So, I'm taking this research methods and statistics class, and for this assignment I'm supposed to make up a questionnaire and give it to at least twenty people. If y'all wouldn't mind...it shouldn't take you more than a few seconds.
per the "confidentiality" business: this isn't a particularly "sensitive information" quiz, but if you'd like to use the "anon" option to answer this one, please feel free.
cheers!
***********
QUESTIONNAIRE:
PURPOSE OF THIS STUDY: This research study explores the relationship
between peoples' energy levels during the day and their eating habits
in the morning.
PROCEDURES: If you choose to participate in this study, you will be
asked to answer four questions.
TIME: This questionnaire should only take a few moments to complete,
but you may take more time if you wish.
POTENTIAL RISKS AND DISCOMFORTS: No potential risks or discomforts are
anticipated from participating in this study.
CONFIDENTIALITY: The information you provide will be kept
confidential.
YOUR RIGHTS: Your participation is entirely voluntary and you are
under no obligation to participate. Should you decide to end your
participation you may do so at any time.
*******
1. Please indicate your gender (M or F) and your birthdate (month, day
and year).
2. On a scale from one to five, please indicate at what time of day
you have the most energy. 1=much more energy in the morning and
5=much more energy in the evening.
3. On a scale from one to five, how big a breakfast do you usually
have? with 1=biggest meal of the day and 5=skip it altogether
4. How many cups of (caffeinated) coffee or other caffeinated
beverage do you drink in the morning?
Female 07/12/1987
ReplyDeleteQ1: 4
Q2: 2
Q3: 1
1. F, June 12, 1979
ReplyDelete2. 1
3. 3
4. 1/2 to 1 (black tea)
1. F, 05-27-81
ReplyDelete2. 2
3. 3
4. 1
1. F, 5/20/87
ReplyDelete2. 4
3. 5
4. 0
1. F, 12-6-87
ReplyDelete2. 5
3. 5
4. 2
1. M, 4/16/76
ReplyDelete2. 3
3. 3
4. 3
1: M, 8/29/72
ReplyDelete2: 4
3: 3
4: 0
1. F, 9/11/1979
ReplyDelete2. 3
3. 3
4. 4
1. F, 10/11/1949
ReplyDelete2. 5
3. 3
4. 0
1. Female 06/20/1969
ReplyDelete2. 5
3. 3 or 4 (never skip)
4. usually 0 (herbal tea most mornings) but might have one cup o' jane once a week
1. Male
ReplyDelete2. 4
3. 4.5
4. 1/2 pint glass of cola
oops, forgot to put DOB.
ReplyDelete07/06/1978
Female 4/25/1958
ReplyDelete2. 1
3. 5
4. 4 or 5 cups coffee
1)F
ReplyDelete4/9/79
2) 5 - evening
3) 4 - very small breakfast
4) 0 cups of caffinated beverages
(1 cup of decaf coffee, though, which does have a little caffine in it that I'm totally addicted to - not that you need to know this; that will just mess up your survey. :) )
1. Male 7/30/1988
ReplyDelete2. 3
3. 5
4. 0
1. Female, born October 14th 1984
ReplyDelete2. 2
3. 3
4. 2-3 cups of tea (with rice, rather than dairy, milk, if that makes a difference...)
1) F, 10/30/1979
ReplyDelete2) 2 - late morning/early afternoon
3) 4
4) 1
1. Female 08-21-1967
ReplyDelete2. 1
3. 3
4. 0
1. F, 12/08/1956
ReplyDelete2. 5
3. 4
4. one 12 oz. Diet Coke
1. Female, March 15th, 1988
ReplyDelete2. 5
3. 3
4. 2 (at the most) of black tea
1 10/25/61
ReplyDelete2. 3
3. 5
4. 3