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In article <D58r8L.4E2@cs.dal.ca> munn@napier.cs.dal.ca (Richard B Munn) writes:
>From: munn@napier.cs.dal.ca (Richard B Munn)
>Subject: Questionnaire - Emotional Aspects of Computing 
>Date: Fri, 10 Mar 1995 20:21:56 GMT

>sask.general,ut.cdf.general,ut.cquest.general,ut.general,uvic.csc.general,uvic.general,uvic.physics.general,uw.ahs.general,uw.ccng.general,uw.cs.general,uw.envst.general,uw.general,uwo.comp.general,uwo.general,van.general,wpg.general,york.general,ab.gene
>al
>Organization: Math, Stats & CS, Dalhousie University, Halifax, NS, Canada
>Summary: 
>Keywords: 
>X-Newsreader: TIN [version 1.2 PL2]

>ALL RESPONSES ARE CONFIDENTIAL AND DESTROYED SHORTLY UPON RECEIPT.

>        The following questionnaire is for our term-project,
>Computers in Society - COMP3090.  The topic of our report will
>center around the emotional aspects of computing.  We look forward
>to your participation.  Question number fifteen gives you the option
>to receive the results of this survey.

>Thank you for your time.

>Sincerely,
>Sandra Blaney
>and
>Richard Munn

>Some general steps in replying by email from your news reader:

>        step 1: while viewing this questionnaire from your
>                news reader select the reply option.

>        step 2: if prompted to include the original article
>                select yes.

>        step 3: answer the following questions.

>        step 4: save your results.

>        step 5: send us your reply.
>                if needed our e-mail address is munn@ug.cs.dal.ca.

>        NOTE: Please do not post your answers to this news group.

>Please answer the following 15 simple questions.
>Place an 'X' or 'x' in the space proceeding your selection
>(i.e. Male _ => Male X).
>Also, feel free to add your comments, where we indicate "Comment:".

>1. Gender: Male _ , Female _ .

>2. Age:  0-15 _ , 16-24 _ , 25-32 _ , 33-40 _ ,

>         40-50 _ , 51-60 _ , 61-70 _ , 71 and above _ .

>3. Marital status: Single _ , Married _ .

>4. Occupation: _________________________

>5. How many hours/week do you spend using the computer on non-work
>   related activities?

>        0 hours _ , 1-4 hours _ , 5-12 hours _ , 13-18 hours _ ,

>        19-23 hours _ , 24-30 hours _ , above 30 hours _ .

>6. Do you find that you communicate more with people using your computer
>   than with people face-to-face?

>        yes _ , no _ .

>        Comment:

>7. Do you believe that you reveal more about yourself to people by computer,
>   than people you communicate with face-to-face?

>        yes _ , no _ .

>        Comment:

>8. Has computing devalued human interaction?

>        yes _ , no _ , no opinion _ .

>        Comment:

>9. Do you ever assume fake roles when communicating with people
>   via computer?

>        yes _ , no _ .

>        Comment:

>10. Some people explain their attraction to computers by saying that they
>   give them a sense of control that everyday interaction does not provide.
>   For you do the people on-line, or computing in general fill that sort of
>   void?

>        yes _ , no _ , no opinion _ .

>        Comment:

>11. Could your "relationship" with your computer be loosely characterized as
>    an "addiction"?

>        yes _ , no _ , no opinion _ .

>12. Ask your spouse/family/friends: Do they consider you to be computer
>    dependent?

>        yes _ , no _ .

>        Comment:

>13. Would you characterize yourself as having lots of friends...

>        ...face-to-face? yes _ , no _ .

>        ...on line? yes _ , no _ .

>        Comment:

>14. Would you characterize yourself as:

>        introverted _

>        extroverted _

>        somewhere between _

>        Comment:

>15. Would you like the results of this questionnaire?

>        yes _ , no _ .

>        NOTE: if yes, we will maintain your e-mail address
>              for this purpose only.


>ALL RESPONSES ARE CONFIDENTIAL AND DESTROYED SHORTLY UPON RECEIPT.


There is a similar experiment on ibog@aol.com (IBOG).  Good luck!