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pdfSurvey Questions (pg 1)
Exoskeleton Study
OMB Control #0693-XXXX
Expiration Date: XX/XX/XXXX
Pre-Test
Before putting on the exoskeleton, have you had any previous injuries or do you have any
current pain, soreness or discomfort that may affect how you perform the test? Please
write the number(s) and mark the severity or write “none”.
Test Preparation
1. On a scale from 0 - 5 (no effort – extreme effort), I found that to put on the exoskeleton
included:
0
No Effort
1
2
3
4
5
Extreme Effort
2. On a scale from 0 - 5 (uncomfortable - very comfortable), I found that the exoskeleton was:
0
Uncomfortable
1
2
3
4
5
Very Comfortable
Pre Test
Movement
Survey Questions (pg 2)
Exoskeleton Study
3. While initially wearing the exoskeleton, I found that my movements were:
0
Not
Obstructed
1
2
3
4
5
Obstructed
During the Test
4. During the test, did you have any pain, soreness or discomfort? Please mark
accordingly.
5. The exoskeleton provided ergonomic (efficient and comfortable) support
during the test.
0
1
2
3
4
5
N/A Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
6. While wearing the exoskeleton, it helped you complete the test?
0
1
2
3
4
5
N/A Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
7. The task you performed provided information about the usefulness of an
exoskeleton.
0
1
2
3
4
5
N/A Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Survey Questions (pg 3)
Exoskeleton Study
8. Was the task you performed frustrating to you?
Yes
No
General Questions about the Test
9. What did you like most and least about wearing and using the exoskeleton?
Most liked: ____________________________________________________________
______________________________________________________________________
Least liked: ____________________________________________________________
______________________________________________________________________
10. Where did you feel the exoskeleton best supported your movements during the
task (knees, hips, back, shoulders, arms, etc.) ?
_______________________________________________________________________
_____________________________________________________________________
11. What were the easiest and most difficult parts of the exoskeleton test(s)?
Easiest: ______________________________________________________________
Most Difficult: _________________________________________________________
12. What would you change about the exoskeleton or the task you performed (use the
back of this page if more space is needed)?
_______________________________________________________________________
_______________________________________________________________________
13. The task sufficiently captured my maximum load and repetition without the
exoskeleton.
0
1
2
3
4
5
N/A Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
14. The task sufficiently captured my maximum load and repetition with the
exoskeleton.
0
1
2
3
4
5
N/A Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
15. The test properly represents the real world.
0
1
2
3
N/A Strongly Disagree
Disagree
Neutral
4
Agree
5
Strongly Agree
16. The task tested the limitations of the exoskeleton.
0
1
2
3
4
5
N/A Strongly Disagree Neutral Agree
Strongly
Disagree
Agree
17. The task tested the capabilities of the exoskeleton.
0
1
2
3
4
5
N/A Strongly Disagree Neutral Agree
Strongly
Disagree
Agree
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File Type | application/pdf |
File Title | PowerPoint Presentation |
Author | Ann Virts |
File Modified | 2018-09-20 |
File Created | 2018-09-19 |