Public Safety Imaging Systems - Human Perception Testing

Human Perception Testing – Pre‑Study Questionnaire PARTICIPANT # _________

Public Safety Imaging Systems – Human Perception Testing

OMB Control No. 0693-0043 Expiration Date: 12/31/2018

NOTE: This questionnaire contains collection of information requirements subject to the Paperwork Reduction Act. Notwithstanding any other provision of law, no person is required to respond to, nor shall any person be subject to a penalty for failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act unless that collection of information displays a currently valid OMB control number. The estimated response time is 5 minutes. The response time includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this estimate or any other aspects of this collection of information, including suggestions for reducing the length of this questionnaire, to the National Institute of Standards and Technology, Attn., Nicholas Paulter by e-mail to nicholas.paulter@nist.gov. If you have questions regarding the completion of this questionnaire, please contact Nicholas Paulter by e-mail or by phone on 301-975-2405.

PRE-STUDY QUESTIONNAIRE

Title of Research: Public Safety Imaging Systems - Human Perception Testing

Investigators: Nicholas Paulter, NIST: 301-975-2405

Jack Glover, NIST: 301-975-8821

Alan Bovik, UT-Austin: 512-471-5370

All questions used in this questionnaire pertain to the imaging technology that will be used in your perception testing experience. The questions will be used to assess: 1) a collective level of past experience with the imagery that your test group was shown in the perception testing, and 2) a collective indicator of the physiological state of your test group during the perception testing in which you participated. Your responses will only be linked to your Participant Number, and not to your name. If you have a concern about a question, you may choose to not answer that question.

Date: _____________.

1. Experience

1. Total number of years of experience using the type of imaging technology used in this perception testing______.

2. Please estimate the number of hours that you have used the imaging technology in an operational setting:

In the past month_____________.

In the past year _____________.

3. Please estimate the number of hours that you have used the imaging technology for training:

In the past month_____________.

In the past year _____________.

4. What is (are) the reason(s) you use this type of imaging system? 

(Choose all that apply)

To determine if an object of interest (threat, hazard, contraband, etc.) is present in the image.

To identify the types of objects of interest

To locate the position of the objects of interest

To identify components of the objects of interest

Other _______________________

5. Describe the types of objects of interest that you expect the imaging system to display in your operational work.

_________________________________________________________________________________________________________________________________________________________________________________

6. At a minimum, what must the imaging system allow you to see? ________

______________________________________________________________________________________________________________________

7. List as accurately as possible the different imaging systems (devices, cameras, etc.) you have used in the past 5 years

Imaging system	Manufacturer	Model	Years of experience

2. Physiological state

a. What is your age? _______________

b. What is your job title?_______________

c. Do you wear corrective eyewear during your job function? Yes No

d. Will you be wearing the same corrective eyewear at the time of the perception testing? Yes No

e. Are you taking medication that could impact your ability to focus on the task that you would not normally take during your job function? Yes No

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