Earphones wearability evaluation test [@Shinjyuku]

Thank you for your interest!
Please read the details below and fill the form!

※As we receive a lot of form,  we will contact you as soon as possible if you meet the application requirements and pass the selection process.

=Details=============

【Objective】
We are looking for participants to evaluate the wearability of earphones.
In this survey, you will wear earphones and we will ask you about their wearability.
We will collect and analyze data on various types of heads and ear shapes and sizes.

【Important Note】
・This survey will be conducted in Japanese.
・We will ask about the wearability of the earphones after simple activities such as a short walk in the room.
・The headphones will be disinfected each time.
・We will take a picture of you with the measurement device and headphones on.
(The tape measure and aluminum measuring instruments will touch your skin.)
・There is a possibility that the researcher will touch your shoulder or neck when you wear the headphones or take pictures.
・We may ask you to remove earrings or a necklace.

【Place】 Near Shinjyuku station (Tokyo)

【Schedule】 
February 1 (Tue.) - February 5 (Sat.)
Each day has a 7 spot to choose from.
It will take about 1hr.

【Number of applicants】150 people

【Compensation】
6,000 JPY(This is including a transportation fee)
*Payment will be made at the venue on the day.

Sign in to Google to save your progress. Learn more
Email *
Please check all that you can attend.
I can participate any sction at this day.
1. 10:00~11:00
2. 11:30-12:30
3. 13:30~14:30
4. 15:00~16:00
5. 16:30~17:30
6. 1800~19:00
7. 19:30~20:30
Feb. 1(Tue)
Feb. 2(Wed)
Feb. 3(Thu)
Feb. 4(Fri)
Feb. 5(Sat) *All time slot is taken except 4 and 7
Name / 名前 *
Contact number / 電話番号 *
Business Industry / 業種 *
Occupation / 職業 *
Industry  / 業種・職種 *
 e.g. working in the service industry (restaurant)  as a customer service  / 例) サービス(飲食)関係で接客の仕事をしている
Sex / 性別 *
Age / 年齢 *
Race / 人種  
Clear selection
Nationality / 国籍   *
Are you native inhabitant / あなたは先住民ですか? *
Your Japanese speaking skill / あなたの日本語の語学力について伺います。 *
Your Japanese reading and writing skill / あなたの日本語の語学力について伺います。 *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy