SKYVIEW Questionnaire 1 of 6 (Baseline)

Please answer this questionnaire at or near the end of your work day.  

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* 1. We are conducting a 6 week evaluation program on the effectiveness of the SKYVIEW lamp.  Participation should only take about 10 minutes total over the 6 weeks.  Would you like to participate?

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* 2. Please provide your email address (this will be used to communicate to you about the study)

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* 3. Your name

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* 4. Date and Time:

Date
Time

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* 5. Which days are you in the office?

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* 6. What was the weather like today?

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* 7. Did you use SKYVIEW today?  

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* 8. About how many hours were you in front of SKYVIEW?

Less than 1 hour About 4 hours 8+
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 9. How was your mood today?

Poor Okay Great
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 10. How alert did you feel today?

Very Tired very alert
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 11. How focused did you feel today?

Very unfocused Very focused
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 12. How productive did you feel today?

Very unproductive Very productive
Clear
i We adjusted the number you entered based on the slider’s scale.

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* 13. How satisfied were you with what you accomplished today?

very unsatisfied very satisfied
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i We adjusted the number you entered based on the slider’s scale.

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* 14. What time did you go to sleep last night?  

Time

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* 15. What time did you wake up this morning?

Time

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* 16. How would you rate the quality of your sleep?

Poor Okay Great
Clear
i We adjusted the number you entered based on the slider’s scale.

T