SURVEY FORM
.
Demographics
Male
Female
Age Range
18-24
25-39
40-55
56-65
66-Above
Did the page have any affects on your body/feelings that you noticed?
Yes
No
Unknown
If yes, please check all that apply below or add feeling(s):
Cheerful
Happy
Creative
Sad
Depressed
Angry
Nervous
Soothed
Calm
Stimulated
Bored
Uninterested
Hungry
Thirsty
None
What color did you see?
Blue
Yellow
Orange
Gray
Black
Green
Other
Are you colorblind?
Yes
No
Please feel free to add other comments: