Seattle Technology Study

About the study

Thank you for your interest in the VR Study taking place in Seattle! Feel free to share this link with any friends/family members who may be interested as well so you can all attend!

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* 1. Contact Info

Full Name:

Email:

Phone:

Age:

Gender:

City:

State:

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* 2. What is your date of birth?

DOB

Date

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* 3. Please select which, if any, apply to you:

I have been diagnosed with vertigo and do not experience regular dizziness or imbalance

I experience regular migraine headaches

I experience claustrophobia

I have been diagnosed with epilepsy or experience seizures

I have been diagnosed with a neurological disorder

I am pregnant or plan to imminently become pregnant

I am NOT willing to spend time in a virtual reality environment including aural, visual, and/or haptic stimulus

There are other reasons why I do not wish to participate [or believe that doing so could make me
uncomfortable]

NONE OF THESE APPLY TO ME

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* 4. Which statement best describes your interest in virtual reality (VR) technology?

I have no interest in trying Virtual Reality technology.

I have never used Virtual Reality technology, but I am interested in trying for the first time.

I have used Virtual Reality technology, and I am interested in trying again.

I have used Virtual Reality technology, and I have no interest in trying again.

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* 5. Which statement best describes your experience with virtual reality (VR) technology?

I have never used virtual reality technology.

I have very minimal experience with virtual reality technology (e.g., did a demo).

I have some experience with virtual reality technology (e.g., tried an app).

I have a lot of experience with virtual reality technology.

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* 6. In a few sentences, please tell us about your feelings on Virtual Reality (VR). If you are interested, what's most interesting to you and why? If not, why not? Please be detailed in your response.