Questionnaire

Questionaire Satyam
User Research
Q1)Name: Today's date:

Sex: 􀁔 Female 􀁔 Male


Background
1. Ethnic origin (check 􀀖only one):
􀁔 British
􀁔 Black 􀁔 European
􀁔 Asian 􀁔 American Indian
􀁔 Other: __________________________

Q)Do you live with?
􀁔 Family 􀁔 Friends 􀁔 Unknown people
Q) Do you feel comfortable living with other people?
Q) Do you have any problems living with unknown people? Family? Friends?
Q)Do you work or study?
Q)Do you work part time full-time, shift work or office hours?
Q)If you work how do you cooperate with your house mates?
Q)Do you have a time table for your daily routine?
Q)Have you got any type of information system at home?
Q) Do you prefer electronic or manual board?