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What is your gender?
 
Female
 
Male
 
Other
 
 
 
Choose age group that you belong to:
 
12-15
 
16-19
 
20-24
 
25-30
 
30 or over
 
 
 
What type(s) of satisfaction do you get from music? (artistic, creative, spiritual, self-identity, etc)
   
 
 
 
Do you think music influences the way you interact with others? If so, how?
   
 
 
The following are list of different music genres. Indicate the extent to which you enjoy/choose listening to each of them using the scale.
Dislike 1 2 Neutral-3 4 Like-5
Blues
Alternative
Classical
Dance
Country
House (Electronic included)
Hip Hop/Rap
Gospel
Latin
Opera
Pop
Rock
Reggae
Jazz
R&B/Soul
 
 
Below are a list of general personality traits. Indicate to which extent you identify with each of the following.

I see myself as:
Strongly Disagree Disagree Neutral Agree Strongly Agree
Dependable
Adventurous
Cultured
Extraverted
Reserved
Enthusiastic
Lazy
Anxious
Calm
Creative
Strongly Disagree Disagree Neutral Agree Strongly Agree
Conventional
Influenceable
Influential
Sympathetic
Cold
Disorganized
 
 
 

Rank the following activities from 1-5 (most likely-least likely) according to the likelihood that you would listen to music while doing them.


Homework/Studying ___
Working ___
Exercising ___
Driving ___
Sleeping ___
 
 
 
Rank the following from 1-5 (most likely-least likely) according to the likelihood that you use this method to listen to music.
Concert ___
Radio ___
Online/Internet ___
CD ___
Vinyl ___
 
 
 
A student/teacher drops their book as they walk in the hallway, you:
 
Hesitate to pick it up, yet do it
 
Kick it away
 
Pick it up
 
Continue walking
 
 
 
You presence a fight in your school, you:
 
Yell slander
 
Watch the fight from far away
 
Continue your work silently
 
Run towards the fight