Routing for UAS482
intro1 (intro)
Thank you for agreeing to participate in the Brain Games study. As a first step, please fill out this survey. Once you complete the survey, you will receive instructions about how to download and install the Recollect the Study app and how to play brain games through this app.
The survey asks questions about your health and lifestyle that will help us study how people of different characteristics respond to brain games. As with all UAS surveys, we will carefully protect the privacy of the information you provide.
ba001 (rate physical health)
Compared to other people your own age, how would you rate your physical health?
1 Much worse than average
2 Worse than average
3 Average
4 Better than average
5 Much better than average
ba002 (rate physical fitness)
Compared to other people your own age, how would you rate your physical fitness?
1 Much worse than average
2 Worse than average
3 Average
4 Better than average
5 Much better than average
ba003 (rate psychological health)
Compared to other people your own age, how would you rate your psychological health?
1 Much worse than average
2 Worse than average
3 Average
4 Better than average
5 Much better than average
ba004 (rate memory and cognitive abilities)
Compared to other people your own age, how would you rate your memory and cognitive abilities?
1 Much worse than average
2 Worse than average
3 Average
4 Better than average
5 Much better than average
ba005 (rate physical health)
How much time do you spend exercising per week? Please think of activities like walking, hiking, climbing stairs, running, group sports, aerobics, yoga, tai chi, gardening, etc.
1 Up to 30 minutes
2 30-60 minutes
3 1-2 hours
4 2-3 hours
5 3-4 hours
6 More than 4 hours
Group of questions presented on the same screen
us001_intro
In the past month, have you used any of the following?
Subgroup of questions
us001a (past month used tobacco)
Tobacco (cigarettes, vape, chewing or smokeless, Hookah)
1 (YES) Yes
2 (NO) No
us001b (past month used Nicotine gum)
Nicotine gum
1 (YES) Yes
2 (NO) No
us001c (past month used Marijuana)
Marijuana
1 (YES) Yes
2 (NO) No
us001d (past month used any other recreational drugs)
Other recreational drugs (please exclude alcohol)
1 (YES) Yes
2 (NO) No
End of subgroup of questions
End of group of questions
if us001a = 1 OR us001b = 1 OR us001c = 1 OR us001d = 1 then
Group of questions presented on the same screen
us002_intro
How often have you smoked or used any of the following in the past month?
Subgroup of questions
if us001a = 1 then
us002a (how often past month used tobacco)
Tobacco (cigarettes, vape, chewing or smokeless, Hookah)
1 Daily
2 Weekly
3 Monthly
4 Less than monthly
End of if
if us001b = 1 then
us002b (how often past month used Nicotine gum)
Nicotine gum
1 Daily
2 Weekly
3 Monthly
4 Less than monthly
End of if
if us001c = 1 then
us002c (how often past month used Marijuana)
Marijuana
1 Daily
2 Weekly
3 Monthly
4 Less than monthly
End of if
if us001d = 1 then
us002d (how often past month used other recreational drugs)
Other recreational drugs (please exclude alcohol)
1 Daily
2 Weekly
3 Monthly
4 Less than monthly
End of if
End of subgroup of questions
End of group of questions
End of if
hc001 (color blind)
Are you color blind?
1 Yes
2 No
3 I don't know
Group of questions presented on the same screen
hc002_intro (visual impairment not fixable by glasses or contact lenses)
Do you have any other visual impairment that causes problems not fixable by glasses or contact lenses?
Subgroup of questions
hc002a (have Cataracts)
Cataracts
1 (YES) Yes
2 (NO) No
hc002b (have Glaucoma)
Glaucoma
1 (YES) Yes
2 (NO) No
hc002c (have macular degeneration)
Macular degeneration
1 (YES) Yes
2 (NO) No
hc002d (have Diabetic retinopathy)
Diabetic retinopathy
1 (YES) Yes
2 (NO) No
hc002e (have Other (please specify))
Other, please specify:
Please specify any other visual impairment(s) in the text box.
Please select 'Yes' if you specified any other visual impairment(s) in the text box.
1 (YES) Yes
2 (NO) No
End of subgroup of questions
hc002e_other (specify have Other (please specify))
STRING
End of group of questions
hc003 (total or significant loss of hearing)
Do you have total or significant loss of hearing?
1 (YES) Yes
2 (NO) No
Group of questions presented on the same screen
hc004_intro (current medical conditions)
Please check which of the following conditions you currently have or you have had in the past. If you currently have or have had any other conditions not listed here, please select "Other significant medical diagnoses."
