Good day!
We, Gabriel de Leon and Jammin Tanioka, 1st year Psychology students, are conducting a study about the relationship between male effeminacy and their penmanship quality, as partial fulfillment of our course requirements in Psychology 101 (Introduction to Psychology).
In relation to that, we are kindly requesting you to answer the following questions and do some other special instructions in this survey form. Rest assured, any information that you will provide will be strictly kept confidential.
We highly appreciate your honest contribution and involvement in the study. Thank you for your time.
Age:_____ Course:_________________________ Signature:_______________
Please write the sentence “The quick brown fox jumps over the lazy dog.” in the provided line:
_____________________________________________________________
Please answer the following questions by placing a mark on the blank corresponding to your answer:
1. Are you afraid of fire?
___ Yes! ___ Kind of ___ No
2. Are you assertive?
___ Yes ___ Kind of ___ No
3. Do dirty dishes in the kitchen sink bother you?
___ Yes! ___ Kind of ___ No
4. Do sad movies and/or stories make you cry?
___ No ___ Sometimes ___ Rarely ___ Yes! I am quite sentimental
5. Do you feel sorry for a trapped moth or drowning bee?
___ Yes ___ No
6. Do you shower immediately after exercising?
___ Yes ___ No
7. Do you use names or endearing terms (i.e. honey, baby)
___ Yes ___ Rarely ___ No, I call her by her name
8. How long would it take you to prepare yourself for school? (include shower time)
___ Less than 15 mins. ___ 15 – 40 mins.
___ 40 – 60 mins. ___ More than 1 hour
9. How many styling products do you use on your hair? (excluding shampoo and conditioner)
___ More than two ___ One to two ___ None
10. How often do you get your laundry done?
___ When I run out of clean underwear ___ Once a week
___ Twice or more a week
11. How self-conscious do you tend to be?
___ Very! ___ Somewhat, depending on where I am
___ Not at all, why bother?
12. How would you prefer to spend your free time?
___ Listening to music ___ Reading a book
___ Participating in a sport
13. If the fuse of your electric grill suddenly stopped working, you would…
___ call an electrician to fix it ___ call someone else (friend, relative) to fix it for you
___ try fixing it yourself
14. People are more successful because of their…
___ appearance ___ competence
15. You prefer….
___ making your own decisions ___ having decisions made for you
16. What interests you more?
___ Politics ___ Art
17. When purchasing a car, what is more important to you?
___ Color ___ Comfort ___ Size ___ The engine
18. Which do you prefer more?
___ Mystery stories ___ Poetry
19. Which of these cars would you prefer to own?
___ A pick-up truck ___ Small to medium-sized convertible
___ A sedan
20. Which of these dogs would you rather own?
___ A boxer/rottweiler ___ A dachshund/spaniel ___ A poodle/terrier
Thank you very much for your time! (“,)
We, Gabriel de Leon and Jammin Tanioka, 1st year Psychology students, are conducting a study about the relationship between male effeminacy and their penmanship quality, as partial fulfillment of our course requirements in Psychology 101 (Introduction to Psychology).
In relation to that, we are kindly requesting you to answer the following questions and do some other special instructions in this survey form. Rest assured, any information that you will provide will be strictly kept confidential.
We highly appreciate your honest contribution and involvement in the study. Thank you for your time.
Age:_____ Course:_________________________ Signature:_______________
Please write the sentence “The quick brown fox jumps over the lazy dog.” in the provided line:
_____________________________________________________________
Please answer the following questions by placing a mark on the blank corresponding to your answer:
1. Are you afraid of fire?
___ Yes! ___ Kind of ___ No
2. Are you assertive?
___ Yes ___ Kind of ___ No
3. Do dirty dishes in the kitchen sink bother you?
___ Yes! ___ Kind of ___ No
4. Do sad movies and/or stories make you cry?
___ No ___ Sometimes ___ Rarely ___ Yes! I am quite sentimental
5. Do you feel sorry for a trapped moth or drowning bee?
___ Yes ___ No
6. Do you shower immediately after exercising?
___ Yes ___ No
7. Do you use names or endearing terms (i.e. honey, baby)
___ Yes ___ Rarely ___ No, I call her by her name
8. How long would it take you to prepare yourself for school? (include shower time)
___ Less than 15 mins. ___ 15 – 40 mins.
___ 40 – 60 mins. ___ More than 1 hour
9. How many styling products do you use on your hair? (excluding shampoo and conditioner)
___ More than two ___ One to two ___ None
10. How often do you get your laundry done?
___ When I run out of clean underwear ___ Once a week
___ Twice or more a week
11. How self-conscious do you tend to be?
___ Very! ___ Somewhat, depending on where I am
___ Not at all, why bother?
12. How would you prefer to spend your free time?
___ Listening to music ___ Reading a book
___ Participating in a sport
13. If the fuse of your electric grill suddenly stopped working, you would…
___ call an electrician to fix it ___ call someone else (friend, relative) to fix it for you
___ try fixing it yourself
14. People are more successful because of their…
___ appearance ___ competence
15. You prefer….
___ making your own decisions ___ having decisions made for you
16. What interests you more?
___ Politics ___ Art
17. When purchasing a car, what is more important to you?
___ Color ___ Comfort ___ Size ___ The engine
18. Which do you prefer more?
___ Mystery stories ___ Poetry
19. Which of these cars would you prefer to own?
___ A pick-up truck ___ Small to medium-sized convertible
___ A sedan
20. Which of these dogs would you rather own?
___ A boxer/rottweiler ___ A dachshund/spaniel ___ A poodle/terrier
Thank you very much for your time! (“,)
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