                                 ATTACHMENT H
                                       
    Survey to Test Awareness and Perceptions of EPA's Safer Choice Label:
                        General Adult Population Survey
                                       
                                       
                                       
                                       
                                       
                                       
                                       
                                       
                                       
                                       
                                       
                           OMB Control No. 2070-NEW
                         Approval expires x/xx/xxxx   
                                            
   This collection of information is approved by OMB under the Paperwork Reduction Act, 44 U.S.C. 3501 et seq. (OMB Control No. 2070-NEW). Responses to this collection of information are voluntary. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The public reporting and recordkeeping burden for this collection of information is estimated to be 0.33 hours per response. Send comments on the Agency's need for this information, the accuracy of the provided burden estimates and any suggested methods for minimizing respondent burden to the Regulatory Support Division Director, U.S. Environmental Protection Agency (2821T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed form to this address.
                          Survey for EPA Safer Choice
               Awareness and Perceptions of Safer Choice Label 
                        General Adult Population Survey

The annual public burden for this collection of information is estimated at 0.33 hours per response. Responses will be private to the extent permitted by law. This is a voluntary collection; respondents do not have to respond if there is no OMB control number. The OMB control number for this collection is 2070-0189. Send comments on the Agency's need for this information, the accuracy of the provided burden estimates, and any suggested methods for minimizing respondent burden, including through the use of automated collection techniques to the Director, Collection Strategies Division, U.S. Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW, Washington, D.C. 20460. Include the OMB control number in any correspondence. Do not send the completed application to this address.

The survey below is designed to test awareness and perceptions of the primary Safer Choice label.  In the event that EPA needs to test awareness and perceptions of the alternate fragrance-free label, the same survey will be used, with the addition of four questions.  

 Are you familiar with a certification program implemented by the U.S. Environmental Protection Agency (EPA) that helps shoppers and buyers find products that can help protect the environment and are safer for people, families, and pets?

 Yes
 No [SKIP to Q3] 

 What is the name of the certification program? [Open-ended]

 For more than 15 years, the U.S. Environmental Protection Agency (EPA) has implemented a voluntary certification program that helps shoppers and buyers find products that can help protect the environment and are safer for people, families, and pets. This certification program, called "Safer Choice," evaluates human health and environmental concerns associated with chemicals in a variety of products, including commonly used household cleaning products. Products that meet EPA's Safer Choice Standard are allowed to carry the Safer Choice label. When you see the Safer Choice label on a product it means the Safer Choice scientific review team has screened each ingredient for potential human health and environmental effects and has determined the product contains only safer ingredients.  

   Now that you have heard more about the certification program, do you recall hearing or seeing anything about this program?

 Yes
 No  


 A.	Have you seen this visual mark on any products on store shelves?

 Yes
 No  

 Have you seen this visual mark on any products you have purchased?

 Yes
 No  

 Based on what you now know about the certification program, how likely are you to use the Safer Choice label to help you select a product to purchase?

 Extremely likely
 Very likely
 Somewhat likely
 Slightly likely
 Not at all likely

Please answer the following questions about the program name and visual design of the Safer Choice label (show image of label). 

 
On a scale from 1 to 5, where 1 indicates that you "strongly disagree," and 5 indicates that you "strongly agree," please indicate how much you agree or disagree with each of the following statements.

                                       
                               Strongly Disagree
                                       1
                               Somewhat Disagree
                                       2
Neutral - don't agree or disagree
                                       3
                                Somewhat Agree
                                       4
                                Strongly Agree
                                       5
1
I would notice this label if I saw it on a product or packaging





2
The label is attractive and appealing





3
The visual design is effective in showing that the product is safer for people and families 





4
The visual design is effective in showing that the product helps protect the environment 





5
The name "Safer Choice" is effective in showing that the product is safer for people and families





6
The name "Safer Choice" is effective in showing that the product helps protect the environment





7
The tagline "Meets U.S. EPA Safer Product Standards" is credible





8
This label is a useful resource for shoppers





9
I would use this label to help me decide which product to buy






 Have you seen products with this label in stores where you shop for household goods?
   
 YES
 NO
 I don't know

 Have you purchased a product with this label in the past six months? 

 YES
 NO
 I don't know

 What would most motivate you to purchase products with this label? [PLEASE SELECT ONE RESPONSE ONLY]

 If it was cost competitive
 If it was easy to locate on store shelves
 If there was scientific information readily available to support claims
 If I had a coupon to encourage me to buy the product
 If it was proven to be safer for children and animals
 I would not purchase products with this label


OPTIONAL QUESTIONS ON LABEL VARIATION (could be fragrance free version, industrial version, or pesticides version).

In addition to the general design, there is a variation of the Safer Choice label. Please answer the following questions as they relate to this variation.

LABEL VARIATION
                                     Label
                                     Label




On a scale from 1 to 5, where 1 indicates that you "strongly disagree," and 5 indicates that you "strongly agree," please indicate how much you agree or disagree with each of the following statements.



                               Strongly Disagree
                                       1
                               Somewhat Disagree
                                       2
                      Neutral - don't agree or disagree
                                       3
                                Somewhat Agree
                                       4
                                Strongly Agree
                                       5
1
I prefer to buy [fragrance free] products for my [family or workplace]





2
I buy [fragrance free] products on a regular basis (at least once a month)





3
The label is effective in showing that the product is [fragrance free]





4
I would use this label to help me decide which product to buy








OPTIONAL FRAGRANCE FREE DESIGN QUESTIONS

In addition to the general design, there is a "fragrance free" label for products.  Please answer the following questions as they relate to the fragrance free design.
 
FRAGRANCE FREE DESIGN



On a scale from 1 to 5, where 1 indicates that you "strongly disagree," and 5 indicates that you "strongly agree," please indicate how much you agree or disagree with each of the following statements.


                                       
                               Strongly Disagree
                                       1
                               Somewhat Disagree
                                       2
Neutral - don't agree or disagree
                                       3
                                Somewhat Agree
                                       4
                                Strongly Agree
                                       5
1
I prefer to buy fragrance free products for my family





2
I buy fragrance free products on a regular basis (at least once a month)





3
The label is effective in showing that the product is fragrance free





4
I would use this label to help me decide which product to buy






