Robot escape room study interest form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Robot escape room study interest form

Thank you for your interest in the study!

After providing your info, Jia Dong will contact you with more information about the study within 3 days!

If you have not received an email from the researcher after three days, then you may not eligible to participate in the study.

More questions? Email djia9@vt.edu

Sign in to Google to save your progress. Learn more

* Indicates required question

Full Name *

Your answer

Email *

Your answer

Are you at least 18 years old? *

Yes

No

Do you have normal or corrected to normal hearing and vision? *

Yes

No

Have you participated in the previous robot escape room study with Jia?
*

Yes

No

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Virginia Tech.

Does this form look suspicious? Report