)
5. Priority + Multiple (2+) Augments PC: (DV_Augment2 = [2] AND at least 2 responses
from DV_Augment2 = [3-5]) OR DV_Augment2 = [1,
2] AND at least 2 responses from DV_Augment2 =
[3-5]
6. Not Priority Qualified Autocode if respondent did NOT select code [2] at
DV_Augment2.
DEFAULT ORDER.
1. Not National Rep PC: AS OF AUGUST 2017, THIS STUB IS NOT
ELIGIBLE TO BE SELECTED
2. Show United Healthgroup PC: FullBrandList = 18 - Show 'UnitedHealth
Group' throughout entire survey
3. Show United Healthcare PC: FullBrandList = 68 - Show 'United Healthcare'
throughout entire survey
[SectionAIntro]
- Show to all.
DT_SectionAIntro. The next few questions are about health insurance companies.
[UnaidedAwareness]
- Show to all.
- Programmer Comment: Show 10 boxes - do not force responses for all 10 boxes
A1a_UnaidedAwareness. When you think about health insurance companies, which companies come to mind? Please type in all the
companies you can think of.
Enter your response in the box.
- Programmer: QC flag: has health insurance (S7=1) but can't think of any brands at A1a
[AidedAwareness]
- Show to all.
- Terminate Immediately if respondent selected code [99] at A1b_AidedAwareness.
- Programmer Comment: Show jpegs of brand logos with name of company underneath. Display companies/images in
random order and lock together the following items:
1. BCBS nat'l + local
2. Any BCBS + Anthem
3. Cigna + Cigna-HealthSpring
A1b_AidedAwareness. Thinking about any company that offers health insurance, please indicate which of the following companies you
have ever heard of.
Select all that apply.
RANDOMIZE LIST.
Uses FullBrandList
99. None of these ANCHOR. EXCLUSIVE. Terminate immediately.
DEFAULT ORDER.
1. Medicare provider Autocode if respondent did NOT select codes [3,
7, 12, 30, 41-43, 46, 51, 55, 58-59, 62] at
A1b_AidedAwareness.
2. Not Medicare provider Autocode if respondent selected any codes [3, 7,
12, 30, 41-43, 46, 51, 55, 58-59, 62] at
A1b_AidedAwareness.
[Familiarity]
- Show to all.
- Programmer Comment: Only show codes selected at A1b (Aware of brand). Show jpegs of brand logos with name of company
underneath. Display companies/images in same random order as before.
QC Flag if question is completed in less than 20 seconds or is straight-lined.
A2_Familiarity. How familiar are you with each of the following health insurance companies?
Select one response for each.
Not at all
familiar - I
have only
COLS: DEFAULT ORDER. heard the Not very Somewhat Very
ROWS: RANDOMIZE LIST. name familiar familiar familiar
Uses FullBrandList 1 2 3 4
[CurrentPrimaryProvider]
- Show if respondent selected code [1] at S7_HaveHealthInsurance.
- Programmer Comment: Show codes selected at A1b (brands aware of). Show jpegs of brand logos with name of company
underneath. Display companies/images in same random order as before.
A3_CurrentPrimaryProvider. And from which company do you currently have your primary health insurance coverage, whether obtained
through your or your spouse’s/partner’s employer or business, purchased individually, or obtained through
another source?
Select one response.
RANDOMIZE LIST.
Uses FullBrandList
98. Other ANCHOR.
99. None of the above ANCHOR.
[DV_ProviderTracked]
- Hidden Question. Applies to all.
DV_ProviderTracked. DV to capture if respondent's current primary provider is on our brand list.
Select one response.
DEFAULT ORDER.
1. Yes Autocode if respondent did NOT select codes [98-
99] at A3_CurrentPrimaryProvider AND
respondent selected code [1] at
S7_HaveHealthInsurance.
2. No Autocode if respondent selected any codes [98-
99] at A3_CurrentPrimaryProvider OR respondent
selected code [2] at S7_HaveHealthInsurance.
[ProvidersConsidered]
- Show to all.
- Programmer Comment: Only show codes selected at A1b, except for code selected at A3. Autocode code selected at A3. Show
jpegs of brand logos with name of company underneath. Display companies/images in same random order as before.
A4_ProvidersConsidered. Which of the following companies have you ever considered using for health insurance, assuming they were
available to you for purchase, through your or your spouse’s/partner’s employer or business, or through another
source that provides insurance coverage?
Select all that apply.
RANDOMIZE LIST.
Uses FullBrandList
98. Other ANCHOR.
99. None of these ANCHOR. EXCLUSIVE.
[DV_Aware]
- Hidden Question. Applies to all.
DV_Aware. Hidden Variable: Capture brand awareness from A1b, code selected or not asked for each respondent
Select one response for each.
[DV_Familiarity]
- Hidden Question. Applies to all.
- Programmer Comment: Select yes if A2=3 or 4
DV_Familiarity. Hidden Variable. Capture brand familiarity from A2, code selected or not asked for each respondent
Select one response for each.
[DV_FamiliarityT3B]
- Hidden Question. Applies to all.
- Programmer Comment: Select yes if A2=2, 3 or 4
DV_FamiliarityT3B. Hidden Variable. Capture brand familiarity from A2_Familiarity. Select 'Yes' if Codes include any of these [2, 3, 4].
Select one response for each.
[DV_Consider]
- Hidden Question. Applies to all.
- Programmer Comment: Select if selected or not asked at A4. Autocode brands selected at A3 as "Yes".
DV_Consider. Hidden Variable. Capture brand consideration from A4, code selected or not asked for each respondent
Select one response for each.
[LikelihoodToRecommend]
- Show to all.
- Programmer Comment: Only show companies currently have (selected at A3) or ever considered (selected at A4). Display .jpeg
images of companies above their names.
B1_LikelihoodToRecommend. And how likely would you be to recommend each health insurance company to a friend or family member?
Please use a scale from 0 to 10, where a “10” means you are “Extremely Likely” and a “0” means you are
“Not At All Likely.” Of course, you may use any number between 0 and 10.
Select one response for each.
Columns
DEFAULT ORDER.
0. Not at all likely 0
1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
8. 8
9. 9
10. Extremely likely 10
[DV_B3_WhyLTR_OnOff]
- Hidden Question. Applies to all.
- Programmer Comment: For HCP flexibility. Hard code.
DV_B3_WhyLTR_OnOff. DV to turn B3 on/off.
Select one response.
DEFAULT ORDER.
1. Yes
2. No
[WhyLTR]
- Show if respondent selected code [1] at DV_Augment2 AND respondent selected code [1] at DV_ProviderTracked AND respondent
selected code [1] at DV_B3_WhyLTR_OnOff.
B3_WhyLTR What influenced how likely you are to recommend [A3_CurrentPrimaryProvider]?
.
Please share one or two reasons...
Very Somewhat
COLS: DEFAULT ORDER. unfavorabl unfavorabl Somewhat Very
ROWS: RANDOMIZE LIST. e e favorable Favorable favorable
Uses FullBrandList 1 2 3 4 5
[DV_Eligible]
- Hidden Question. Applies to all.
- Programmer Comment: Punch codes selected at DV_Familiarity EXCEPT for WellPoint (code 20)
DV_Eligible Hidden Question. Derived Variable: Capture brands qualified to evaluate for remainder of questionnaire.
.
Select all that apply.
DEFAULT ORDER.
Uses FullBrandList
99. Not eligible to rate any brands EXCLUSIVE. PC: Autocode if not eligible for any
brands
[DV_Rate]
- Hidden Question. Applies to all.
- Programmer Comment: Randomly assign 3 brands captured at DV_Eligible
DV_Rate. Hidden Question. Derived Variable: Assign brands to evaluate for remainder of questionnaire.
Assign 3 brands for evaluation
DEFAULT ORDER.
Uses FullBrandList
99. No brands assigned EXCLUSIVE. PC: Autocode if no brands assigned
to rate
[IIMIntro]
- Show to all.
DT_IIMIntro. Next, we would like to find out more about how you see your relationship with a series of health insurance companies.
You will be shown two circles: one represents yourself and the other represents a health insurance company.
Please move the circle that represents yourself in order to describe your relationship with the company.
If you don't want to move the circle at all, you can also simply click your circle and then leave it in its initial position.
[IIMName]
- Show to all.
- Programmer Comment: SUPPRESS QUESTION AS OF JUNE 2018 (per PBS' recommendation)
Implicit1_IIMName. Before we get started, please enter your first name in the field below for the exercise. If you do not want to enter your
first name, please enter your first initial.
Enter your response in the box.
[IIMExercise]
- Show to all.
- Programmer Comment: EXERCISE PLACEHOLDER: IIM. Loop through the 3 brands assigned at DV_Rate.
RANDOMIZE LIST.
Uses FullBrandList
[DV_QCIIM]
- Hidden Question. Applies to all.
DV_QCIIM. Flag if none of the circles are moved
Select one response.
DEFAULT ORDER.
1. Failed QC
2. Didn't fail QC
[RC_Intro1]
- Show to all.
DT_RC_Intro1. Now, we're going to try something a little different. The following exercise asks that you place your index fingers on the "E"
and "I" keys on your keyboard. We're going to ask a series of yes or no questions. Please answer by pressing the "E" key
for [INSERT ASSIGNED "YES"/"NO"] or the "I" key for [INSERT ASSIGNED "YES"/"NO"]. Please give your answer quickly
based on your first gut reaction.
To get you used to the exercise, we will first take you through an example with a series of words and ask you to indicate,
for each word, whether you know what the word means. Some of the words will be real words and some will be nonsense
words that do not have real meaning.
[RC_Intro2]
- Show to all.
DT_RC_Intro2. First, we’ll show you a series of words and ask you to indicate, for each word, whether you know what the word means.
Some of the words will be real words and some will be nonsense words that do not have real meaning.
[RC_Practice]
- Show to all.
Implicit3RC_RC_Practice. [WORD DISPLAYED ABOVE]
DEFAULT ORDER.
901. Strong ANCHOR. PC: REAL WORD
902. Nice ANCHOR. PC: REAL WORD
903. Familiar ANCHOR. PC: REAL WORD
1. Caring PC: REAL WORD
2. Warm PC: REAL WORD
3. Empowering PC: REAL WORD
4. Engaging PC: REAL WORD
5. Traditional PC: REAL WORD
6. Safe PC: REAL WORD
7. Sensible PC: REAL WORD
8. Reliable PC: REAL WORD
9. Helpful PC: REAL WORD
10. Supportive PC: REAL WORD
11. Honest PC: REAL WORD
12. Trusted PC: REAL WORD
13. Modern PC: REAL WORD
14. Giqyzx PC: FAKE WORD
15. Dafc PC: FAKE WORD
16. Elpacybicj PC: FAKE WORD
17. Ihsenyls PC: FAKE WORD
18. Pdukumeewon PC: FAKE WORD
19. Kugy PC: FAKE WORD
20. Xohbudso PC: FAKE WORD
21. Retyagjy PC: FAKE WORD
22. Cibrmax PC: FAKE WORD
23. Susmuqrimi PC: FAKE WORD
24. Qarakf PC: FAKE WORD
25. Bqyxvem PC: FAKE WORD
26. Fexosj PC: FAKE WORD
[DV_QCRCPRactice]
- Hidden Question. Applies to all.
DV_QCRCPRactice. QC flag for RC_Practice
Select all that apply.
DEFAULT ORDER.
1. Selected Yes for over half of fake words
2. Selected No for over half of real words
3. Didn't fail QC EXCLUSIVE.
DEFAULT ORDER.
14. 0
1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
8. 8
9. 9
10. 10
11. 11
12. 12
13. 13
[DV_QCRCPracReal]
- Hidden Question. Applies to all.
DV_QCRCPracReal. Hidden Variable. Capture number of real words selected No for at RC_Practice for Medallia
Select one response.
DEFAULT ORDER.
14. 0
1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
8. 8
9. 9
10. 10
11. 11
12. 12
13. 13
[RC_Intro4]
- Show to all.
DT_RC_Intro4. Now that you’re used to the exercise, we’ll be showing you several companies.
Please decide, for each brand, whether the word you see on the screen describes the health insurance
company shown on the screen. This time, we won’t be using any nonsense words or asking you to indicate whether you
know the words’ meaning. Just indicate, using the “E” and “I” keys, whether the word describes the brand shown. Please
give your answer quickly based on your first gut reaction.
When you're ready to begin, hit the "Next" button and position your fingers on the "E" and "I" keys.
[RC_Intro5]
- Show to all.
DT_RC_Intro5. Get ready to evaluate each brand quickly and accurately.
Iterations:
DEFAULT ORDER.
Uses FullBrandList
Questions:
[RCNext]
- Show to all.
- Programmer Comment: Show for 2nd+ brand.
DT_RCNext. Now, you’ll be considering [INSERT BRAND].
[RC1]
- Show to all.
- Programmer Comment: Insert brand from "Brand" list. Use image for [INSERT BRAND].
Implicit4RC_RC1. [WORD DISPLAYED ABOVE]
Does this word describe [INSERT BRAND]?