Subgroup of questions
hc004a (now Chronic migraine headaches)
Chronic migraine headaches
1 (YES) Yes
2 (NO) No
hc004b (now Diabetes)
Diabetes
1 (YES) Yes
2 (NO) No
hc004c (now Encephalitis or meningitis)
Encephalitis or meningitis
1 (YES) Yes
2 (NO) No
hc004d (now Epilepsy)
Epilepsy
1 (YES) Yes
2 (NO) No
hc004e (now Multiple sclerosis)
Multiple sclerosis
1 (YES) Yes
2 (NO) No
hc004f (now Heart attack or bypass surgery)
Heart attack or bypass surgery
1 (YES) Yes
2 (NO) No
hc004g (now Parkinson's disease)
Parkinson's disease
1 (YES) Yes
2 (NO) No
hc004h (now Rheumatoid arthritis or other autoimmune disorders)
Rheumatoid arthritis or other autoimmune disorders
1 (YES) Yes
2 (NO) No
hc004i (now Osteoarthritis)
Osteoarthritis
1 (YES) Yes
2 (NO) No
hc004j (now Stroke)
Stroke
1 (YES) Yes
2 (NO) No
hc004k (now Other significant medical diagnoses)
Other significant medical diagnoses
1 (YES) Yes
2 (NO) No
End of subgroup of questions
End of group of questions
hc006 (ever been diagnosed or treated for a mental health condition)
Have you ever been diagnosed or treated for a mental health condition?
1 (YES) Yes
2 (NO) No
hc007 (any medications (prescription or nonprescription) on a regular basis)
Do you take any medications (prescription or nonprescription) on a regular basis (at least once a week)?
1 (YES) Yes
2 (NO) No
hc011 (ever lost consciousness for more than 10 minutes because of a head injury)
Have you ever lost consciousness for more than 10 minutes because of a head injury?
1 (YES) Yes
2 (NO) No
hc012 (have a history of seizures)
Do you have a history of seizures?
1 (YES) Yes
2 (NO) No
if hc012 = 1 then
hc013a (seizures still occur)
Do seizures still occur?
1 (YES) Yes
2 (NO) No
if hc013a = 1 then
hc013b (seizures how often occur)
How frequently do they occur?
1 Once a day
2 Once a week
3 Once a month
4 Once every three months
5 Once a year or less
Else
hc013c (seizures how often did use to occur)
How frequently did they used to occur?
1 Once a day
2 Once a week
3 Once a month
4 Once every three months
5 Once a year or less
End of if
End of if
sl001 (how satisfied with sleep)
How satisfied are you with your sleep?
1 1 Very dissatisfied
2 2
3 3
4 4
5 5
6 6
7 7 Very satisfied
sl002 (type of person)
One hears about "morning" and "evening" types of people. Which one of these types do you consider yourself to be?
1 Definitely a "morning" type
2 Rather more a "morning" type than an "evening" type
3 Neither a "morning" nor an "evening" type
4 Rather more an "evening" type than a "morning" type
5 Definitely an "evening" type
sl003 (how many caffeinated drinks consume each day)
On average, how many caffeinated drinks do you consume each day? (e.g., coffee, tea, soda)
0 0
1 1
2 2
3 3
4 More than 3
sl004 (how many alcoholic beverages consume each week)
How many alcoholic beverages do you consume each week? (e.g. glass of wine, 8 oz beer, shot of liquor)
0 0
1 1 - 2
2 3 - 4
3 5 - 6
4 More than 6
hn001 (dominant hand)
Which is your dominant hand?
1 Left
2 Right
3 No preference
if hn001 != 3 then
Group of questions presented on the same screen
hn002_intro
For each of the following, please indicate if you prefer to use your non-dominant hand:
Subgroup of questions
hn002a (non dominant hand writing)
Writing
1 (YES) Yes
2 (NO) No
hn002b (non dominant hand throwing)
Throwing
1 (YES) Yes
2 (NO) No
hn002c (non dominant hand using a computer mouse)
Using a computer mouse
1 (YES) Yes
2 (NO) No
hn002d (non dominant hand brushing your teeth)
Brushing your teeth
1 (YES) Yes
2 (NO) No
End of subgroup of questions
End of group of questions
End of if
Group of questions presented on the same screen
ps_intro
The next sets of questions have no right or wrong answers. Your honest responses will help us learn more about how various types of people describe themselves.
Subgroup of questions
ps001a (New ideas and projects sometimes distract me from previous ones.)
New ideas and projects sometimes distract me from previous ones.
