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2013
February
T
Test1
Test1
Virginia Tech
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What is today's date?
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What is your ethnicity?
Caucasian
Hispanic
African-American
Asian-American
Asian
African
Middle-Eastern
Other
Rate the extent to which you feel each way right now:
Not at All
Hardly at All
A Little Bit
Somewhat
Quite a Bit
Very Much
Completely
Happy
Close to others
Lonely
Pleased
Sad
Frustrated
Excited
Energized
What is your overall mood at the moment?
Negative
Positive
Neutral
Not Sure
How would you rate the following for this location?
Low
High
Density (not crowded to very crowded)
Noise level (quiet to loud)
Lighting (dim to bright)
Cheerfulness (dull to cheerful)
Liveliness
Sociability
How would you rate the following about your actions while visiting here today?
Low
High
Degree of multitasking/task switching
Frequency of task switching (rarely (46-60 min.) to very often (every 5 min. or less))
Attentiveness to device(s) (if applicable)
Attentiveness to surroundings
Attentiveness to group members (if applicable)
Please rate your agreement to the following statement.
Not at All
Hardly at All
A Little Bit
Somewhat
Quite a Bit
Very Much
Completely
To what extent do you think your partner understood the importance of this topic as you see it.
To what extent do you think you partner missed the key meaning of this topic for you
To what extent did your partner get the facts straight concerning your thoughts and feelings about this topic
To what extent do you think your partner made an effort to understand your thoughts and feelings about the topic (e.g. put him/herself in your shoes tried to see the situation through your eyes)
To what extent do you think your partner accurately understood your thoughts and feelings about the topic
To what extent do you think your partner validated your experience of the topic (e.g. the topic impact your feelings and thoughts)
To what extent do you think your partner acknowledged your experience of this topic
Which electronic devices (if any) do you have with you (Select all that apply)?
laptop
phone
e-reader
music player
video game
headphones
Other
Where are your electronic devices placed right now? (i.e. table, purse, hand, etc.)
What non-electronic objects have you been using during your visit (i.e. book or newspaper)?
Virginia Tech - Urban Affairs and Planning
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