[YES/NO BUTTONS DISPLAYED BELOW]
Select one response.
RANDOMIZE LIST.
901. Strong
902. Nice
903. Familiar
1. Caring
2. Warm
3. Empowering
4. Engaging
5. Traditional
6. Safe
7. Sensible
8. Reliable
9. Helpful
10. Supportive
11. Honest
12. Trusted
13. Modern
[DV_QC_RC]
- Hidden Question. Applies to all.
- Programmer Comment: Hidden Question. QC flags for Rapid Choice.
Code 1 if RC_RealWords=all yes or all no Did not fail QC, code 2 if did not fail QC
DV_QC_RC QC flags for Rapid Choice.
.
Select one response.
DEFAULT ORDER.
1. Used same scale point (all yes or all no) for every
attribute (SEE NOTE IN COLUMN BO)
2. Did not select same scale point for every attribute.
[ContinuousGBHTLoop]
ContinuousGBHTLoop. ContinuousGBHTLoop
Iterations:
DEFAULT ORDER.
1. [Insert DV_Rate Assignment 1]
2. [Insert DV_Rate Assignment 2]
3. [Insert DV_Rate Assignment 3]
Questions:
Don't
Know/Not
Familiar
COLS: DEFAULT ORDER. Strongly Somewhat Somewhat Strongly A Enough to
ROWS: RANDOMIZE LIST. Disagree Disagree Agree Agree gree Rate
1. Helps me proactively
1 2 3 4 5 99
take good care of myself
2. Is a leader in delivering
health benefits and 1 2 3 4 5 99
wellness solutions
3. Helps me recover
1 2 3 4 5 99
quickly when ill
4. Is a company for
1 2 3 4 5 99
someone like me
5. Is a company I trust 1 2 3 4 5 99
6. Is a company I’ve heard
1 2 3 4 5 99
good things about
7. Is a health insurance
company that will always 1 2 3 4 5 99
be there for me
8. Is easy to work with 1 2 3 4 5 99
9. Is innovative and
1 2 3 4 5 99
forward-thinking
10. Is open and
transparent in its business 1 2 3 4 5 99
practices
11. Is sensitive to my
1 2 3 4 5 99
cultural/language needs
12. Offers coverage that
can be tailored to my 1 2 3 4 5 99
individual needs
13. Offers programs that
help me achieve better 1 2 3 4 5 99
health
14. Partners with me to
1 2 3 4 5 99
improve my total well-being
15. Provides a sense of
1 2 3 4 5 99
safety and security
16. Provides expert and
helpful guidance and 1 2 3 4 5 99
assistance
PC: Hide Stub -
17. Will be there "for me"
1 2 3 4 5 99 Suppress starting July
in good times and bad 2016
18. Offers products and
1 2 3 4 5 99
services that are affordable
19. Provides good value
1 2 3 4 5 99
for the money
20. Responds quickly to
1 2 3 4 5 99
my needs
21. Delivers on its
1 2 3 4 5 99
promises
22. Provides personalized
1 2 3 4 5 99
service
[DV_GenAdAwareAssigned]
- Hidden Question. Applies to all.
- Programmer Comment: Please suppress assigner as of May 2017.
DV_GenAdAwareAssigned. Min number of questions asked: 1
Max number of questions asked: 1
What happens if 0 brands are assigned?
Type of assignment: [RANDOM]
Are there brand quotas? [No]
If applicable, what happens if assigned quotas are full?
Need to balance by demos? [No]
Assign based on these steps.
1. If DV_Augment2 ≠ National Rep, select Stub 1
2. If DV_Augment2 = National Rep, randomly assign between Stub 2 and Stub 3
Select one response.
DEFAULT ORDER.
1. Not National Rep Autocode if respondent did NOT select code [1] at
DV_Augment2.
2. Show question C1/C2 to National Rep
3. Show question C1a/C2a to National Rep
[GenAdAware]
- Show to all.
- Programmer Comment: Show all brands aware of (code 1 at DV_Aware). Show Cigna always. Display company logos as well as
their names.
C1_GenAdAware. For which of the following brands have you recently seen or heard any advertising for in the last 3 months?
Select all that apply.
RANDOMIZE LIST.
Uses FullBrandList
99. None of these ANCHOR. EXCLUSIVE.
[GenAdAwareP3M]
- Show if respondent selected code [3] at DV_GenAdAwareAssigned.
- Programmer Comment: Show all brands aware of (code 1 at DV_Aware). Show Cigna always. Display company logos as well as
their names.
RANDOMIZE LIST.
Uses FullBrandList
99. None of these ANCHOR. EXCLUSIVE.
[DV_GenAdAware]
- Hidden Question. Applies to all.
DV_GenAdAware. Hidden Variable. Capture brands seen at GenAdAware, code selected or not asked for each respondent
Select one response for each.
[AdSourceRecall]
- Show if respondent did NOT select code [99] at C1_GenAdAware.
- Programmer Comment: Repeat headers every 5 rows.
[VideoTest]
- Show to all.
DT_VideoTest. We need to test your video player to ensure the best video experience. Depending on your device the video might start
automatically. When you are ready for this test please select "OK, I Am Ready!" below.
[ClipTest]
- Show to all.
D8_ClipTest. What did you see in the video that just played?
Select one response.
RANDOMIZE LIST.
1. A tiger in a zoo
2. Traffic
3. Clouds
4. A water slide
[ClipTestAudio]
- Show to all.
D9_ClipTestAudio What did you hear in the sound that just played?
.
Select one response.
RANDOMIZE LIST.
1. Emergency sirens
2. Water flowing in a creek
3. A tiger roaring
4. Background and crowd noises
5. Birds chirping
6. Nothing, I could not hear any sound ANCHOR. EXCLUSIVE.
- Programmer: If D8_ClipTest ≠ Clouds OR D9_ClipTestAudio ≠ Birds chirping, only show image ads to respondent.
- Programmer: Ad assignment logic plan: “waterfall” which will prioritize in-market augment respondents, then non-
market augment respondents, then national rep
1. National Rep/Priority Market augment fall out + augment link in market – assign augment ad under quota button
column 1
2. National Rep augment fall out not in market – assign augment ad under quota button column 2
3. National Rep/Priority Market – assign national rep or priority market ad, as applicable
[DV_AdAugMarket]
- Hidden Question. Applies to all.
- Programmer Comment: DV_LinkType = MSA should not see any ads
DV_AdAugMarket. Hidden Question. Capture whether respondent is from augment in market, augment not in market, or non-augment for
ad assignment.
Select one response.
DEFAULT ORDER.
1. Augment in-market PC: DV_Augment2 = 2, 3, 4, or 5 and
DV_PriorityMarketQuota,
QTA_PriorityMarketQuota_Hisp,
QTA_PriorityMarketQuota_IFP,
QTA_PriorityMarketQuota_Senior ≠ Not in market
2. Augment not in-market PC: DV_LinkSource=Nat'l Rep AND [DV_Augment2
= 2, 3, 4, or 5 and DV_PriorityMarketQuota,
QTA_PriorityMarketQuota_Hisp,
QTA_PriorityMarketQuota_IFP,
QTA_PriorityMarketQuota_Senior = Not in market]
3. Non-augment (national rep) PC: DV_Augment2=1 ONLY or quotas are full for
augment ads
DEFAULT ORDER.
1. What Parents Do :30 - US PC: DV_Augment=1
2. Anthem :30 [Rev 2] - US PC: DV_Augment=1
3. Nurse :15 [Rev 2] - US PC: DV_Augment=1
4. All Good :15 [Rev 2] - US PC: DV_Augment=1
5. What Parents Do :15 - US PC: DV_Augment=1
6. Disability :15 (Digital) - US PC: DV_Augment=1
7. Pharmacy :15 (Digital) - US PC: DV_Augment=1
8. United HealthCare Our Song PC: DV_Augment=1
9. Kaiser Connect PC: DV_Augment=1
10. What Parents Do (Father's Day/FD TAG) :30 - US PC: DV_Augment=1
11. Humana Feel Better PC: DV_Augment=1
12. Humana Living Longer PC: DV_Augment=1
13. Humana Close the Gap PC: DV_Augment=1
14. Humana Stick With Us PC: DV_Augment=1
15. Partnership (OOH) - US PC: DV_Augment=2
16. Preventive (OOH) - US PC: DV_Augment=2
17. Dental (OOH) - US PC: DV_Augment=2
18. 24/7 (OOH) - US PC: DV_Augment=2
19. Disability (OOH) - US PC: DV_Augment=2
20. Pharmacy (OOH) - US PC: DV_Augment=2
21. Parents (Mother's Day) :15 - US PC: DV_Augment=2
22. Partnership A (Banner) - US PC: DV_Augment=2
23. Partnership B (Banner) - US PC: DV_Augment=2
24. 24/7 Access (Banner) - US PC: DV_Augment=2
25. Dental (Banner) - US PC: DV_Augment=2
26. Disability (Banner) - US PC: DV_Augment=2
27. Preventive 1 (Banner) - US PC: DV_Augment=2
28. Preventive 2 (Banner) - US PC: DV_Augment=2
29. Kaiser Offense PC: DV_Augment=2
30. Anthem (Hispanic) :30 - US PC: DV_Augment=4
31. Estamos Contigo (Hispanic) (OOH) PC: DV_Augment=4
32. Estamos Contigo (Hispanic) (Print) - US PC: DV_Augment=4
33. Kaiser Tres Hermanos PC: DV_Augment=4
34. Aetna Dancing Dad PC: DV_Augment=4
35. Humana Living Longer PC: DV_Augment=3
36. Humana Stick With Us PC: DV_Augment=3
37. United HealthCare Save Big PC: DV_Augment=5
38. GoKart Live Fearless PC: DV_Augment=5
39. Slide Live Fearless PC: DV_Augment=5
40. America Says Ahhh :30 PC: DV_Augment2=1
41. America Says Ahhh :15 PC: DV_Augment2=1
42. United HealthCare Ways In Lab Partners :30 PC: DV_Augment2=1
43. Anthem An Eye For Savings, A Nose For Value :30 PC: DV_Augment2=1
44. Anthem You've Got the Will, We've Got the Way :30 PC: DV_Augment2=1
45. Kaiser Grow Old With Me :30 PC: DV_Augment2=1
46. Kaiser Contrarians :30 PC: DV_Augment2=1
47. It's Time To Say Ahhh Banner PC: DV_Augment2=1
48. Blood Pressure Banner PC: DV_Augment2=1
49. You're Not A Number Banner PC: DV_Augment2=1
50. Coach Banner PC: DV_Augment2=1
51. 1 in 5 Banner PC: DV_Augment2=1
52. Say Ahhh Banner PC: DV_Augment2=1
53. Coach 2 Banner PC: DV_Augment2=1
54. Numbers Banner PC: DV_Augment2=1
55. America Says Ahhh :30 PC: DV_Augment2=2
56. America Says Ahhh :15 PC: DV_Augment2=2
57. Houston America Says Ahhh Promercial PC: DV_Augment2=2
58. New York America Says Ahhh Promercial PC: DV_Augment2=2
59. Miami America Says Ahhh Promercial PC: DV_Augment2=2
60. DC America Says Ahhh Promercial PC: DV_Augment2=2
61. Dallas America Says Ahhh Promercial PC: DV_Augment2=2
62. Atlanta America Says Ahhh Promercial PC: DV_Augment2=2
63. Kaiser Grow Old Firsts :60 PC: DV_Augment2=2
64. Say Ahhh :30 - Spanish Language PC: DV_Augment2=4
65. America Says Ahhh Promercial - Spanish Language PC: DV_Augment2=4
66. United HealthCare Lab Partners Spanish Language :60 PC: DV_Augment2=4
67. Job Swap TV with Laura Flores :30 PC: DV_Augment2=4
DEFAULT ORDER.
1. What Parents Do :30 - US Autocode if respondent selected code [1] at
DV_AdQualify.
2. Anthem :30 [Rev 2] - US Autocode if respondent selected code [2] at
DV_AdQualify.
3. Nurse :15 [Rev 2] - US Autocode if respondent selected code [3] at
DV_AdQualify.
4. All Good :15 [Rev 2] - US Autocode if respondent selected code [4] at
DV_AdQualify.
5. What Parents Do :15 - US Autocode if respondent selected code [5] at
DV_AdQualify.
6. Disability :15 (Digital) - US Autocode if respondent selected code [6] at
DV_AdQualify.
7. Pharmacy :15 (Digital) - US Autocode if respondent selected code [7] at
DV_AdQualify.
8. United HealthCare Our Song Autocode if respondent selected code [8] at
DV_AdQualify.
9. Kaiser Connect Autocode if respondent selected code [9] at
DV_AdQualify.
10. What Parents Do (Father's Day/FD TAG) :30 - US Autocode if respondent selected code [10] at
DV_AdQualify.
11. Humana Feel Better Autocode if respondent selected code [11] at
DV_AdQualify.
12. Humana Living Longer Autocode if respondent selected any codes [12,
35] at DV_AdQualify.
13. Humana Close the Gap Autocode if respondent selected code [13] at
DV_AdQualify.
14. Humana Stick With Us Autocode if respondent selected any codes [14,
36] at DV_AdQualify.
15. Partnership (OOH) - US Autocode if respondent selected code [15] at
DV_AdQualify.
16. Preventive (OOH) - US Autocode if respondent selected code [16] at
DV_AdQualify.
17. Dental (OOH) - US Autocode if respondent selected code [17] at
DV_AdQualify.
18. 24/7 (OOH) - US Autocode if respondent selected code [18] at
DV_AdQualify.
19. Disability (OOH) - US Autocode if respondent selected code [19] at
DV_AdQualify.
20. Pharmacy (OOH) - US Autocode if respondent selected code [20] at
DV_AdQualify.
21. Parents (Mother's Day) :15 - US Autocode if respondent selected code [21] at
DV_AdQualify.
22. Partnership A (Banner) - US Autocode if respondent selected code [22] at
DV_AdQualify.
23. Partnership B (Banner) - US Autocode if respondent selected code [23] at
DV_AdQualify.
24. 24/7 Access (Banner) - US Autocode if respondent selected code [24] at
DV_AdQualify.
25. Dental (Banner) - US Autocode if respondent selected code [25] at
DV_AdQualify.
26. Disability (Banner) - US Autocode if respondent selected code [26] at
DV_AdQualify.
27. Preventive 1 (Banner) - US Autocode if respondent selected code [27] at
DV_AdQualify.
28. Preventive 2 (Banner) - US Autocode if respondent selected code [28] at
DV_AdQualify.
29. Kaiser Offense Autocode if respondent selected code [29] at
DV_AdQualify.
30. Anthem (Hispanic) :30 - US Autocode if respondent selected code [30] at
DV_AdQualify.
31. Estamos Contigo (Hispanic) (OOH) Autocode if respondent selected code [31] at
DV_AdQualify.
32. Estamos Contigo (Hispanic) (Print) - US Autocode if respondent selected code [32] at
DV_AdQualify.
33. Kaiser Tres Hermanos Autocode if respondent selected code [33] at
DV_AdQualify.
34. Aetna Dancing Dad Autocode if respondent selected code [34] at
DV_AdQualify.
35. United HealthCare Save Big Autocode if respondent selected code [37] at
DV_AdQualify.
36. GoKart Live Fearless
37. Slide Live Fearless
RANDOMIZE LIST.
1. What Parents Do :30 - US PC: DV_Augment=1
2. Anthem :30 [Rev 2] - US PC: DV_Augment=1
3. Nurse :15 [Rev 2] - US PC: DV_Augment=1
4. All Good :15 [Rev 2] - US PC: DV_Augment=1
5. What Parents Do :15 - US PC: DV_Augment=1
6. Disability :15 (Digital) - US PC: DV_Augment=1
7. Pharmacy :15 (Digital) - US PC: DV_Augment=1
8. United HealthCare Our Song PC: DV_Augment=1
9. Kaiser Connect PC: DV_Augment=1
10. What Parents Do (Father's Day/FD TAG) :30 - US PC: DV_Augment=1
11. Humana Feel Better PC: DV_Augment=1
12. Humana Living Longer PC: DV_Augment=1
13. Humana Close the Gap PC: DV_Augment=1
14. Humana Stick With Us PC: DV_Augment=1
15. Partnership (OOH) - US PC: DV_Augment=2
16. Preventive (OOH) - US PC: DV_Augment=2
17. Dental (OOH) - US PC: DV_Augment=2
18. 24/7 (OOH) - US PC: DV_Augment=2
19. Disability (OOH) - US PC: DV_Augment=2
20. Pharmacy (OOH) - US PC: DV_Augment=2
21. Parents (Mother's Day) :15 - US PC: DV_Augment=2
22. Partnership A (Banner) - US PC: DV_Augment=2
23. Partnership B (Banner) - US PC: DV_Augment=2
24. 24/7 Access (Banner) - US PC: DV_Augment=2
25. Dental (Banner) - US PC: DV_Augment=2
26. Disability (Banner) - US PC: DV_Augment=2
27. Preventive 1 (Banner) - US PC: DV_Augment=2
28. Preventive 2 (Banner) - US PC: DV_Augment=2
29. Kaiser Offense PC: DV_Augment=2
30. Anthem (Hispanic) :30 - US PC: DV_Augment=4
31. Estamos Contigo (Hispanic) (OOH) PC: DV_Augment=4
32. Estamos Contigo (Hispanic) (Print) - US PC: DV_Augment=4
33. Kaiser Tres Hermanos PC: DV_Augment=4
34. Aetna Dancing Dad PC: DV_Augment=4
35. Humana Living Longer PC: DV_Augment=3
36. Humana Stick With Us PC: DV_Augment=3
37. United HealthCare Save Big PC: DV_Augment=5
38. GoKart Live Fearless PC: DV_Augment=5
39. Slide Live Fearless PC: DV_Augment=5
40. America Says Ahhh :30 PC: DV_Augment2=1
41. America Says Ahhh :15 PC: DV_Augment2=1
42. United HealthCare Ways In Lab Partners :30 PC: DV_Augment2=1
43. Anthem An Eye For Savings, A Nose For Value :30 PC: DV_Augment2=1
44. Anthem You've Got the Will, We've Got the Way :30 PC: DV_Augment2=1
45. Kaiser Grow Old With Me :30 PC: DV_Augment2=1
46. Kaiser Contrarians :30 PC: DV_Augment2=1
47. It's Time To Say Ahhh Banner PC: DV_Augment2=1
48. Blood Pressure Banner PC: DV_Augment2=1
49. You're Not A Number Banner PC: DV_Augment2=1
50. Coach Banner PC: DV_Augment2=1
51. 1 in 5 Banner PC: DV_Augment2=1
52. Say Ahhh Banner PC: DV_Augment2=1
53. Coach 2 Banner PC: DV_Augment2=1
54. Numbers Banner PC: DV_Augment2=1
55. America Says Ahhh :30 PC: DV_Augment2=2
56. America Says Ahhh :15 PC: DV_Augment2=2
57. Houston America Says Ahhh Promercial PC: DV_Augment2=2
58. New York America Says Ahhh Promercial PC: DV_Augment2=2
59. Miami America Says Ahhh Promercial PC: DV_Augment2=2
60. DC America Says Ahhh Promercial PC: DV_Augment2=2
61. Dallas America Says Ahhh Promercial PC: DV_Augment2=2
62. Atlanta America Says Ahhh Promercial PC: DV_Augment2=2
63. Kaiser Grow Old Firsts :60 PC: DV_Augment2=2
64. Say Ahhh :30 - Spanish Language PC: DV_Augment2=4
65. America Says Ahhh Promercial - Spanish Language PC: DV_Augment2=4
DEFAULT ORDER.
1. What Parents Do :30 - US Autocode if respondent selected code [1] at
DV_AdQualify.
2. Anthem :30 [Rev 2] - US Autocode if respondent selected code [2] at
DV_AdQualify.
3. Nurse :15 [Rev 2] - US Autocode if respondent selected code [3] at
DV_AdQualify.
4. All Good :15 [Rev 2] - US Autocode if respondent selected code [4] at
DV_AdQualify.
5. What Parents Do :15 - US Autocode if respondent selected code [5] at
DV_AdQualify.
6. Disability :15 (Digital) - US Autocode if respondent selected code [6] at
DV_AdQualify.
7. Pharmacy :15 (Digital) - US Autocode if respondent selected code [7] at
DV_AdQualify.
8. United HealthCare Our Song Autocode if respondent selected code [8] at
DV_AdQualify.
9. Kaiser Connect Autocode if respondent selected code [9] at
DV_AdQualify.
10. What Parents Do (Father's Day/FD TAG) :30 - US Autocode if respondent selected code [10] at
DV_AdQualify.
11. Humana Feel Better Autocode if respondent selected code [11] at
DV_AdQualify.
12. Humana Living Longer Autocode if respondent selected any codes [12,
35] at DV_AdQualify.
13. Humana Close the Gap Autocode if respondent selected code [13] at
DV_AdQualify.
14. Humana Stick With Us Autocode if respondent selected any codes [14,
36] at DV_AdQualify.
15. Partnership (OOH) - US Autocode if respondent selected code [15] at
DV_AdQualify.
16. Preventive (OOH) - US Autocode if respondent selected code [16] at
DV_AdQualify.
17. Dental (OOH) - US Autocode if respondent selected code [17] at
DV_AdQualify.
18. 24/7 (OOH) - US Autocode if respondent selected code [18] at
DV_AdQualify.
19. Disability (OOH) - US Autocode if respondent selected code [19] at
DV_AdQualify.
20. Pharmacy (OOH) - US Autocode if respondent selected code [20] at
DV_AdQualify.
21. Parents (Mother's Day) :15 - US Autocode if respondent selected code [21] at
DV_AdQualify.
22. Partnership A (Banner) - US Autocode if respondent selected code [22] at
DV_AdQualify.
23. Partnership B (Banner) - US Autocode if respondent selected code [23] at
DV_AdQualify.
24. 24/7 Access (Banner) - US Autocode if respondent selected code [24] at
DV_AdQualify.
25. Dental (Banner) - US Autocode if respondent selected code [25] at
DV_AdQualify.
26. Disability (Banner) - US Autocode if respondent selected code [26] at
DV_AdQualify.
27. Preventive 1 (Banner) - US Autocode if respondent selected code [27] at
DV_AdQualify.
28. Preventive 2 (Banner) - US Autocode if respondent selected code [28] at
DV_AdQualify.
29. Kaiser Offense Autocode if respondent selected code [29] at
DV_AdQualify.
30. Anthem (Hispanic) :30 - US Autocode if respondent selected code [30] at
DV_AdQualify.
31. Estamos Contigo (Hispanic) (OOH) Autocode if respondent selected code [31] at
DV_AdQualify.
32. Estamos Contigo (Hispanic) (Print) - US Autocode if respondent selected code [32] at
DV_AdQualify.
33. Kaiser Tres Hermanos Autocode if respondent selected code [33] at
DV_AdQualify.
34. Aetna Dancing Dad Autocode if respondent selected code [34] at
DV_AdQualify.
35. United HealthCare Save Big Autocode if respondent selected code [37] at
DV_AdQualify.
36. GoKart Live Fearless
37. Slide Live Fearless
DEFAULT ORDER.
1. Cigna Autocode if respondent selected any codes [1-7,
10, 15-28, 30-32, 40-41, 47-62, 64-65, 67-74, 76, 78-
84, 89-98, 101, 104, 115-117, 127-136, 157, 184, 190-
206, 214, 217-224, 231-237, 250, 258-259, 264-265,
270, 274-277, 285-286, 297-298, 325-327, 329, 337,
343-344, 348, 351-356, 361-362, 366-370, 372-376,
378-383, 386-388, 392, 399, 401, 414, 420, 422-423,
438, 454-455, 463, 470-472, 474-476, 483-486, 489,
491-502, 506, 513-515, 523, 530-531, 536, 540-541,
545-550, 552-553, 556, 558-559, 563-570, 572-575,
584-586, 590-592, 597, 605-606, 609, 623-624, 627-
628, 642-643, 657-658, 688-689, 724] at
DV_AdAssign.
2. Humana Autocode if respondent selected any codes [11-14,
35-36, 121, 138, 140, 153, 155-156, 158-159, 164,
175, 185, 187, 209-211, 230, 238, 249, 273, 312, 398,
441, 490, 620, 626, 641, 660, 690, 704-705] at
DV_AdAssign.
3. UnitedHealth Group Autocode if respondent selected any codes [8, 37,
42, 66, 85-86, 100, 103, 106-107, 122, 124, 141, 145-
148, 160, 165, 167, 174, 177, 180, 183, 189, 207-208,
212-213, 225, 240, 242, 246, 266, 284, 287, 292, 296,
300, 302, 304, 309, 315, 318-320, 339] at
DV_AdAssign. PC: SUPPRESS AS OF AUGUST
2017
4. Aetna Autocode if respondent selected any codes [34,
102, 105, 150, 248, 262, 272, 322-324, 331, 333-334,
347, 358-360, 364, 371, 405, 415-417, 437, 439, 524,
534, 600, 679, 686, 700, 702] at DV_AdAssign.
5. Kaiser Permanente Autocode if respondent selected any codes [9, 29,
33, 45-46, 63, 118, 142, 154, 163, 173, 176, 186, 215,
226-227, 239, 241, 243-244, 254, 257, 260-261, 310-
311, 313, 317, 328, 346, 363, 393-394, 400, 402, 404,
406, 411, 418, 424, 440, 447-448, 461, 466, 473, 477,
481, 503-504, 507-508, 510, 512, 518, 533, 543, 579,
598-599, 603, 612-613, 616-617, 619, 622, 629-630,
635, 638, 644, 653, 663-665, 670-673, 683-685, 693,
697-698, 716, 718-720, 722] at DV_AdAssign.
6. Capital Blue Cross Autocode if respondent selected any codes [38-
39] at DV_AdAssign.
