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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
What is your age?
 
30 or under
 
31 - 40
 
41 - 50
 
Over 50
 
 
 
What is your gender?
 
Female
 
Male
 
 
 
What type of shading system do you have to control the amount of daylight entering your windows?
 
Manual blinds (e.g., Venetian blinds)
 
Manual window shades (e.g., roller shades)
 
Automatic blinds or shades
 
Other (please specify)
 
No shading control
 
I have no daylight in my work-space
 
 
 
Can you control the amount of daylight entering your windows without affecting other occupants?
 
Yes
 
No
 
 
To what extent do you agree or disagree with the following statements about the lighting in your personal work-space?
STRONGLY DISAGREE DISAGREE NEUTRAL AGREE STRONGLY AGREE DOES NOT APPLY
I am satisfied with my ability to control my overhead lighting.
I am satisfied with my ability to control my task lighting.
I am satisfied with my ability to control my window shades or blinds.
 
 
To what extent do you agree or disagree with the following statements about the lighting in your classroom/drawing halls?
STRONGLY DISAGREE DISAGREE NEUTRAL AGREE STRONGLY AGREE DOES NOT APPLY
The lighting fixtures in the classroom/drawing hall around my work-space are nice looking.
The lighting helps create a good image for the organization.
The room surfaces (walls, ceilings) have a pleasant brightness.
 
 
How would you rate the lighting in your work-space for each of the following tasks?
TOO BRIGHT BRIGHT JUST RIGHT DARK TOO DARK DOES NOT APPLY
Paper Tasks (reading and writing)
Reading from a computer screen (data shows)
Typing on keyboard
Face to face conversations
 
 
How often do you experience any of the following conditions when in your personal work-space during an average day?
For the purpose of answering these questions, consider the definition of glare to be unwanted light, i.e., loud noise is to
sound, as glare is to light.
NEVER RARELY SOMETIMES OFTEN ALWAYS
Glare reflected from your work surface
Glare from the light fixtures reflected on your computer screen
Glare from the window reflected on your computer screen
Glare from the overhead lighting in your immediate work-space (usually experienced as discomfort)
Direct glare from the light fixtures beyond your immediate work-space (the light fixtures appear too bright)
Direct glare from a window
 
 
Lighting comes in a range of colors, from a "warm" white to "cool" white. "Warm" light is often described as slightly
yellow in appearance, and "cool" light is often described as slightly blue in appearance. Using the indicated color range,
please indicate:
VERY WARM SOMEWHAT WARM NEUTRAL SOMEWHAT COOL VERY COOL DO NOT KNOW
What is the color appearance of the lighting in your personal work-space?
What would you prefer for the color appearance of the lighting in your personal work-space?