Attachment C8 – Mine Rescue participants: Post-Simulation Questionnaire
Form
Approved
OMB
No. 0920-xxxx Exp.
Date xx/xx/20xx
First, on the top row, circle your role during today’s simulation. For each item below, rate (from 1 to 5) how well you and each member of your team did during the simulation you just completed.
CIRCLE ONE: |
Mine Rescue Captain |
Map Man |
Gas Man |
Stretcher Man |
Tail Captain |
Briefing Officer |
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1 = Poor |
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2 = Below Average |
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3 = Average |
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4 = Above Average |
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5 = Excellent |
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2. Think about the simulation you just completed and place an “X” in the appropriate box.
a) The mental demands were: |
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Very Low |
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Very High |
b) The physical demands of the exercise were: |
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Very Low |
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Very High |
c) The level of stress I experienced was: |
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Very Low |
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Very High |
d) The time pressure I felt was: |
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Very Low |
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Very High |
e) The level of frustration I experienced was: |
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Very Low |
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Very High |
f) The amount of effort needed to complete the task was: |
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Very Low |
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Very High |
g) The level of eye strain I experienced was: |
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Very Low |
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Very High |
h) The level of strain I experienced from standing during the simulation was: |
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Very Low |
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Very High |
Public reporting burden of
this collection of information is estimated to average 3 minutes per
response, including the time for reviewing and completing the
collection of information. An agency may not conduct or sponsor, and
a person is not required to respond to a collection of information
unless it displays a currently valid OMB control number. Send
comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this
burden to CDC/ATSDR Information Collection Review Office, 1600
Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA
(0920-xxxx).
3. Answer the following questions about the simulation by placing an “X” in the appropriate box.
a) How natural did moving through the virtual mine seem? |
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Not Natural |
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Very Natural |
b) How much did your experience in the virtual simulation seem consistent with your real-world experiences in an actual mine? |
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Not Consistent |
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Very Consistent |
c) How natural were your interactions with the environment (e.g., opening doors, taking gas readings)? |
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Not Natural |
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Very Natural |
d) Were you involved in the exercise to the extent that you lost track of time? |
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No – I did not lose track of time at all |
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Yes – I completely lost track of time |
e) How responsive was the simulation to actions that you performed with the air mouse? |
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Not at all responsive |
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Very responsive |
f) How engaged were you in the virtual reality experience? |
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Not at all engaged |
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Very engaged |
g) How immersed did you feel in the virtual environment? |
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Not at all immersed |
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Very immersed |
4. On a scale from 1 to 10, rate how difficult or easy it was for you, by the end of the simulation, to do the following.
Place an “X” in the appropriate box. |
Very Difficult |
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Very Easy |
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5. Rate how much you agree or disagree that the words and phrases below describe the simulation you just completed.
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Strongly Disagree |
Disagree |
Neither |
Agree |
Strongly Agree |
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6. Are you able to see stereoscopic 3D images? Yes No
7. Rate how much, if at all, you experienced the symptoms below as a result of the VR simulation.
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None |
Slight |
Moderate |
Severe |
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8. How often do you get motion sickness in the following situations?
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Never |
Once in a while |
Sometimes |
Frequently |
Always |
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9. How much, if any, motion sickness did you experience during the following events in the VR simulation?
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None |
Slight |
Moderate |
Severe |
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10. Did you enjoy participating in this VR simulation? Yes No
Page
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | CDC User |
File Modified | 0000-00-00 |
File Created | 2021-01-29 |