7. Anthem Autocode if respondent selected any codes [43-44,
87, 108-109, 125, 137, 139, 365, 377, 542, 576-578,
618, 656, 675-676] at DV_AdAssign.
8. Optum Autocode if respondent selected any codes [75,
517, 519] at DV_AdAssign.
9. Blue Cross Blue Shield Autocode if respondent selected any codes [88,
99, 114, 119-120, 126, 143-144, 149, 151, 166, 168,
171-172, 178-179, 182, 188, 216, 228-229, 245, 252-
253, 255, 263, 267-269, 271, 278-283, 288-291, 293-
295, 299, 301, 303, 305-308, 314, 316, 321, 330, 332,
335-336, 338, 340-342, 349-350, 357, 385, 389, 391,
396, 403, 407-410, 412-413, 425-436, 442-446, 449,
451, 456-460, 462, 465, 467, 478-480, 487-488, 505,
509, 520, 522, 525, 527-528, 532, 535, 537, 539, 544,
551, 557, 561-562, 571, 581-583, 587-589, 593-596,
601-602, 604, 607-608, 610-611, 631-632, 636, 647-
652, 654-655, 666-669, 674, 677, 681-682, 694-695,
699, 701, 706-710, 713, 715, 717, 721, 723] at
DV_AdAssign.
10. Oscar Autocode if respondent selected any codes [110-
113, 152, 554] at DV_AdAssign.
11. AARP Autocode if respondent selected any codes [123,
521] at DV_AdAssign.
12. Harken Health Autocode if respondent selected code [161] at
DV_AdAssign.
13. Molina Healthcare Autocode if respondent selected any codes [162,
247] at DV_AdAssign.
14. Innovation Health Autocode if respondent selected code [169] at
DV_AdAssign.
15. Centene Autocode if respondent selected any codes [170,
181] at DV_AdAssign.
16. Zocdoc Autocode if respondent selected code [251] at
DV_AdAssign.
- Programmer: Show respondents video or photo and allow playing video only twice. They cannot press “next” until
they’ve watched the video at least once, if applicable.
[VideoPlay]
- Show to all.
- Programmer Comment: Insert after ad plays once. If yes is selected, play ad again. If no is selected, continue to questions.
D1a_VideoPlay. Would you like to see/hear the ad again?
Select one response.
DEFAULT ORDER.
1. Yes
2. No
[SectionDLoop]
SectionDLoop. SectionDLoop
Iterations:
DEFAULT ORDER.
1. [DV_AdAssign Assignment 1]
2. [DV_AdAssign Assignment 2]
Questions:
[OverallLike]
- Show to all.
- Programmer Comment: Insert screenshot of ad at top of page.
D1_OverallLike. Which statement best describes your feeling about the ad?
Select one response.
DEFAULT ORDER.
1. I disliked it very much
2. I disliked it
3. I neither liked nor disliked it
4. I liked it
5. I liked it very much
RANDOMIZE LIST.
1. Blue Cross Blue Shield
2. Anthem (Wellpoint)
3. UnitedHealth Group PC: SUPPRESS AS OF AUGUST 2017
4. Aetna Inc.
5. Cigna Corporation
6. Kaiser
7. Humana
8. Capital Blue Cross
9. Optum
10. Oscar
11. AARP
12. Harken Health
13. Molina Healthcare
14. Innovation Health
15. Centene
16. Zocdoc
17. United Healthcare
18. Providence Health & Services
19. CVS
20. Bright Health
21. Health First Health Plans
22. Gateway Health Plans
99. None of these ANCHOR. EXCLUSIVE.
DEFAULT ORDER.
1. Cigna Autocode if (respondent selected code [1] at
DV_AdBrand AND respondent selected code [5] at
D2_BrandIdentification).
2. Humana Autocode if (respondent selected code [2] at
DV_AdBrand AND respondent selected code [7] at
D2_BrandIdentification).
3. UnitedHealth Group Autocode if (respondent selected code [3] at
DV_AdBrand AND respondent selected code [3] at
D2_BrandIdentification). PC: SUPPRESS AS OF
AUGUST 2017
4. Aetna Autocode if (respondent selected code [4] at
DV_AdBrand AND respondent selected code [4] at
D2_BrandIdentification).
5. Kaiser Permanente Autocode if (respondent selected code [5] at
DV_AdBrand AND respondent selected code [6] at
D2_BrandIdentification).
7. Capital Blue Cross Autocode if (respondent selected code [6] at
DV_AdBrand AND respondent selected code [8] at
D2_BrandIdentification).
8. Anthem Autocode if (respondent selected code [7] at
DV_AdBrand AND respondent selected code [2] at
D2_BrandIdentification).
9. Optum Autocode if (respondent selected code [8] at
DV_AdBrand AND respondent selected code [9] at
D2_BrandIdentification).
10. Blue Cross Blue Shield Autocode if (respondent selected code [9] at
DV_AdBrand AND respondent selected code [1] at
D2_BrandIdentification).
11. Oscar Autocode if (respondent selected code [10] at
DV_AdBrand AND respondent selected code [10]
at D2_BrandIdentification).
12. AARP Autocode if (respondent selected code [11] at
DV_AdBrand AND respondent selected code [11]
at D2_BrandIdentification).
13. Harken Health Autocode if (respondent selected code [12] at
DV_AdBrand AND respondent selected code [12]
at D2_BrandIdentification).
14. Molina Healthcare Autocode if (respondent selected code [13] at
DV_AdBrand AND respondent selected code [13]
at D2_BrandIdentification).
15. Innovation Health Autocode if respondent selected code [14] at
DV_AdBrand AND respondent selected code [14]
at D2_BrandIdentification.
16. Centene Autocode if respondent selected code [15] at
DV_AdBrand AND respondent selected code [15]
at D2_BrandIdentification.
6. Did not correctly ID brand PC: Select if no code selected above
17. Zocdoc Autocode if respondent selected code [16] at
DV_AdBrand AND respondent selected code [16]
at D2_BrandIdentification.
18. United Healthcare Autocode if (respondent selected code [17] at
DV_AdBrand AND respondent selected code [17]
at D2_BrandIdentification).
19. Providence Health & Services Autocode if (respondent selected code [18] at
DV_AdBrand AND respondent selected code [18]
at D2_BrandIdentification).
20. CVS Autocode if (respondent selected code [19] at
DV_AdBrand AND respondent selected code [19]
at D2_BrandIdentification).
21. Bright Health Autocode if (respondent selected code [20] at
DV_AdBrand AND respondent selected code [20]
at D2_BrandIdentification).
22. Health First Health Plans Autocode if (respondent selected code [21] at
DV_AdBrand AND respondent selected code [21]
at D2_BrandIdentification).
23. Gateway Health Plans Autocode if (respondent selected code [22] at
DV_AdBrand AND respondent selected code [22]
at D2_BrandIdentification).
DEFAULT ORDER.
1. This advertisement could only be for [INSERT BRAND]
2. This advertisement could be for any health insurance
company
3. This advertisement could be for any company
[AdFamiliarity]
- Show to all.
- Programmer Comment: Insert screenshot of ad at top of page.
D4_AdFamiliarity. Which statement best describes your familiarity with the ad?
Select one response.
DEFAULT ORDER.
1. I have never seen/heard it
4. I have seen/heard it but just once or twice
3. I have seen/heard it a few times
4. I have seen/heard it frequently
[AdEvaluation]
- Show to all.
- Programmer Comment: Insert screenshot of ad at top of page.
D5_AdEvaluation. Following are some statements that people like you have made about ads. We’d like to know how you feel after looking
at/hearing this advertisement. Do this by selecting a response from Strongly Disagree to Strongly Agree for each
statement.
Select one response for each.
DEFAULT ORDER.
1. Much less likely
2. Somewhat less likely
3. Equally likely
3. Somewhat more likely
5. Much more likely
[Communications]
- Show if respondent selected any codes [1-2, 4-17] at DV_AdBrand.
- Programmer Comment: Ask about all brands of ads.
D7_Communications. How much, if at all, do you agree the ad you just saw/heard communicated the following things?
Select one response for each.
- Programmer: Show if respondent selected code [1] at DV_Augment2 AND respondent selected code [1] at
DV_ProviderTracked
[NPS_Intro]
- Show if respondent selected code [1] at DV_Augment2 AND respondent selected code [1] at DV_ProviderTracked.
DT_NPS_Intro. Now, please think about your current primary health insurance provider again.
[Experience]
- Show if respondent selected code [1] at DV_Augment2 AND respondent selected code [1] at DV_ProviderTracked.
N1_Experience. How strongly do you agree or disagree with the following?
Select one response for each.
Neither
COLS: DEFAULT ORDER. Strongly agree nor Strongly a
ROWS: RANDOMIZE LIST. disagree Disagree disagree Agree gree
1.
[A3_CurrentPrimaryProvid
1 2 3 4 5
er] is a good value for the
total price I pay
2.
[A3_CurrentPrimaryProvid
1 2 3 4 5
er] makes it easy for me to
receive the care that I need
3.
[A3_CurrentPrimaryProvid
1 2 3 4 5
er] is on my side and an
advocate for me
4.
[A3_CurrentPrimaryProvid
1 2 3 4 5
er] provides timely and
helpful information to me
5.
[A3_CurrentPrimaryProvid
er] communicates with me 1 2 3 4 5
in the way I like (online,
mail, email, text, etc.)
[EaseOfUse]
- Show if respondent selected code [1] at DV_Augment2 AND respondent selected code [1] at DV_ProviderTracked.
N2_EaseOfUse. Thinking about your current health insurance, how easy is it to…
Select one response for each.
Neither
COLS: DEFAULT ORDER. Very difficult
ROWS: RANDOMIZE LIST. difficult Difficult nor easy Easy Very easy
1. Select the plan that is
the best fit for me and my 1 2 3 4 5
family
2. Understand what is
covered and not covered 1 2 3 4 5
by my plan
3. Figure out how much it
will cost before I go to the 1 2 3 4 5
doctor
DEFAULT ORDER.
1. Yes
2. No
3. Prefer not to say
[SurpriseBill]
- Show if respondent selected code [1] at DV_Augment2 AND respondent selected code [1] at DV_ProviderTracked.
- Show if respondent selected code [1] at N3_SurpriseCosts.
- Programmer Comment: SUPPRESS AS OF NOVEMBER 2020
- Note to client: Question to be suppressed after October read.
N4_SurpriseBill. What was the unexpected or surprise bill for?
Select all that apply.
RANDOMIZE LIST.
1. Emergency room visit
2. Surgery or hospital stay
3. Medical testing (labs, ultra-sounds, x-rays, etc.)
4. Chiropractor or physical therapy
5. Mental or behavioral health
6. Other__________ ANCHOR. PC: min 3 characters, max 50
characters
[BillResponse]
- Show if respondent selected code [1] at DV_Augment2 AND respondent selected code [1] at DV_ProviderTracked.
- Show if respondent selected code [1] at N3_SurpriseCosts.
- Programmer Comment: SUPPRESS AS OF NOVEMBER 2020
- Note to client: Question to be suppressed after October read.
N5_BillResponse. When you received the unexpected bill, what was the first thing you did?
Select one response.
RANDOMIZE LIST.
1. Paid the bill (or made arrangements to pay the bill)
RANDOMIZE WITHIN.
2.Contacted the medical provider to figure out what the bill
was for
3. Contacted your health insurance provider to
understand the cost or what the bill was for
4. Waited to see if the issue resolved itself
5. Asked a family member or friend to help you understand
the bill
6. Other__________ ANCHOR. EXCLUSIVE. PC: min 3 characters, max
100 characters
[ForgoTreatment]
- Show if respondent selected code [1] at DV_Augment2 AND respondent selected code [1] at DV_ProviderTracked.
N6_ForgoTreatment. During the last 12 months, was there a time you did not receive medical care because you could not afford it?
Select one response.
DEFAULT ORDER.
1. Yes
2. No
3. Prefer not to say
How do you expect choosing an in-network provider would impact the cost to you?
Select one response.
DEFAULT ORDER.
1. An in-network doctor would cost more
2. An in-network doctor would cost about the same
3. An in-network doctor would cost less
4. The definition of in-network is unclear
[NetworkCheck]
- Show if respondent selected code [1] at DV_Augment2 AND respondent selected code [1] at DV_ProviderTracked.
- Show if respondent selected any codes [1-3] at N7_NetworkImpact.
- Programmer Comment: SUPPRESS AS OF NOVEMBER 2020
- Note to client: Question to be suppressed after October read.
N8_NetworkCheck. When you make an appointment with a new provider (doctor, therapist, lab, etc.) that you have not seen before, do
you check to see whether the doctor or facility is in-network?
Select one response.
DEFAULT ORDER.
1. I check every time
2. I check sometimes
3. I do not check if I have a referral
4. I never check
5. Does not apply to me
- Programmer: Show if, for any row [1-3] at S14_Employment, the respondent selected code [1]
[EmployerBHIntro]
- Show if, for any row [1-3] at S14_Employment, the respondent selected code [1].
DT_EmployerBHIntro. Now, we are going to ask you a few questions about your job or career.
[CareerChange]
- Show if, for any row [1-3] at S14_Employment, the respondent selected code [1].
EBH1_CareerChange. If the right opportunity came along in the next 2 years, how likely would you consider a job/career change?
Select one response.
DEFAULT ORDER.
1. Definitely would not
2. Probably would not
3. Might or might not
4. Probably would
5. Definitely would
[InfluenceChange]
- Show if, for any row [1-3] at S14_Employment, the respondent selected code [1].
- Show if respondent selected any codes [3-5] at EBH1_CareerChange.
- Programmer Comment: Require respondents to rank top 3.
EBH2_InfluenceChange. What factors would most likely influence your decision to consider a job/career change?
Please rank your top 3 most influential factors with 1 being the most influential, 2 as the second, and 3 as the
third.
I'm not
COLS: DEFAULT ORDER. Definitely Probably Might or Probably Definitely familiar
ROWS: RANDOMIZE LIST. would not would not might not would would enough
1. Cigna 1 2 3 4 5 99
2. Blue Cross Blue Shield 1 2 3 4 5 99
3. Aetna 1 2 3 4 5 99
4. Humana 1 2 3 4 5 99
5. United Healthcare 1 2 3 4 5 99
6. CVS Health 1 2 3 4 5 99
101. Google 1 2 3 4 5 99 Client: Always show
102. Amazon 1 2 3 4 5 99 Client: Always show
103. Apple 1 2 3 4 5 99 Client: Always show
104. Cisco 1 2 3 4 5 99 Client: Always show
[DV_ConsiderWork]
- Show if, for any row [1-3] at S14_Employment, the respondent selected code [1].
- Hidden Question. Autocode row stubs selected at any of these column(s) [4-5] at EBH3_ConsiderWork.
DV_ConsiderWork. Hidden variable to capture companies T2B would consider working for.
Select all that apply.
DEFAULT ORDER.
1. Cigna
2. Blue Cross Blue Shield
3. Aetna
4. Humana
5. United Healthcare
6. CVS Health
101. Google
102. Amazon
103. Apple
104. Cisco
99. None of these Autocode if respondent did NOT select codes [1-6,
101-104] at DV_ConsiderWork.
[DV_EBHAssigned]
- Show if, for any row [1-3] at S14_Employment, the respondent selected code [1].
- Hidden Question.
- Programmer Comment: Prioritize assigning Cigna if selected at DV_ConsiderWork
DV_EBHAssigned. Assigner
Select all that apply.
Step 1:
Assignment type: Random
Maximum number of categories that can be assigned to this step: 1
Only assign specific categories?: Yes, one or more stubs from the eligibility variable
Cigna
Step 2:
Assignment type: Random
Maximum number of categories that can be assigned to this step: 1
Only assign specific categories?: No, anything eligible can be assigned
[WorkPerceptions]
- Show if, for any row [1-3] at S14_Employment, the respondent selected code [1].
- Programmer Comment: Prioritize Cigna if selected at DV_ConsiderWork. Else, randomly assign another brand selected at
DV_ConsiderWork.
EBH4_WorkPerceptions. Please think about: [Brand Assigned]
What is your perception of its work culture?
Select one response for each.
Neither
COLS: DEFAULT ORDER. Strongly agree nor Strongly
ROWS: RANDOMIZE LIST. disagree Disagree disagree Agree agree
1. The company is
invested in diversity in its 1 2 4 4 5
workforce
2. There is a culture of
1 2 4 4 5
equality
3. There is a focus on
1 2 4 4 5
employee wellness
4. The company
emphasizes work/life 1 2 4 4 5
balance
[ChoosingPlan]
- Show if respondent selected code [1] at DV_Augment2.
- Show if respondent selected code [2] at S7_HaveHealthInsurance.
DT_ChoosingPlan. Next, we would like to know how confident you feel about choosing a health insurance plan.
[Choosing_UsingPlan]
- Show if respondent selected code [1] at DV_Augment2.
- Show if respondent selected code [1] at S7_HaveHealthInsurance.
DT_Choosing_UsingPlan. Next, we would like to know how confident you feel about choosing a health insurance plan and using your
current plan's benefits.
[PickingPlan]
- Show if respondent selected code [1] at DV_Augment2.
H1_PickingPlan. When choosing a health insurance plan, how confident are you that you…
Select one response for each.
[NavigatePlan]
- Show if respondent selected code [1] at DV_Augment2.
- Show if respondent selected code [1] at S7_HaveHealthInsurance.
H3_NavigatePlan. Thinking about your current primary health insurance plan, how confident are you that you know…
Select one response for each.
- Programmer: Please only show Concept Testing section to National Rep (DV_Augment2=NationalRep)
[DV_ShowConcept]
- Show if respondent selected code [1] at DV_Language.
- Hidden Question.
DV_ShowConcept. Hidden variable: capture whether the concept testing section is showing for respondents or not (quota button)
Select one response.
DEFAULT ORDER.
1. Concept testing section on
2. Concept testing section off
[ConceptIntro]
- Show if respondent selected code [1] at DV_Language.
DT_ConceptIntro Thank you for your time so far. For the next section, we have a product or service concept that we would first like you to
. review. We will then show you different potential names for this concept and ask you for your feedback.
Please read the concept carefully before you click the "Next" button.
[ConceptText]
- Show if respondent selected code [1] at DV_Language.
- Programmer Comment: Allow respondent to click "next" after 10 seconds
DT_ConceptText. Cigna is introducing a brand new model of customer service and would like your help in determining the best name for
this service.
The Digital Stand Alone Decision Support (SADS) tool provides you with assistance in selecting a medical plan, network,
and PCP for Cigna medical plans. First, you answer a few brief questions about your health and medical plan needs.
Then you receive a customized summary of your medical plan choices ranked by ‘Best Fit,’ ‘Next Best Fit’ and ‘Good
Fit’. Depending on the options provided by your employer, you will have the option to compare plans and make the best
choice based on your needs. For complex plan designs, such as narrow network or high deductible plans, this tool
provides you with a simplified approach to making a big decision.
[DV_FirstAssigned]
- Show if respondent selected code [1] at DV_Language.
- Hidden Question.
DV_FirstAssigned. Hidden question: Capture concept name assigned to rate first to check for bias
Select one response.
DEFAULT ORDER.
1. Cigna 90 Now PC: Select if first message assigned at Name Test
Loop; August 2016 Suppressed.
2. Cigna Script Ease 90 PC: Select if first message assigned at Name Test
Loop; August 2016 Suppressed.
3. Cigna Steady Script 90 PC: Select if first message assigned at Name Test
Loop; August 2016 Suppressed.
4. Cigna Hospital Care Plan PC: Either show code 4 or 5, not both; August
2016 Suppressed
5. Cigna Hospital Care Plus – Plan PC: Either show code 4 or 5, not both; August
2016 Suppressed
6. Cigna Hospital Support Plan PC: Either show code 6 or 7, not both; August
2016 Suppressed
7. Cigna Hospital Support Plus – Plan PC: Either show code 6 or 7, not both; August
2016 Suppressed
8. Cigna Hospital Indemnity Plan PC: August 2016 Suppressed
9. Guided Benefit Source PC: August 2016 Suppressed
10. Pathlight Benefit Solutions PC: August 2016 Suppressed
11. Cigna One Guide PC: February 2017 Suppressed
12. Cigna Sure Guide PC: February 2017 Suppressed
13. Cigna Easy Choice Tool PC: New for February 2017; Select if First Message
Assigned at Name Test Loop
14. Cigna Choice Assist Tool PC: New for February 2017; Select if First Message
Assigned at Name Test Loop
[NameTestLoop]
- Programmer Comment: Show name on screen at the top of each question.
NameTestLoop. NameTestLoop
Iterations:
RANDOMIZE LIST.
1. Cigna 90 Now PC: August 2016 Suppressed
2. Cigna Script Ease 90 PC: August 2016 Suppressed
3. Cigna Steady Script 90 PC: August 2016 Suppressed
4. Cigna Hospital Care Plan PC: Either show code 4 or 5, not both; August
2016 Suppressed
5. Cigna Hospital Care Plus – Plan PC: Either show code 4 or 5, not both; August
2016 Suppressed
6. Cigna Hospital Support Plan PC: Either show code 6 or 7, not both; August
2016 Suppressed
7. Cigna Hospital Support Plus – Plan PC: Either show code 6 or 7, not both; August
2016 Suppressed
8. Cigna Hospital Indemnity Plan PC: August 2016 Suppressed
9. Guided Benefit Source PC: August 2016 Suppressed
10. Pathlight Benefit Solutions PC: August 2016 Suppressed
11. Cigna One Guide PC: February 2017 Suppressed
12. Cigna Sure Guide PC: February 2017 Suppressed
13. Cigna Easy Choice Tool PC: New for February 2017; Select if First Message
Assigned at Name Test Loop
14. Cigna Choice Assist Tool PC: New for February 2017; Select if First Message
Assigned at Name Test Loop
15. Cigna Choose Well Tool PC: New for February 2017; Select if First Message
Assigned at Name Test Loop
Questions:
[Likability]
- Show if respondent selected code [1] at DV_Language.
- Show if respondent selected code [1] at DV_Augment2.
- Programmer Comment: Show scale horizontally.
Concept1_Likability. [INSERT ITERATION NAME IN BOLD]
In relation to the concept you have just read, how much do you like the name presented above?
Please select one response. You may choose any point on the scale.
[ConceptBrandFit]
- Show if respondent selected code [1] at DV_Language.
- Show if respondent selected code [1] at DV_Augment2.
- Programmer Comment: Show scale horizontally.
Concept2_ConceptBrandFit. [INSERT ITERATION NAME IN BOLD]
How well do you think this name fits with the concept that you reviewed earlier?
Please select one response. You may choose any point on the scale.
[Unique]
- Show if respondent selected code [1] at DV_Language.
- Show if respondent selected code [1] at DV_Augment2.
- Programmer Comment: Show scale horizontally.
Concept3_Unique. [INSERT ITERATION NAME IN BOLD]
In relation to the concept you have just seen, how unique is the name presented above?
Please select one response. You may choose any point on the scale.
[ForceChoice]
- Show if respondent selected code [1] at DV_Language.
- Show if respondent selected code [1] at DV_Augment2.
Concept5_ForceChoice. In relation to the concept you have just seen, which of the following names do you like the most?
Select one response.
RANDOMIZE LIST.
1. Cigna 90 Now PC: August 2016 Suppressed
2. Cigna Script Ease 90 PC: August 2016 Suppressed
3. Cigna Steady Script 90 PC: August 2016 Suppressed
4. Cigna Hospital Care Plan PC: Either show code 4 or 5, not both; August
2016 Suppressed
5. Cigna Hospital Care Plus – Plan PC: Either show code 4 or 5, not both; August
2016 Suppressed
6. Cigna Hospital Support Plan PC: Either show code 6 or 7, not both; August
2016 Suppressed
7. Cigna Hospital Support Plus – Plan PC: Either show code 6 or 7, not both; August
2016 Suppressed
8. Cigna Hospital Indemnity Plan PC: August 2016 Suppressed
9. Guided Benefit Source PC: August 2016 Suppressed
10. Pathlight Benefit Solutions PC: August 2016 Suppressed
11. Cigna One Guide PC: February 2017 Suppressed
12. Cigna Sure Guide PC: February 2017 Suppressed
13. Cigna Easy Choice Tool PC: New for February 2017; Select if First Message
Assigned at Name Test Loop
14. Cigna Choice Assist Tool PC: New for February 2017; Select if First Message
Assigned at Name Test Loop
15. Cigna Choose Well Tool PC: New for February 2017; Select if First Message
Assigned at Name Test Loop
[GBHTLoopLoopthroughamaxof3brandsassignedatDV_RatethesamebrandsfromIIMandRC]
- Programmer Comment: Show brands assigned at DV_Rate
GBHTLoopLoopthroughamaxof3brandsassignedatDV_RatethesamebrandsfromIIMandRC. GBHTLoopLoopthroughamaxof3brandsassignedatDV_Ratethes
C
Iterations:
DEFAULT ORDER.
