This free survey is powered by
Create a Survey
Surveys
2015
May
M
Music no. 4
Music no. 4
Music No 4
0%
Questions marked with an
*
are required
Exit Survey
*
1) Please, list ten thoughts you have been having over the last couple of hours and mark them with + if they were positive and - if they are negative.
*
Please, indicate the mood you are in.
Not Happy at All
Not Happy
Neutral
Somewhat Happy
Very Happy
*
What is your gender?
male
female
*
Age: What is your age?
Under 12 years old
12-17 years old
18-24 years old
25-34 years old
35-44 years old
45-54 years old
55-64 years old
65-74 years old
75 years or older
*
Please specify your ethnicity.
White
Hispanic or Latino
Black or African American
Native American or American Indian
Asian / Pacific Islander
Other
*
What is the highest degree or level of school you have completed? If currently enrolled, highest degree received.
No schooling completed
Nursery school to 8th grade
Some high school, no diploma
High school graduate, diploma or the equivalent (for example: GED)
Some college credit, no degree
Trade/technical/vocational training
Associate degree
Bachelor’s degree
Master’s degree
Professional degree
Doctorate degree
*
Employment Status: Are you currently…?
Employed for wages
Self-employed
Out of work and looking for work
Out of work but not currently looking for work
A homemaker
A student
Military
Retired
Unable to work
*
Please, listen to the following song and while playing it ithe comments list ten thoughts and mark them with + if they were positive and - if they are negative. (Example: paying bills -, talking with friend+ ...)
*
Using the scale please indicate the mood are you currently feeling
Not Happy at All
Not Happy
Neutral
Somewhat Happy
Very Happy
Loading...
close
Loading...
Close
qpweb1.questionpro.net
Loading...