1 Very much like me
2 Mostly like me
3 Somewhat like me
4 Not much like me
5 Not like me
ps001b (Setbacks don’t discourage me.)
Setbacks don’t discourage me.
1 Very much like me
2 Mostly like me
3 Somewhat like me
4 Not much like me
5 Not like me
ps001c (I have been obsessed with a certain idea or project for a short time but later lost interest.)
I have been obsessed with a certain idea or project for a short time but later lost interest.
1 Very much like me
2 Mostly like me
3 Somewhat like me
4 Not much like me
5 Not like me
ps001d (I am a hard worker.)
I am a hard worker.
1 Very much like me
2 Mostly like me
3 Somewhat like me
4 Not much like me
5 Not like me
ps001e (I often set a goal but later choose to pursue a different one.)
I often set a goal but later choose to pursue a different one.
1 Very much like me
2 Mostly like me
3 Somewhat like me
4 Not much like me
5 Not like me
ps001f (I have difficulty maintaining my focus on projects that take more than a few months to complete.)
I have difficulty maintaining my focus on projects that take more than a few months to complete.
1 Very much like me
2 Mostly like me
3 Somewhat like me
4 Not much like me
5 Not like me
ps001g (I finish whatever I begin.)
I finish whatever I begin.
1 Very much like me
2 Mostly like me
3 Somewhat like me
4 Not much like me
5 Not like me
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
ps_intro
The next sets of questions have no right or wrong answers. Your honest responses will help us learn more about how various types of people describe themselves.
Subgroup of questions
ps001h (I am diligent.)
I am diligent.
1 Very much like me
2 Mostly like me
3 Somewhat like me
4 Not much like me
5 Not like me
ps001i (I aim to be the best in the world at what I do.)
I aim to be the best in the world at what I do.
1 Very much like me
2 Mostly like me
3 Somewhat like me
4 Not much like me
5 Not like me
ps001j (I am ambitious.)
I am ambitious.
1 Very much like me
2 Mostly like me
3 Somewhat like me
4 Not much like me
5 Not like me
ps001k (Achieving something of lasting importance is the highest goal in life.)
Achieving something of lasting importance is the highest goal in life.
1 Very much like me
2 Mostly like me
3 Somewhat like me
4 Not much like me
5 Not like me
ps001l (I think achievement is overrated.)
I think achievement is overrated.
1 Very much like me
2 Mostly like me
3 Somewhat like me
4 Not much like me
5 Not like me
ps001m (I am driven to succeed.)
I am driven to succeed.
1 Very much like me
2 Mostly like me
3 Somewhat like me
4 Not much like me
5 Not like me
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
ps002_intro
The following questions refer to minor incidents, which happen to all of us from time to time. Some of these may not occur, or may occur more frequently than others.
Please indicate how frequently, if ever, you have noticed each of the following types of incidents happening in your own behavior during the last twelve months.
Subgroup of questions
ps002a (forgot whether you've turned off a light, or the stove, or locked the door)
Forgot whether you turned off a light, or the stove, or locked the door.
1 Never
2 Rarely
3 Once in a while
4 Often
5 Very often
ps002b (forgot where you put something like a newspaper, set of keys, or book)
Forgot where you put something like a newspaper, set of keys, or a book.
1 Never
2 Rarely
3 Once in a while
4 Often
5 Very often
ps002c (forgot to mention something you wanted to say)
At the end of a conversation, realized you forgot to mention something you wanted to say.
1 Never
2 Rarely
3 Once in a while
4 Often
5 Very often
ps002d (forgot to give a message to somebody as you were requested to do)
Forgot to give a message to somebody as you were requested to do.
1 Never
2 Rarely
3 Once in a while
4 Often
5 Very often
ps002e (found mind wandering when doing something that needs concentration)
Found your mind wandering when you were doing something that needed your concentration.
1 Never
2 Rarely
3 Once in a while
4 Often
5 Very often
ps002f (completely forgot to take things, or leave things behind and have to go back and get them)
Completely forgot to take things with you, or left things behind and had to go back and get them.
1 Never
2 Rarely
3 Once in a while
4 Often
5 Very often
ps002g (had feeling should be doing something, either now or later, but can't remember what)
Had the feeling you should be doing something, either now or later, but you couldn’t remember what it was.
1 Never
2 Rarely
3 Once in a while
4 Often
5 Very often
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
ps003_intro
Using the scale below, please indicate the extent to which you agree or disagree with each of the following statements.
Subgroup of questions
ps003a (You have a certain amount of cognitive ability and you can't really do much to change it.)
You have a certain amount of cognitive ability and you can't really do much to change it.