1. [INSERT DV_RATE BRAND 1]
2. [INSERT DV_RATE BRAND 2]
3. [INSERT DV_RATE BRAND 3]
Questions:
Don't
know/Not
Familiar
COLS: DEFAULT ORDER. Strongly Somewhat Somewhat Strongly Enough to
ROWS: RANDOMIZE LIST. Disagree Disagree Agree Agree Agree Rate
1. Helps me proactively
1 2 3 4 5 99
take good care of myself
2. Is a leader in delivering
health benefits and 1 2 3 4 5 99
wellness solutions
3. Helps me recover
1 2 3 4 5 99
quickly when ill
4. Is a company for
1 2 3 4 5 99
someone like me
5. Is a company I trust 1 2 3 4 5 99
6. Is a company I’ve heard
1 2 3 4 5 99
good things about
7. Is a health insurance
company that will always 1 2 3 4 5 99
be there for me
8. Is easy to work with 1 2 3 4 5 99
9. Is innovative and
1 2 3 4 5 99
forward-thinking
10. Is open and
transparent in its business 1 2 3 4 5 99
practices
11. Is sensitive to my
1 2 3 4 5 99
cultural/language needs
12. Offers coverage that
can be tailored to my 1 2 3 4 5 99
individual needs
13. Offers programs that
help me achieve better 1 2 3 4 5 99
health
14. Partners with me to
1 2 3 4 5 99
improve my total well-being
15. Provides a sense of
1 2 3 4 5 99
safety and security
16. Provides expert and
helpful guidance and 1 2 3 4 5 99
assistance
PC: Hide Stub -
17. Will be there "for me"
1 2 3 4 5 99 Suppress starting July
in good times and bad 2016
Don't
Know/Not
Familiar
COLS: DEFAULT ORDER. Strongly Somewhat Somewhat Strongly Enough to
ROWS: RANDOMIZE LIST. Disagree Disagree Agree Agree Agree Rate
1. Delivers on promise 1 2 3 4 5 99
2. Has an easy and
1 2 3 4 5 99
efficient claims process
3. Offers programs that
helps me achieve better 1 2 3 4 5 99
health and peace of mind
4. Has a culture that puts
1 2 3 4 5 99
customer first
5. Is a premier provider of
healthcare insurance 1 2 3 4 5 99
benefits
6. Has expertise in the
field of helathcare 1 2 3 4 5 99
insurance
7. Cares about its
1 2 3 4 5 99
customers
8. Treats its customers
1 2 3 4 5 99
with dignity and respect
9. Provides good value for
1 2 3 4 5 99
the money
10. Recognizes each of its
customers as an individual 1 2 3 4 5 99
with unique needs
11. Helps improve the
1 2 3 4 5 99
quality of healthcare
12. Has been
1 2 3 4 5 99
recommended to me
13. Has a broad network
of hospitals, doctors, and 1 2 3 4 5 99
clinics that meet my needs
14. Treats its customers
with compassion and 1 2 3 4 5 99
empathy
15. Is a company that I
1 2 3 4 5 99
can relate to
16. Offers coverage that
can be tailored to my 1 2 3 4 5 99
individual needs
17. Gives customers
information and options so
1 2 3 4 5 99
they can make affordable
choices
18. Provides expert and
helpful guidance and 1 2 3 4 5 99
assistance
19. Has
integrated/comprehensive 1 2 3 4 5 99
services
20. Strives to improve
1 2 3 4 5 99
affordability and value
[NonRationalBrandRatings_GBHT]
- Show to all.
- Programmer Comment: ASK ONCE A YEAR IN OCTOBER
GBHT3_NonRationalBrandRatings_GBHT. Listed below are some characteristics or personality traits. For [INSERT BRAND], please select
all the characteristics that you feel describe this company.
Select all that apply for each.
- Programmer: Show if respondent selected code [5] at A1b_AidedAwareness AND respondent selected code [1] at
DV_Augment2
[CharitySupport]
- Show if respondent selected code [5] at A1b_AidedAwareness AND respondent selected code [1] at DV_Augment2.
- Programmer Comment: Do not show code 11 “Not aware of Cigna.” Autocode as code 11 if not asked question.
Social3_CharitySupport. Which of the following types of charities have you supported in the past?
Select all that apply.
RANDOMIZE LIST.
1. Hunger
2. Disaster relief
3. Environment/animals
4. Healthcare/disease
5. Access to clean water
6. Economic/community development
7. Education
8. Arts/culture
9. Religion
10. None of the above ANCHOR. EXCLUSIVE.
11. Not aware of Cigna [DO NOT SHOW. AUTOCODE IF ANCHOR. PC: [DO NOT SHOW. AUTOCODE IF
NOT ASKED QUESTION] NOT ASKED QUESTION]
[CharityPriority]
- Show if respondent selected code [5] at A1b_AidedAwareness AND respondent selected code [1] at DV_Augment2.
- Programmer Comment: Do not show code 10. Autocode as code 10 if not asked question.
Force respondents to enter 1, 2, and 3 in ranking the stubs - do not allow multiple entries of the same number.
Social4_CharityPriority. How would you rank the following non-profit or charity categories for a company to focus on in the future? Please
rank your top priority as "1," your second as "2," and your third as "3."
Please rank your top 3.
[DV_SocPriorityAsk]
- Show if respondent selected code [5] at A1b_AidedAwareness AND respondent selected code [1] at DV_Augment2.
- Hidden Question.
DV_SocPriorityAsk Hidden Variable. Capture whether question is asked for CharityPriority
.
Select one response.
DEFAULT ORDER.
1. Yes
2. No
Not Aware
of Cigna
COLS: RANDOMIZE LIST. Not at All Not Very Somewhat Very [DO NOT
ROWS: RANDOMIZE LIST. Familiar Familiar Familiar Familiar SHOW]
1. March of Dimes 1 2 3 4 5
2. Achilles International
Athletic Competitions (for
1 2 3 4 5
those with physical
challenges/disabilities)
PC: [DO
NOT SHOW].
Autocode if
not asked
question.
[CignaSupp]
- Show if respondent selected code [5] at A1b_AidedAwareness AND respondent selected code [1] at DV_Augment2.
- Programmer Comment: Do not show code 7 “Not aware of Cigna.” Autocode as code 7 if not asked question.
Social2_CignaSupp. Are you aware of Cigna's support of any of the following initiatives, including those in your local community?
Select all that apply.
RANDOMIZE LIST.
1. Hunger and nutrition initiatives
2. Efforts to improve community health
3. Health education/awareness
4. Mentoring and education programs
5. Disaster relief
6. None of the above ANCHOR. EXCLUSIVE.
7. Not aware of Cigna [DO NOT SHOW. AUTOCODE IF ANCHOR. PC: DO NOT SHOW STUB. AUTOCODE
NOT ASKED QUESTION] IF NOT ASKED QUESTION
- Programmer: Show if for any row [1-3] at S14_Employment, the respondent selected code [1] AND respondent
selected code [1] at DV_Augment2
[TravelFrequency]
- Show if for any row [1-3] at S14_Employment, the respondent selected code [1] AND respondent selected code [1] at
DV_Augment2.
Travel1_TravelFrequency. How often do you travel out of country for work?
Select one response.
DEFAULT ORDER.
1. More than 75% of the time
2. 50-75%
3. 25-49%
4. 10-24%
5. Less than 10% of the time
6. Never
[OfferInsurance]
- Show if for any row [1-3] at S14_Employment, the respondent selected code [1] AND respondent selected code [1] at
DV_Augment2.
- Show if respondent did NOT select code [6] at Travel1_TravelFrequency.
Travel2_OfferInsurance. Does your employer offer you business travel insurance to cover you when out of country?
Select one response.
DEFAULT ORDER.
1. Yes - For all my business travels
2. Yes - For most business trips
3. Yes but rarely
4. No
5. Don't know/not sure
[InsuranceCovered]
- Show if for any row [1-3] at S14_Employment, the respondent selected code [1] AND respondent selected code [1] at
DV_Augment2.
- Show if respondent selected any codes [1-3] at Travel2_OfferInsurance.
Travel3_InsuranceCovered. What is covered by your employer sponsored business travel insurance while you are travelling outside of the
US?
Select all that apply.
RANDOMIZE LIST.
1. Accidental death
2. Loss of luggage
3. Trip delays/cancellation
4. Repatriation/evacuation
5. Medical expenses
6. Other ANCHOR.
7. Don’t know/not sure ANCHOR. EXCLUSIVE.
RANDOMIZE LIST.
1. AIG
2. American Express
3. Travelex Insurance Services
4. ACE
5. Chubb
6. IMG
7. Seven Corners
8. HTH
9. Cigna
11. Anthem
12. Blue Cross / Blue Shield
10. Don't know ANCHOR. EXCLUSIVE.
[UsualCoverage]
- Show if for any row [1-3] at S14_Employment, the respondent selected code [1] AND respondent selected code [1] at
DV_Augment2.
- Show if respondent selected any codes [1-3] at Travel2_OfferInsurance.
- Programmer Comment: Randomize codes in same order as Travel4
Travel5_UsualCoverage. From which company or companies do you usually get business travel insurance coverage?
Select all that apply.
RANDOMIZE LIST.
1. AIG PC: Show if selected at Travel4
2. American Express PC: Show if selected at Travel4
3. Travelex Insurance Services PC: Show if selected at Travel4
4. ACE PC: Show if selected at Travel4
5. Chubb PC: Show if selected at Travel4
6. IMG PC: Show if selected at Travel4
7. Seven Corners PC: Show if selected at Travel4
8. HTH PC: Show if selected at Travel4
9. Cigna PC: Show if selected at Travel4
10. Blue Cross / Blue Shield PC: Show if selected at Travel4
11. Anthem PC: Show if selected at Travel4
[DV_UsualCoverage]
- Show if for any row [1-3] at S14_Employment, the respondent selected code [1] AND respondent selected code [1] at
DV_Augment2.
- Hidden Question.
DV_UsualCoverage. Hidden variable. Capture usual travel insurance coverage, code selected or not asked for each respondent
Select one response for each.
- Programmer: Show if (respondent did NOT select code [1] at S5_Ethnicity AND respondent did NOT select codes [32,
188] at S5a_CountryCulture) AND respondent selected code [1] at DV_Augment2
[Services]
- Show if (respondent did NOT select code [1] at S5_Ethnicity AND respondent did NOT select codes [32, 188] at
S5a_CountryCulture) AND respondent selected code [1] at DV_Augment2.
Multi1_Services. Listed below are some services that a culturally sensitive organization can offer its customers.
A culturally sensitive company considers cultural differences like language and traditions when providing a product or
service to its customers.
Please RANK each service from 1 to 5, with 1 being the most valuable activity to you and 5 being the least valuable.
Enter numeric responses.
[ProviderChoice]
- Show if (respondent did NOT select code [1] at S5_Ethnicity AND respondent did NOT select codes [32, 188] at
S5a_CountryCulture) AND respondent selected code [1] at DV_Augment2.
- Show if any row [6] at Multi1_Services, the value in any column [1].
Multi2_ProviderChoice. Suppose you have to decide between two health insurance providers, Company A and B; both offer the same
plan coverage and network.
- Company A: charges a lower premium/cost for the coverage, but it is not culturally sensitive to your needs and
doesn’t offer any of the activities listed in the previous question.
- Company B: charges a higher premium/cost for the coverage but it is sensitive to your cultural needs (offers
most of the activities listed in the previous question)
How much more would you be willing to pay to choose Company B and have a healthcare provider that is
culturally sensitive to your needs?
Select one response.
DEFAULT ORDER.
1. I would not be willing to pay more
2. I would be willing to pay a little bit more
3. I would be willing to pay somewhat more
4. I would be willing to pay significantly more
COLS: DEFAULT ORDER. Not at all Not very Somewhat Very Extremely
ROWS: RANDOMIZE LIST. important important important important important
1. Has a broad network of
hospital, doctors, clinics 1 2 3 4 5
that meet my needs
2. Provides good value for
1 2 3 4 5
the money
3. Offers coverage that
can be tailored to my 1 2 3 4 5
individual needs
4. Provides expert and
helpful guidance and 1 2 3 4 5
assistance
5. Treats each customer
like an individual, not a 1 2 3 4 5
number
6. Is easy to work with 1 2 3 4 5
7. Offers programs and
helps me achieve better 1 2 3 4 5
health and peace of mind
8. Delivers on its promise 1 2 3 4 5
9. Understands and meets
my cultural and language 1 2 3 4 5
needs
DEFAULT ORDER.
Uses HCPBrandList
999. None of the above ANCHOR. EXCLUSIVE.
[DV_HCPAware]
- Hidden Question. Applies to all.
DV_HCPAware. Hidden Variable. Capture code selected or not asked for each respondent at HCP Awareness
Select one response for each.
[HCPFamiliarity]
- Show to all.
- Programmer Comment: Show only brands selected at HCP1_Awareness (Aware of brand).
HCP2_HCPFamiliarity. How familiar are you with each of the following healthcare providers?
Select one response for each.
Not at all
familiar - I
have only
COLS: DEFAULT ORDER. heard the Not very Somewhat Very
ROWS: DEFAULT ORDER. name familiar familiar familiar
Uses HCPBrandList 1 2 3 4
[Favorability]
- Show to all.
- Programmer Comment: Show only brands selected code [2, 3 or 4] at HCP2_HCPFamiliarity.
HCP3_Favorability. For each of the following companies, please tell us your opinion of each brand. Even if you are not very familiar with a
company, please give your answer based on your impression of it.
Select one response for each.
Very Somewhat
COLS: DEFAULT ORDER. unfavorabl unfavorabl Somewhat Very
ROWS: DEFAULT ORDER. e e favorable Favorable favorable
Uses HCPBrandList 1 2 3 4 5
[DSAIntro]
- Show if respondent selected any codes [1-3] at DV_County.
DT_DSAIntro. Now, we are going to ask you a few questions about partnerships between health insurance companies and hospital/
doctors’ groups.
[DSAAwareness]
- Show if respondent selected any codes [1-3] at DV_County.
- Programmer Comment: Show brand logos.
DSA1_DSAAwareness. Which of the following partnerships have you ever heard of?
Select all that apply.
RANDOMIZE LIST.
Uses DSABrandList
999. None of the above ANCHOR. EXCLUSIVE.
[DSAFamiliarity]
- Show if respondent selected any codes [1-3] at DV_County.
- Only show row stubs selected at DSA1_DSAAwareness.
- Programmer Comment: Show brand logos. Keep logos in the same order as DSAAwareness.
DSA2_DSAFamiliarity. How familiar are you with each of the following insurance company partnerships?
Select one response for each.
Not at all
familiar - I
have only
COLS: DEFAULT ORDER. heard the Not very Somewhat Very
ROWS: DEFAULT ORDER. name familiar familiar familiar
Uses DSABrandList 1 2 3 4
[DV_DSAFamiliarity]
- Show if respondent selected any codes [1-3] at DV_County.
- Hidden Question.
DV_DSAFamiliarity. Hidden variable to capture T3B familiarity for Medallia.
Select one response for each.
[DSAFavorability]
- Show if respondent selected any codes [1-3] at DV_County.
- Only show row stubs selected at any of these column(s) [1] at DV_DSAFamiliarity.
- Programmer Comment: Show only brands that selected Yes at DV_DSAFamiliarity.
Very Somewhat
COLS: DEFAULT ORDER. unfavorabl unfavorabl Somewhat Very
ROWS: DEFAULT ORDER. e e favorable Favorable favorable
Uses DSABrandList 1 2 3 4 5
[DSAPerception]
- Show if respondent selected any codes [1-3] at DV_County.
- Only show row stubs selected at any of these column(s) [1] at DV_DSAFamiliarity.
- Programmer Comment: Show only brands that selected Yes at DV_DSAFamiliarity.
[DV_DSAPerception]
- Show if respondent selected any codes [1-3] at DV_County.
- Hidden Question.
DV_DSAPerception. Hidden variable to capture T2B Perception for Medallia.
Select one response for each.
DEFAULT ORDER.
1. Fewer than 50
2. 50 to 250
3. 251 to 499
4. 500 to 999
5. 1,000 to 1,499
6. 1,500 to 4,999
7. 5,000 to 9,999
8. 10,000 or more
[EBH_Industry]
- Show if, for any row [1-3] at S14_Employment, the respondent selected code [1].
E15_EBH_Industry. What area of professional/work expertise do you most align with?
Select one response.
ALPHABETICAL ORDER.
1. Marketing/Communications
2. Operations
3. Technology
4. Customer Service
5. Administrative
6. Human Resources
7. Legal
8. Sales
9. Patient Care/Pharmacy
10. Finance
11. Data & Analytics
12. Other ANCHOR.
[EBH_YearsExperience]
- Show if, for any row [1-3] at S14_Employment, the respondent selected code [1].
E16_EBH_YearsExperience. Approximately how many years of experience do you have in your field?
Enter a numeric response.
DEFAULT ORDER.
15. Accommodation or Food services
18. Advertising, public relations, marketing or market
research
1. Agriculture, Forestry, and Fishing
16. Arts, entertainment, or recreation
3. Construction
19. Education (Higher education)
20. Education (K-12 education)
21. Education (Other educational services)
22. Finance or insurance other than health insurance
23. Government (Federal government)
24. Government (Municipal government)
25. Government (Other public administration)
26. Government (State government)
27. Health insurance and/or other employee benefits
28. Healthcare (Hospitals)
29. Healthcare (Other)
10. Information such as publishing (book, software,
magazine, etc.), telecommunications (cable, satellite,
radio, etc.), internet services
4. Manufacturing
2. Mining
17. Professional Services, Scientific, and Technical Services
(such as computer systems design, IT, Management)
11. Real Estate or Rental / Leasing
6. Retail trade
30. Social assistance
8. Transportation or warehousing
5. Utilities such as communications, electric, gas, and
sanitary service
7. Wholesale trade
98. Other ANCHOR.
[PeopleInHH]
- Show to all.
E3_PeopleInHH. Including yourself, how many people are currently living in your household?
Enter a numeric response.
[DV_PeopleinHH]
- Hidden Question. Applies to all.
- Programmer Comment: Code based on numeric responses at E3_PeopleInHH
DV_PeopleinHH. Hidden Variable. Capture number of people in HH for segmentation algorithm
Select one response.
DEFAULT ORDER.
1. 1
2. 2
3. 3
4. 4
5. 5
6. 6
7. 7
8. 8
9. 9
10. 10+
DEFAULT ORDER.
1. Yes
2. No
3. Don't know/Not sure
Other
COLS: DEFAULT ORDER. Household
ROWS: RANDOMIZE LIST. Myself Member
1. Breathing/lung
problems (chronic
1 2
bronchitis or emphysema,
asthma, COPD, etc.)
2. Heart problems
(coronary artery disease,
chronic heart failure, high
blood pressure, peripheral 1 2
vascular arterial disease
(PAD), angina, arrhythmia,
etc.)
3. Pain/disability 1 2
4. Cancer 1 2
5. Stroke 1 2
6. Kidney problems
(enlarged prostate,
incontinence, kidney 1 2
stones, overactive bladder,
etc.)
7. Chronic low back pain
1 2
(LBP)
8. Weight problems
(obesity, anorexia, bulimia, 1 2
etc.)
9. Sleep problems 1 2
10. Arthritis or other
rheumatic diseases 1 2
(fibromyalgia, gout, etc.)
11. Osteoarthritis 1 2
12. Diabetes (type 1 or
1 2
type 2)
13. Stress, mental or
emotional disorders
(anxiety disorder, attention
1 2
deficit disorder,
depression, autism, panic
attacks, etc.)
14. High cholesterol 1 2
15. Digestive disorders
1 2
(ulcers, colitis, etc.)
16. Neurological disorders
(Alzheimer’s, ALS/Lou
1 2
Gehrig’s disease, cerebral
palsy, epilepsy, etc.)
17. None of the above 1 2 ANCHOR. EXCLUSIVE.
Show if
value
provided at
E3_PeopleIn
HH is
greater than
1.
Thinking about last year, Jan 1, 2019 to Dec 31, 2019, did you see a provider for an annual health check-up or wellness
visit?
Select one response.
DEFAULT ORDER.
1. Yes
2. No, I was planning to go but didn’t get the chance
3. No and I wasn’t planning to
[FutureAnnual]
- Show to all.
- Programmer Comment: SUPPRESS AS OF APRIL 2020
E5b_FutureAnnual. Now thinking about [DV_Year], have you or do you plan to have an annual health check-up or wellness visit in
[DV_Year]?
Select one response.
DEFAULT ORDER.
1. I already had an annual check-up in 2020
2. I have not yet had the appointment but I plan to/ have one
scheduled
3. I don’t plan to have an annual check-up in 2020
[DoctorVisits]
- Show if respondent did NOT select codes [6-7] at DV_Age.
E6_DoctorVisits. Approximately how many total individual doctor visits, including to your primary care doctor and specialists, have you
personally had in the last 12 months?
Enter a numeric response.
[Weight]
- Show if respondent did NOT select codes [6-7] at DV_Age.
E7_Weight. What is your weight? If unsure of your exact weight, please provide your best estimate.
Enter a numeric response.
[Biometrics]
- Show if respondent did NOT select codes [6-7] at DV_Age.
E8_Biometrics. In the past 12 months, how many times have you personally checked biometrics, including cholesterol, glucose, or
triglyceride levels?
Select one response.
DEFAULT ORDER.
1. None
2. Once
3. Twice
4. Three or more times
DEFAULT ORDER.
1. My spouse/partner Show if respondent selected any codes [5-6] at
S16_HHComposition.
2. Children (under age 2) Show if respondent selected code [1] at
S16_HHComposition.
3. Children (age 2 – 5) Show if respondent selected code [2] at
S16_HHComposition.
4. Children (age 6 – 17) Show if respondent selected any codes [3-4] at
S16_HHComposition.
5. Children (age 18 – 26) Show if respondent selected code [7] at
S16_HHComposition.
6. Other Family Members PC: Show all.
7. No one else ANCHOR. EXCLUSIVE.
[DV_AlsoCovered]
- Hidden Question. Applies if respondent did NOT select codes [6-7] at DV_Age.
DV_AlsoCovered. Hidden Variable: Capture other people covered under insurance plan, code selected or not asked for each respondent
Select one response for each.
[AlcoholConsumption]
- Show if respondent did NOT select codes [6-7] at DV_Age.
E10_AlcoholConsumption. On average, how many alcoholic drinks, if any, do you consume each week? By alcoholic beverages, we mean
beer, wine, or spirits (hard alcohol).
Select one response.
DEFAULT ORDER.
1. None
2. 1-2
3. 3-5
4. 6-9
5. 10 or more
DEFAULT ORDER.
1. Segment 1
2. Segment 2
3. Segment 3
4. Segment 4
5. Segment 5
6. Segment 6
7. Segment 7
8. Segment 8
[GeneralHealth]
- Show if respondent selected any codes [6-7] at DV_Age.
F1_GeneralHealth. How often do you experience each of the following behaviors about your general health?
Select one response for each.
[PCPVisits]
- Show if respondent selected any codes [6-7] at DV_Age.
F2_PCPVisits. Approximately how many visits to your primary care doctor have you personally had in the last 12 months?
Enter a numeric response.
[NumMedications]
- Show if respondent selected any codes [6-7] at DV_Age.
F3_NumMedications. Approximately how many different medications have you been prescribed in the last 12 months?
Enter a numeric response.
Three
COLS: DEFAULT ORDER. times or
ROWS: RANDOMIZE LIST. None Once Twice more
1. Had a yearly wellness
0 1 2 3
or physical exam
2. Had your biometrics
checked, including
0 1 2 3
cholesterol, glucose, or
triglyceride levels
[FluShot]
- Show if respondent selected any codes [6-7] at DV_Age.
F5_FluShot. Have you had a flu shot since July 1 of 2021?
Select one response.
DEFAULT ORDER.
1. Yes
0. No
[PneumoniaShot]
- Show if respondent selected any codes [6-7] at DV_Age.
F6_PneumoniaShot. Have you ever had a pneumonia shot?
This shot is usually given only once or twice in a person's lifetime and is different from a flu shot. It is also called the
pneumococcal vaccine.
Select one response.
DEFAULT ORDER.
1. Yes
0. No/Don't Know
[Conditions]
- Show if respondent selected any codes [6-7] at DV_Age.
F7_Conditions. Have you been diagnosed with any of the following:
Select one response for each.
DEFAULT ORDER.
1. Poor
2. Fair
3. Good
4. Very Good
5. Excellent
[ActivityFreq]
- Show if respondent selected any codes [6-7] at DV_Age.
F9_ActivityFreq. How often do you do the following activities?
Select one response for each.
[AlcoholicDrinks]
- Show if respondent selected any codes [6-7] at DV_Age.
F10_AlcoholicDrinks. On average, how many alcoholic drinks do you consume each week?
By alcoholic beverages, we mean beer, wine or distilled spirits (hard alcohol).
Select one response.
DEFAULT ORDER.
0. None
1. 1-2
2. 3-5
3. 6-9
4. 10 or more
[WeightSenior]
- Show if respondent selected any codes [6-7] at DV_Age.
F11_WeightSenior. What is your weight?
If unsure of your exact weight, please provide your best estimate.
Enter a numeric response.
[Assets]
- Show if respondent selected any codes [6-7] at DV_Age.
F12_Assets. Many households have assets that they use to invest for multiple purposes.
Please include your household's savings and investable assets from all sources including checking and savings accounts,
brokerage accounts and retirement accounts.
Please exclude your primary residence, real estate, closely-held businesses, or assets held in any employer-sponsored
savings or retirement plans such as 401(k) plan or 403(b) plan.
Which of the following ranges best describes your household's current total investable assets?
Select one response.
DEFAULT ORDER.
1. Under $250k
2. $250k to under $2.5 Million
3. $2.5 Million or More
4. Don't know/Prefer not to answer
DEFAULT ORDER.
1. Segment 1
2. Segment 2
3. Segment 3
4. Segment 4
5. Segment 5
6. Segment 6
[DV_SegmentCombined]
- Hidden Question. Applies to all.
DV_SegmentCombined. Hidden variable to combine segment values for Medallia.
Select one response.
DEFAULT ORDER.
1. Consumer Segment 1 Autocode if respondent selected code [1] at
DV_Segment.
2. Consumer Segment 2 Autocode if respondent selected code [2] at
DV_Segment.
3. Consumer Segment 3 Autocode if respondent selected code [3] at
DV_Segment.
4. Consumer Segment 4 Autocode if respondent selected code [4] at
DV_Segment.
5. Consumer Segment 5 Autocode if respondent selected code [5] at
DV_Segment.
6. Consumer Segment 6 Autocode if respondent selected code [6] at
DV_Segment.
7. Consumer Segment 7 Autocode if respondent selected code [7] at
DV_Segment.
