your name: *


last name:


gender
male female

email: *


session ID used to initiate recording: *


address:


city:


state:


zip: *


occupation: *


salutation: *
Mr Mrs Ms

phone:


Which test did you perform? *


What is your income level?
$1-15,000 $15,001-30,000 $30,001-55,000 $55,001-80,000 $80,000+

What online content do you find most emotionally interesting or evocative? Please list at least one url *


For the questions below: In a few sentences please tell us how this test went for you:  

What was most difficult?  What went well?  What would make it better? *


What if anything will make using AICapture easier? *


How do you feel about having your emotional responses recorded online?  What would make it more comfortable? *


Please indicate the following that are of interest to you. Would you pay to use any of the following? Select and please comment! *

1/a mood tracker that tells you your mood to develop self awareness or alerts you based on targets you set.

I would: *
pay to use this use this not use this

2/ a mood tracker that tells you your mood and allows you to send updates to your friends on FaceBook, Twitter, MySpace, etc.

I would: *
pay to use this use this not use this

3/ an emotional development tool to enhance empathy, emotional self-regulation, self and other awareness.

I would: *
pay to use this use this not use this

4/ a dating site interest gauge / recommmendation engine.

I would: *
pay to use this use this not use this

Do you have other ideas? How would you use an emotion sensor?


We often conduct similar types of studies. Would you like to be notified of opportunities to participate in future research? If yes please be sure to include information in the fields above. *
no thanks yes, please notify me

Thank you for participating in our research!!