1 Strongly agree
2 Agree
3 Somewhat agree
4 Somewhat disagree
5 Disagree
6 Strongly disagree
ps003b (Your cognitive ability is something that you can't change very much.)
Your cognitive ability is something that you can't change very much.
1 Strongly agree
2 Agree
3 Somewhat agree
4 Somewhat disagree
5 Disagree
6 Strongly disagree
ps003c (You can learn new things, but you can't really change your basic intelligence and cognitive ability.)
You can learn new things, but you can't really change your basic intelligence and cognitive ability.
1 Strongly agree
2 Agree
3 Somewhat agree
4 Somewhat disagree
5 Disagree
6 Strongly disagree
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
gm001_intro
This question asks about how often you played electronic or online games over the past 12 months - from September 2021 to now.
For each type of game, indicate the number of hours you played per week over the last 12 months when you played the most.
Subgroup of questions
gm001a (within year FIRST/THIRD PERSON SHOOTERS )
FIRST/THIRD PERSON SHOOTERS
(Fortnite: Save the World or Fortnight: Battle Royal, Call of Duty, Halo, Battlefield, Half-life, Overwatch, Counterstrike, etc.)
1 Never
2 Less than 1 hour a week
3 1 hour to 3 hours per week
4 More than 3 hours per week
gm001b (within year ACTION-RPG/ADVENTURE)
ACTION-RPG/ADVENTURE
(The Witcher, Mass Effect, Fallout 4, Skyrim, GTA, Assassin’s Creed, Tomb Raider, The Last of Us, etc)
1 Never
2 Less than 1 hour a week
3 1 hour to 3 hours per week
4 More than 3 hours per week
gm001c (within year SPORTS/DRIVING )
SPORTS/DRIVING
(Fifa, NHL, Mario Kart, Need for Speed, Forza, etc)
1 Never
2 Less than 1 hour a week
3 1 hour to 3 hours per week
4 More than 3 hours per week
gm001d (within year REAL-TIME STRATEGY/MOBA )
REAL-TIME STRATEGY/MOBA
(Starcraft, Warcraft, DotA, Command & Conquer, League of Legends, Age of Empires, etc)
1 Never
2 Less than 1 hour a week
3 1 hour to 3 hours per week
4 More than 3 hours per week
gm001e (within year TURN-BASED/NON-ACTION ROLE-PLAYING/FANTASY)
TURN-BASED/NON-ACTION ROLE-PLAYING/FANTASY
(World of Warcraft, Final Fantasy, Fable, Pokemon, Dragon Age, etc)
1 Never
2 Less than 1 hour a week
3 1 hour to 3 hours per week
4 More than 3 hours per week
gm001f (within year TURN-BASED STRATEGY/LIFE SIMULATION/PUZZLE)
TURN-BASED STRATEGY/LIFE SIMULATION or PUZZLES
(Fortnight Creative, Minecraft, Civilization, Hearthstone, The Sims, Restaurant Empire, Puzzle Quest, Bejeweled, Solitaire, Candy Crush, Word/Number games, etc.)
1 Never
2 Less than 1 hour a week
3 1 hour to 3 hours per week
4 More than 3 hours per week
gm001g (within year MUSIC GAMES )
MUSIC GAMES
(Guitar Hero, Dance Dance Revolution, Rock Band, etc)
1 Never
2 Less than 1 hour a week
3 1 hour to 3 hours per week
4 More than 3 hours per week
gm001h (within year OTHER GAMES)
OTHER - games that don’t fit into any of the categories
(phone games, browser games, etc)
1 Never
2 Less than 1 hour a week
3 1 hour to 3 hours per week
4 More than 3 hours per week
End of subgroup of questions
End of group of questions
if gm001a > 1 OR gm001b > 1 OR gm001c > 1 OR gm001d > 1 OR gm001e > 1 OR gm001f > 1 OR gm001g > 1 OR gm001h > 1 then
gm002 (how long been playing electronic or online games)
For how long have you been playing these electronic or online games:
1 Less than 3 months
2 Between 3 and 6 months
3 Between 6 months and 1 year
4 Between 1 and 2 years
5 Between 2 and 4 years
6 5 years or more
End of if
CS_001 (HOW PLEASANT INTERVIEW)
Could you tell us how interesting or uninteresting you found the questions in this survey?
1 Very interesting
2 Interesting
3 Neither interesting nor uninteresting
4 Uninteresting
5 Very uninteresting
CS_003 (comments)
Do you have any other comments on the survey? Please type these in the box below. (If you have no comments, please click next to complete this survey.)
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