8. Consumer Segment 8 Autocode if respondent selected code [8] at
DV_Segment.
9. Senior Segment 1 Autocode if respondent selected code [1] at
DV_SeniorSegment.
10. Senior Segment 2 Autocode if respondent selected code [2] at
DV_SeniorSegment.
11. Senior Segment 3 Autocode if respondent selected code [3] at
DV_SeniorSegment.
12. Senior Segment 4 Autocode if respondent selected code [4] at
DV_SeniorSegment.
13. Senior Segment 5 Autocode if respondent selected code [5] at
DV_SeniorSegment.
14. Senior Segment 6 Autocode if respondent selected code [6] at
DV_SeniorSegment.
[COVIntro]
- Show to all.
DT_COVIntro. Lastly, we would like to ask you a few questions about whether your daily activities have been affected by current
conditions.
DEFAULT ORDER.
1. Yes
2. No
99. Prefer not to say
[ActivityChanges]
- Show if respondent selected code [1] at E11_BehaviorChange.
- Programmer Comment: If "No" to BehaviorChange, autocode all rows as "Same as before".
- Note to client: Global question on individual activity changes.
E12_ActivityChanges. To what extent, if any, has the COVID-19 (“Coronavirus”) outbreak impacted how often you do the following?
Select one response for each.
[BehaviorResume]
- Show if respondent selected code [1] at E11_BehaviorChange.
- Programmer Comment: If "Prefer not to say" at BehaviorChange, autocode as "Prefer not to say".
- Note to client: Optional follow-up for Heavily Affected Markets such as China/HK. Add Country/Market logic as appropriate.
E13_BehaviorResume. And how soon do you believe you will be back to your typical behavior and activities impacted by COVID-19
(“Coronavirus”)?
Select one response.
DEFAULT ORDER.
1. Within the week
2. Within the month
3. 2-3 months from now
4. More than 3 months from now
99. Prefer not to say
E14_COVIncomeChange. How has the outbreak of COVID-19 ("Coronavirus") impacted your household’s income?
Select one response.
DEFAULT ORDER.
1. Our income has halted and we have nothing to fall back
on
2. Our income has halted, but we have enough saved to get
by for 3 months
3. We have had a significant reduction that will require some
belt tightening
4. Our income has stayed roughly the same
5. We are among the lucky few whose incomes have
increased
6. Prefer not to say
[Ending]
- Show to all.
- Note to client: Suppressed double ending screens as of 7/2017.
DT_Ending. This concludes our interview.
THANK YOU SO MUCH FOR PARTICIPATING!
DEFAULT ORDER.
1. 2H'15 PC: "DataCollection.StartTime > ""7/1/2015
12:00:00 AM"" and DataCollection.StartTime <
""1/1/2016 12:00:00 AM"""
2. 1H'16 PC: "DataCollection.StartTime > ""1/1/2016
12:00:00 AM"" and DataCollection.StartTime <
""7/1/2016 12:00:00 AM"""
3. 2H'16 PC: "DataCollection.StartTime > ""7/1/2016
12:00:00 AM"" and DataCollection.StartTime <
""1/1/2017 12:00:00 AM"""
4. 1H'17 PC: "DataCollection.StartTime > ""1/1/2017
12:00:00 AM"" and DataCollection.StartTime <
""7/1/2017 12:00:00 AM"""
5. 2H'17 PC: "DataCollection.StartTime > ""7/1/2017
12:00:00 AM"" and DataCollection.StartTime <
""1/1/2018 12:00:00 AM"""
6. 1H'18 PC: "DataCollection.StartTime > ""1/1/2018
12:00:00 AM"" and DataCollection.StartTime <
""7/1/2018 12:00:00 AM"""
7. 2H'18 PC: "DataCollection.StartTime > ""7/1/2018
12:00:00 AM"" and DataCollection.StartTime <
""1/1/2019 12:00:00 AM"""
8. 1H'19 PC: "DataCollection.StartTime > ""1/1/2019
12:00:00 AM"" and DataCollection.StartTime <
""7/1/2019 12:00:00 AM"""
9. 2H'19 PC: "DataCollection.StartTime > ""7/1/2019
12:00:00 AM"" and DataCollection.StartTime <
""1/1/2020 12:00:00 AM"""
10. 1H'20 PC: "DataCollection.StartTime > ""1/1/2020
12:00:00 AM"" and DataCollection.StartTime <
""7/1/2020 12:00:00 AM"""
11. 2H'20 PC: "DataCollection.StartTime > ""7/1/2020
12:00:00 AM"" and DataCollection.StartTime <
""1/1/2021 12:00:00 AM"""
DEFAULT ORDER.
1. Q3 2015 PC: "DataCollection.StartTime > ""7/1/2015
12:00:00 AM"" and DataCollection.StartTime <
""10/1/2015 12:00:00 AM"""
2. Q4 2015 PC: "DataCollection.StartTime > ""10/1/2015
12:00:00 AM"" and DataCollection.StartTime <
""1/1/2016 12:00:00 AM"""
3. Q1 2016 PC: "DataCollection.StartTime > ""1/1/2016
12:00:00 AM"" and DataCollection.StartTime <
""4/1/2016 12:00:00 AM"""
4. Q2 2016 PC: "DataCollection.StartTime > ""4/1/2016
12:00:00 AM"" and DataCollection.StartTime <
""7/1/2016 12:00:00 AM"""
5. Q3 2016 PC: "DataCollection.StartTime > ""7/1/2016
12:00:00 AM"" and DataCollection.StartTime <
""10/1/2016 12:00:00 AM"""
6. Q4 2016 PC: "DataCollection.StartTime > ""10/1/2016
12:00:00 AM"" and DataCollection.StartTime <
""1/1/2017 12:00:00 AM"""
7. Q1 2017 PC: "DataCollection.StartTime > ""1/1/2017
12:00:00 AM"" and DataCollection.StartTime <
""4/1/2017 12:00:00 AM"""
8. Q2 2017 PC: "DataCollection.StartTime > ""4/1/2017
12:00:00 AM"" and DataCollection.StartTime <
""7/1/2017 12:00:00 AM"""
9. Q3 2017 PC: "DataCollection.StartTime > ""7/1/2017
12:00:00 AM"" and DataCollection.StartTime <
""10/1/2017 12:00:00 AM"""
10. Q4 2017 PC: "DataCollection.StartTime > ""10/1/2017
12:00:00 AM"" and DataCollection.StartTime <
""1/1/2018 12:00:00 AM"""
11. Q1 2018 PC: "DataCollection.StartTime > ""1/1/2018
12:00:00 AM"" and DataCollection.StartTime <
""4/1/2018 12:00:00 AM"""
12. Q2 2018 PC: "DataCollection.StartTime > ""4/1/2018
12:00:00 AM"" and DataCollection.StartTime <
""7/1/2018 12:00:00 AM"""
13. Q3 2018 PC: "DataCollection.StartTime > ""7/1/2018
12:00:00 AM"" and DataCollection.StartTime <
""10/1/2018 12:00:00 AM"""
14. Q4 2018 PC: "DataCollection.StartTime > ""10/1/2018
12:00:00 AM"" and DataCollection.StartTime <
""1/1/2019 12:00:00 AM"""
15. Q1 2019 PC: "DataCollection.StartTime > ""1/1/2019
12:00:00 AM"" and DataCollection.StartTime <
""4/1/2019 12:00:00 AM"""
16. Q2 2019 PC: "DataCollection.StartTime > ""4/1/2019
12:00:00 AM"" and DataCollection.StartTime <
""7/1/2019 12:00:00 AM"""
17. Q3 2019 PC: "DataCollection.StartTime > ""7/1/2019
12:00:00 AM"" and DataCollection.StartTime <
""10/1/2019 12:00:00 AM"""
18. Q4 2019 PC: "DataCollection.StartTime > ""10/1/2019
12:00:00 AM"" and DataCollection.StartTime <
""1/1/2020 12:00:00 AM"""
19. Q1 2020 PC: "DataCollection.StartTime > ""1/1/2020
12:00:00 AM"" and DataCollection.StartTime <
""4/1/2020 12:00:00 AM"""
20. Q2 2020 PC: "DataCollection.StartTime > ""4/1/2020
12:00:00 AM"" and DataCollection.StartTime <
""7/1/2020 12:00:00 AM"""
21. Q3 2020 PC: "DataCollection.StartTime > ""7/1/2020
12:00:00 AM"" and DataCollection.StartTime <
""10/1/2020 12:00:00 AM"""
22. Q4 2020 PC: "DataCollection.StartTime > ""10/1/2020
12:00:00 AM"" and DataCollection.StartTime <
""1/1/2021 12:00:00 AM"""
23. Q1 2021 PC: "DataCollection.StartTime > ""1/1/2021
12:00:00 AM"" and DataCollection.StartTime <
""4/1/2021 12:00:00 AM"""
24. Q2 2021 PC: "DataCollection.StartTime > ""4/1/2021
12:00:00 AM"" and DataCollection.StartTime <
""7/1/2021 12:00:00 AM"""
1. Cigna/Scripps
2. Cigna/St. Joseph Hoag Health
3. Cigna/HealthCare Partners
Referenced Questions:
DSA1_DSAAwareness
DSA2_DSAFamiliarity
DV_DSAFamiliarity
DSA3_DSAFavorability
DV_DSAFavorability
DSA4_DSAPerception
DV_DSAPerception
FullBrandList
1. Aetna
2. Anthem
3. Assurant PC: Suppress for Q1 2020.
4. Blue Cross Blue Shield
5. Cigna
56. Cigna-HealthSpring
6. EmblemHealth Inc.
7. GEHA
8. Harvard Pilgrim Health Care
9. Health Net
10. HealthPartners (MN)
11. Humana
12. Intermountain Healthcare
13. Kaiser
14. Medica
15. Premera
16. Regence
17. Tufts Health
18. UnitedHealth Group PC: SUPPRESS AS OF AUGUST 2017
61. Coventry Health Care
20. WellPoint PC: SUPPRESS AS OF JANUARY 2018
19. SantaFe Healthcare PC: Show if DV_PriorityMarketQuota=7,11 or 16
21. Preferred Medical Plan PC: Suppress for Q1 2020. Show if
DV_PriorityMarketQuota=7
22. Molina Healthcare PC: Show if DV_PriorityMarketQuota=4, 6, 7, 14
OR DV_IFPMarketQuota=9
23. Centene PC: Show if DV_PriorityMarketQuota=1, 7 OR
DV_IFPMarketQuota=5, 8, 9, 10 OR DV_State=42
24. Summa Health System PC: Show if DV_PriorityMarketQuota=8
25. Independence Blue Cross PC: Show if DV_PriorityMarketQuota=10,12 OR
DV_IFPMarketQuota=8
26. FirstHealth of the Carolinas PC: Show if DV_PriorityMarketQuota=2
27. Health Alliance (IL) PC: Show if DV_PriorityMarketQuota=15 or 3
28. Anthem Blue Cross Blue Shield PC: Show if DV_PriorityMarketQuota=5, 9, 15, or
17
29. Health First (FL) PC: Show if DV_PriorityMarketQuota=11
30. Land of Lincoln Health PC: Suppress for Q1 2020. Show if
DV_PriorityMarketQuota=3
31. Union Pacific PC: Show if DV_PriorityMarketQuota=3
32. Fallon Community Health PC: Show if DV_PriorityMarketQuota=9
34. Partners HealthCare PC: Show if DV_PriorityMarketQuota=9
35. Colorado Choice Health PC: Show if DV_PriorityMarketQuota=5
36. Denver Health Medical Plan, Inc. PC: Show if DV_PriorityMarketQuota=5
37. Lovelace Health PC: Show if DV_PriorityMarketQuota=5
38. Presbyterian Health PC: Show if DV_PriorityMarketQuota=5
39. Rocky Mountain Health PC: Show if DV_PriorityMarketQuota=5
40. IASIS Healthcare PC: SUPPRESS AS OF JANUARY 2018
41. Meritus PC: Suppress for Q1 2020. Show if
DV_PriorityMarketQuota=13
42. Alliant Health Plans PC: Show if DV_PriorityMarketQuota=1
43. Athens Area Health Plan Select, Inc. PC: SUPPRESS AS OF AUGUST 2017
44. Sentara Health PC: Show if DV_PriorityMarketQuota=17
45. City of Los Angeles PC: Show if DV_PriorityMarketQuota=14
Referenced Questions:
A1b_AidedAwareness
A2_Familiarity
A3_CurrentPrimaryProvider
A4_ProvidersConsidered
A5_LikelihoodToRenew
DV_Aware
DV_Familiarity
DV_FamiliarityT3B
DV_Consider
DV_Have
B1_LikelihoodToRecommend
B2_BrandOpinion
DV_Eligible
DV_Rate
Implicit2IIM1_IIMExercise
C1_GenAdAware
C1a_GenAdAwareP3M
DV_GenAdAware
DV_GenAdAwareP3M
HCPBrandList
Referenced Questions:
HCP1_Awareness
DV_HCPAware
HCP2_HCPFamiliarity
HCP3_Favorability