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The purpose of this survey is to assess your level of familiarity with video games and your gaming habits. Please read each question carefully and answer as accurately as possible. Your response to each question represents a critical aspect of this research, so please try to answer each question as best you can. If you have any questions, please ask the experimenter. Name: __________________ e-mail address: __________________ Age: ____________ Sex:__________
Phone number: __________________ Handedness: Right-handed Left-Handed Please circle one answer per question.
How many times in the past year have you done the following: 1. Played a PC based video game? Never Seldom Sometimes Frequently Often
2. Played a console video game system (e.g., Playstation 2, Game Cube, X-Box, etc)? Never Seldom Sometimes Frequently Often
4. Played an online java-script video game (e.g., www.popcap.com) Never Seldom Sometimes Frequently Often
7. During an average week, how many hours will you spend playing video games ? < 1 hour 1-3 hours 3-5 hours 5-7 hours 7-9 hours > 9hours
8. If you play videogames, at what age did you first begin playing? ____________
9. How often did you play video games as a child? Never Seldom Sometimes Frequently Often
11. Please list any videogame systems in your household: ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ 12. Please estimate the number of hours per week you : A. Play PC based video games: ____________hrs B. Play console video games (e.g., Playstation 2, Game Cube, X-Box, etc): ____________hrs C. Play video games in an arcade: _________hrs D. Play online java-script games (e.g., www.popcap.com): __________hrs Specific Game Experience: How frequently do you do the following: 1. Play DOOM, Quake, Halo, Half-Life, or similar first-person shooters? Never Seldom Sometimes Frequently Often
2. Play Medal of Honor (any version, e.g. Medal of Honor Allied Assault, Medal of Honor Pacific Assault, etc)? Never Seldom Sometimes Frequently Often
3. Play Starcraft, Warcraft, Command and Conquer, Age of Empires, Civilization, Sim City, or similar strategy games? Never Seldom Sometimes Frequently Often
6. Play Final Fantasy or similar role-playing video games? Never Seldom Sometimes Frequently Often
7. Play simulator video games (e.g., flight simulator or racing simulator games)? Never Seldom Sometimes Frequently Often
8. Play The Sims or similar video games? Never Seldom Sometimes Frequently Often
9. Play Grand Theft Auto or similar action/platform games? Never Seldom Sometimes Frequently Often
10. Play sports video games (e.g., NBA Live, Madden NFL, FIFA Soccer, SSX, Tony Hawk, or similar games)? Never Seldom Sometimes Frequently Often
11. Play Dance Dance Revolution? Never Seldom Sometimes Frequently Often
12. Play computer Solitaire, Free Cell, or Minesweeper? Never Seldom Sometimes Frequently Often
14. Approximately how many video games do you own? ___________ games
15. If you own video games, please list as many videogames you own in the space provided below. _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ __________ 16. I prefer: A. B. C. D. E. F. Strategy video games Action video games Puzzle video games Role-playing video games Sports video games No preference
17. I consider myself: A. A non-video game player B. A novice video game player C. An occasional video game player D. A frequent video game player E. An expert video game player 18. Compared to five years ago: A. I play video games more frequently now. B. I play video games less frequently now. C. There has been little change in the frequency of my video game playing. 19. Please list the five video games you have the most experience with. If you have little or no experience with videogames, please write None. ____________________ ____________________ ____________________ ____________________ ____________________